Prevalence of Musculoskeletal Disorder of Upper Limb In Gardeners of Pakistan Horticulture Authority

Author(s):  
Ali Abid ◽  
Muhammad Asim Arif

For non-lethal professional traumas, the most prevailing injuries were nonfatal and ailment every year. However, for the fitness care and community based job occupation, half of the total absence because of ailment is reported at jobor due to job. Objective: To determine the Prevalence of Musculoskeletal Disorder of Upper Limb in Gardeners of PHA. Methodology: An observational study conducted Dash and VAS questionnaire used for the study. Data collected from gardeners of PHA. Participants participated voluntarily by completing a questionnaire with excellent reliability. The questionnaire contained many items to evaluate problems in shoulder, elbow and hand. The duration of the study were 4 months after approval of synopsis. A sample technique was convenient sample technique result analyzedwith SPSS version 21.Results: 185 participants are selected for study. Data collected from PHA gardeners.50 (23.9%)reported with severe difficulty that was highest frequency reported for severe difficulty while doing garden work in gardeners. Moderate difficulty reported with high frequency in gardeners while carrying heavy objects. Workactivities reported like hammering with high frequency of inability to perform this activity due to disability.it is also reported that gardeners are very limited in work .high frequency reported in severity of symptoms in shoulder,arm and hands in gardeners Conclusions: This study indicates gardeners are direct sufferers of musculoskeletal disorders with pain symptoms in shoulder, arm and hands.VAS scale measures showing upper limb disorderssymptoms are producing limitations in daily work.

2009 ◽  
Vol 106 (2) ◽  
pp. 370-377 ◽  
Author(s):  
Jean-Sébastien Blouin ◽  
Lee D. Walsh ◽  
Peter Nickolls ◽  
Simon C. Gandevia

Control of posture and movement requires control of the output from motoneurons. Motoneurons of human lower limb muscles exhibit sustained, submaximal activity to high-frequency electrical trains, which has been hypothesized to be partly triggered by monosynaptic Ia afferents. The possibility to trigger such behavior in upper limb motoneurons and the potential unique role of Ia afferents to trigger such behavior remain unclear. Subjects ( n = 9) received high-frequency trains of electrical stimuli over biceps brachii and flexor pollicis longus (FPL). We chose to study the FPL muscle because it has weak monosynaptic Ia afferent connectivity and it is involved in fine motor control of the thumb. Two types of stimulus trains (100-Hz bursts and triangular ramps) were tested at five intensities below painful levels. All subjects exhibited enhanced torque in biceps and FPL muscles after both types of high-frequency train. Torques also persisted after stimulation, particularly for the highest stimulus intensity. To separate the evoked torques that resulted from a peripheral mechanism (e.g., muscle potentiation) and that which resulted from a central origin, we studied FPL responses to high-frequency trains after complete combined nerve blocks of the median and radial nerves ( n = 2). During the blocks, high-frequency trains over the FPL did not yield torque enhancements or persisting torques. These results suggest that enhanced contractions of central origin can be elicited in motoneurons innervating the upper limb, despite weak monosynaptic Ia connections for FPL. Their presence in a recently evolved human muscle (FPL) indicates that these enhanced contractions may have a broad role in controlling tonic postural outputs of hand muscles and that they may be available even for fine motor activities involving the thumb.


2005 ◽  
Vol 25 (1) ◽  
pp. 37-48 ◽  
Author(s):  
William B. Ward ◽  
Alfred K. Neumann ◽  
Matilda E. Pappoe

The Danfa Comprehensive Rural Health and Family Planning Project was a joint effort of the Ghana Medical School, the Ministry of Health, UCLA, and USAID. A health education component was developed as an integral part of program inputs during the initial conceptual phase of the project. As a result non-equivalent experimental and control areas were designated permitting an assessment of program impact during a five-year period (1972–1977) for which baseline and follow-up study data were available. A new cadre of community-based workers (Health Education Assistants) was developed from existing health personnel in the country, and trained in health education and multipurpose health work. Although the HEAs were found to have difficulty in bringing about changes in health practices when other support services were not available, they did have measurable impact on villagers' adoption of family planning methods and a number of specific health practices.


