scholarly journals Physiotherapy Management of Patients with COVID-19 Infection in a Tertiary Care Setup- A Case Series

2021 ◽  
Vol 11 (5) ◽  
pp. 219-225
Author(s):  
Gauri Wakde ◽  
Prajakta Patil ◽  
Sumit Jadhav
Keyword(s):  
Medical Management ◽  
Tertiary Care ◽  
Case Series ◽  
Severe Infection ◽  
Severe Form ◽  
Vital Role ◽  
Major Health ◽  
The People ◽  
Remarkable Recovery

The entire world is currently in the clutches of COVID 19. COVID-19 has led to major health crises in the world. Inadequate hospital facilities, shortage of medications, constantly rising cases and increasing death rates have created fear and panic amongst the people. Patients having comorbidities develop more severe form of disease and require longer time for recovery. This case series highlights the patients with comorbidities who represented moderate to severe infection. However Physiotherapy interventions right from the beginning along with medical management resulted in remarkable recovery of the patients. This proves the vital role of physiotherapy in COVID 19. Such positive outcomes appeal including physiotherapy along with medical management for every patient with COVID 19. Key words: COVID 19, Coronavirus, Case series, Comorbidities, moderate to severe symptoms, physiotherapy.

Covid-19 – rumours and facts in media

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 171-174
Author(s):  
Tarare Toshida ◽  
Chaple Jagruti
Keyword(s):  
Social Media ◽  
Preventive Measures ◽  
Vital Role ◽  
The Other ◽  
Sources Of Information ◽  
Other Hand ◽  
Corona Virus ◽  
The People ◽  
The World

The covid-19 resulted in broad range of spread throughout the world in which India has also became a prey of it and in this situation the means of media is extensively inϑluencing the mentality of the people. Media always played a role of loop between society and sources of information. In this epidemic also media is playing a vital role in shaping the reaction in ϑirst place for both good and ill by providing important facts regarding symptoms of Corona virus, preventive measures against the virus and also how to deal with any suspect of disease to overcome covid-19. On the other hand, there are endless people who spread endless rumours overs social media and are adversely affecting life of people but we always count on media because they provide us with valuable answers to our questions, facts and everything in need. Media always remains on top of the line when it comes to stop the out spread of rumours which are surely dangerous kind of information for society. So on our side we should react fairly and maturely to handle the situation to keep it in the favour of humanity and help government not only to ϑight this pandemic but also the info emic.

scholarly journals Transcanal Endoscopic Antrostomy Hole : Its Utility in Restoring Ventilation Pathway to Epitympanum and Mastoid Antrum During Tympanoplasty

2014 ◽  
Vol 2 (1) ◽  
pp. 9-14
Author(s):  
Sheikh Shawkat Kamal
Keyword(s):  
Middle Ear ◽  
Tertiary Care ◽  
Case Series ◽  
Care Hospital ◽  
Retrospective Case ◽  
Middle Ear Mucosa ◽  
Case Series Study ◽  
Temporal Bones ◽  
Mastoid Antrum

Aim: To evaluate the role of newly created transcanal endoscopic antrostomy hole as a passage in restoring the aeration of epitympanum and mastoid antrum.Materials & Methods: Study design: Retrospective case series study. Study duration: From January 2013 to January 2014. Study place: Private tertiary care hospital. Patients: 27  ears of 23 adult patients (age ranging from 15years to 54years) underwent transcanal endoscopic tympanoplasty for their chronic middle ear diseases in presence of inflamed middle ear mucosa along with radiological shadows of stagnant fluid in their epitympanum and mastoid antrum. Structured three months follow-up was ensured in every case. Intervention: A hole was created at a selected site of posterior meatal wall purely through transcanal endoscopic approach that established direct communication between mastoid antrum and external auditory canal. Thereafter this newly created passage was used for three purposes- assessment of the condition of mastoid antrum, performing the water test for checking epitympanic patency and in few cases placement of temporary tube for postoperative ventilation and drainage of middle ear. Main out come measures: The feasibility, performance and management of transcanal endoscopic antrostomy hole as passage for reestablishing the aeration of epitympanum and mastoid antrum.Results: The chosen site for antrostomy hole was found effective and safe in providing convenient entrance into the mastoid antrum in every case in this study with out facing technical complexity and failure. Postoperative healing of skin over antrostomy hole was found complete in all ears without any inward growth of skin in to mastoid antrum. Available post operative CT scan imaging of temporal bones showed improved aeration in their epitympanum and mastoid antrum.Conclusions: The role of transcanal antrostomy hole has been proved worthy in restoring ventilation pathway to epitympanum and mastoid antrum during tympanoplasty. This antrostomy hole has the potentiality to be considered in future for placement of long term mastoid ventilation tube in order to treat persistent atelectatic middle ear.