Author(s):  
Denteh Raphael ◽  
Samuel Dontoh ◽  
Augustine Adjei ◽  
Francis Kyei Badu

The study was to explore the factors that account for low enrolments in senior high schools in the Ashanti Region of Ghana. The purpose of the study was to investigate the factors that account for low enrolments in the community-based senior high school in the Ashanti Region of Ghana. The purpose of the study was to investigate socio-economic factors, school related factors, geographical factors and individual characteristics that influence enrolments, participation, retention, attendance, progression and dropout in community-based senior high schools in Ashanti Region of Ghana. The purposive and quota sampling were used to select a sample size of 120 respondent make up of 10 heads, 10 Districts Directors of Education, 10 PTA chairmen and 90 parents of sampled schools. The instruments used to collect data from the respondents were the questionnaire for heads, structured interview guide for parents. PTA Chairmen and the District Directors of GES and observation guide on school building and furniture. The reliability co-efficient of the study was 0.82. The co-efficient is high enough and hence the items were deemed reliable for the study. Data were analysed by the use of frequencies, percentages and apparent cohort method. The finding of the study indicated that most of the sampled senior high schools do not have school bus to convey day students to and from schools. The sample senior high schools do not have workshops for all programmes, classrooms and standard science laboratories and science equipment to enhance academic work.


2013 ◽  
Vol 28 (2) ◽  
pp. 91-95 ◽  
Author(s):  
Dimosthenis G Fotiadis ◽  
Eleni G Fotiadou ◽  
Dimitrios G Kokaridas ◽  
Argyrios C Mylonas

This study was designed to investigate the frequency of musculoskeletal disorders among musicians in a professional-level symphony orchestra in Greece. The sample consisted of 147 musicians (97 men, 50 women) of the Athens and Thessaloniki State Symphony Orchestra. The mean age of the musicians was 38.97 years (range 24 to 67, SD 9.68), while the years of experience in the orchestra ranged from 1 to 35 (mean 14.2, SD 8.47). The data were collected with the Standardized Nordic Questionnaire, which records the frequency of musculoskeletal disorders. Our results showed a very high percentage (81.6%) of the musicians had suffered at least once, during their professional career, some kind of musculoskeletal disorder that was associated with pain or discomfort and was directly related to their profession. More than two-thirds of the musicians had also suffered a problem in the hand and neck areas during the last 12 months. Musculoskeletal disorders appeared to be related to gender, age, kind of instrument played, and duration of rehearsing/performing, along with previous experience. In summary, there is a high frequency of injury among professional-level musicians in Greece reported in our study, highlighting the obvious need to develop prevention programs.


2020 ◽  
Vol 76 (1) ◽  
pp. 133-140
Author(s):  
Kristen N Robinson ◽  
Heather L Menne ◽  
Raphael Gaeta

Abstract Objectives Home- and community-based services (HCBS) help older adults remain living safely in their homes by delaying or preventing the need for institutionalization. This analysis is guided by the Andersen Behavioral Model of Health Services Use to examine the association between informal support and use of HCBS. Method Health and Retirement Study data from 2011 and 2012 are used in the bivariate analyses and multivariate logistic regression models to examine differences in HCBS utilization among extremely vulnerable older adults who have informal caregivers and those who do not. Results For extremely vulnerable older adults who report difficulties with any instrumental or basic activities of daily living, use of HCBS is not strongly associated with access to informal caregivers. However, for this same population of extremely vulnerable older adults, those who live alone have roughly 3 times the odds of using any HCBS compared to those who do not live alone. Discussion Among already vulnerable older adults, this study revealed that living alone is an important enabling factor of the Andersen Behavioral Model as applied in HCBS research. Further investigation is needed to see if more resources should be allocated to senior centers and local providers to identify vulnerable older adults who live alone and may have unmet needs.


2009 ◽  
Vol 36 (5) ◽  
pp. 810-828 ◽  
Author(s):  
Sarah B. Hunter ◽  
Matthew Chinman ◽  
Patricia Ebener ◽  
Pam Imm ◽  
Abraham Wandersman ◽  
...  

Demands on community-based prevention programs for performance accountability and positive outcomes are ever increasing in the face of constrained resources. Relatively little is known about how technical assistance (TA) should be structured to benefit community-based organizations and to lead to better outcomes. In this study, data from multiple sources were used to describe an effective TA model designed to improve the capacity of community-based organizations to plan, implement, and evaluate prevention programming. This article is the first of its kind to provide detailed analyses of the TA delivered to community-based organizations to build substance abuse prevention capacity. The results of this study describe the range of TA services provided and the importance of two-way communication between the TA provider and recipient. TA recipients reported high satisfaction and an improved understanding of targeted TA activities. However, achieving these benefits requires significant program staff time, and not all skills were successfully transferred. Results from this study suggest how TA may be structured to be effective in supporting quality prevention programming in community settings.


2014 ◽  
Vol 52 (4) ◽  
pp. 334-346 ◽  
Author(s):  
Carole PELISSIER ◽  
Luc FONTANA ◽  
Emmanuel FORT ◽  
Jean Pierre AGARD ◽  
Francoise COUPRIE ◽  
...  

2019 ◽  
Vol 9 ◽  
pp. 4
Author(s):  
CS Prabhu ◽  
K Madhavi ◽  
VN Amogh ◽  
Hiren K Panwala ◽  
Kirthi Sathyakumar

Introduction: We present one of the largest case series of Macrodystrophia lipomatosa, a rare congenital disorder of localized gigantism characterized by overgrowth of all the mesenchymal elements, predominantly involving the fibroadipose tissue. Aims: To detail the radiological features, pattern of distribution, associated conditions and to suggest an appropriate terminology to describe the condition. Methods and Material: It is a retrospective study. Data from PACS server dating from 2000 and 2018 was used. The cases with isolated enlarged limb or digit/digits with or without nerve involvement were included in the study. Statistical Analysis Used: Frequency and percentage were used for analysis of categorical variables. Results: A total of 31 cases was included for the final analysis, out of which 19 were males and 12 were females. Unilateral limb involvement was seen in 30 cases. The most common pattern identified was the ’nerve territory oriented’ type in 28 cases confined to the hand or foot, ’diffuse or pure lipomatous’ type in one case and mixed type was seen in two cases. The most common nerve territory involved was along the median nerve in the upper limb and along the medial plantar nerve in the lower limb. Neural involvement was seen in 16 cases of the upper limb and 10 cases of the lower limb. Syndactyly was seen in two cases, polydactyly in one case and symphalangism in one case. Conclusions: A diagnosis of macrodystrophia lipomatosa can be confidently made in cases with congenital isolated limb or digit/digits enlargement with or without fibrolipohamartoma of nerve. Radiographs and ultrasound are sufficient along with clinical examination to make accurate diagnosis. MRI is useful for assessing the extent and for planning surgery.


2021 ◽  
Vol 12 (1) ◽  
pp. 30
Author(s):  
Shilmy Purnama

The formation of national character which is mandated through education in schools at every level, but in its implementation has not given optimal results. The Strengthening Character Education Program designed by the government focuses on three main activities, namely Strengthening Class-Based Character Education, Strengthening Community-Based Character Education, and Strengthening School-Based Character Education. Strengthening Community-Based Character Education is intended to support and strengthen the character education that has been given in classrooms and schools. This study discusses local wisdom that is still adhered to by the indigenous people of Kampung Naga as a reinforcement for community-based character education. This study uses a qualitative approach with descriptive methods. Data collection techniques are observation, interview, and documentation study. Data analysis is based on Miles & Huberman (2014), in the form of data collection, data reduction, data presentation, and drawing conclusions. The results showed that the indigenous people of Kampung Naga reflect the main character values contained in Character Strengthening Education. These character values include religion, nationalism, cooperation, independence, integrity, and cooperation. The manifestation of these character values can be seen in their lives, both physically (in the form of houses, clothes, and furniture), social (life of social interaction, cooperation, deliberation system), and culture (certain arts and ceremonies). warning). Therefore, the indigenous people of Kampung Naga can be used as school partners as a learning resource for Strengthening Community-Based Character Education.


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