Military Subversion in the Chinese Revolution of 1911

1975 ◽  
Vol 9 (1) ◽  
pp. 103-123 ◽  
Author(s):  
Edmund S. K. Fung
Keyword(s):  
Vital Role ◽  
Military Power ◽  
Revolutionary Movement ◽  
Chinese Revolution ◽  
Physical Strength ◽  
The People ◽  
In The Beginning ◽  
Opening Phase ◽  
The Revolution

One interesting aspect of the Revolution of 1911 in China was the role of the new-style army. The new-style troops, as one category of revolutionary activists distinct from the civilian radical intellectuals, determined the opening phase of the revolution, initiating the Wuchang uprising and bringing pressure to bear on most of the provincial leaders. Their contribution was the physical strength which the revolutionary intellectuals, who provided the ideology, lacked. The army played its vital role, not in the beginning of the revolutionary movement, but at a later stage when the prevailing order had been discredited and the imperial government had lost the allegiance of the people. Indeed, the success of the revolution reflected the interaction between revolutionary ideas and military power.

Concurrent surgeries in ENT: a cost-effective and safe approach in patients requiring multiple definitive procedures

2004 ◽  
Vol 118 (1) ◽  
pp. 31-33 ◽  
Author(s):  
Achamma Balraj ◽  
Mary Kurien ◽  
Anand Job
Keyword(s):  
Surgical Procedures ◽  
Tertiary Care ◽  
Case Series ◽  
Cost Effective ◽  
Definitive Treatment ◽  
Tertiary Care Centre ◽  
Retrospective Case ◽  
Average Hospital ◽  
Duration Of Surgery

Treatment of the predisposing factors that are identified in the nose and throat in several ENT diseases is mandatory prior to the definitive management of the latter. When surgical management is indicated it has been traditional to use staged procedures. This study was undertaken to assess the role of concurrent surgical procedures in ENT and evaluate their cost-effectiveness compared to similar staged procedures. This was a retrospective case series of 100 consecutive patients undergoing concurrent and similar staged ENT surgical procedures. On analysis, it was noted that the average duration of surgery, anaesthesia and hospital stay was significantly less in the concurrent procedures group than in the staged procedures (2.35/3.1.hours; 3.05/3.30.hours and 2.5/6.5 days, respectively). The average hospital bill for the concurrent procedures was also lower than for the staged procedures. Hence, in patients requiring multiple ENT surgical procedures for definitive treatment, concurrent procedures are more cost-effective than staged procedures and should be considered the treatment of choice in a tertiary care centre.

Garden History and the Vital Role of Garden Plant Inventories in Conservation

2012 ◽  
Vol 19 (1) ◽  
pp. 124-132
Author(s):  
Michael Simpson ◽  
Kyleigh Simpson
Keyword(s):  
Vital Role ◽  
Garden History ◽  
The People ◽  
Successive Generations ◽  
Old Trees ◽  
Garden Plant ◽  
Trees And Shrubs

Anyone who has visited a large old garden and seen the twisted remnant shrubs and big old trees in it may wonder about their past and worry about their future. The lumps and bumps on the ground and half-buried lines of stone may reveal clues to previous garden beds and structures. Old photographs may show a house in a luxuriant setting where we see only remnant trees and shrubs, and evidence of many phases of rise and decline. The study of a mature garden is inexorably linked to the study of the plants grown within it, as much as it is to an understanding of the people who made the garden and those who altered it and recorded it in successive generations.

Ancient Egyptians’ Atypical Relationship with Invertebrates

2019 ◽  
Vol 27 (7) ◽  
pp. 716-732
Author(s):  
Linda Evans ◽  
Philip Weinstein
Keyword(s):  
Vital Role ◽  
Ecological Systems ◽  
Ancient Egypt ◽  
Roman Period ◽  
Food Sources ◽  
Greco Roman ◽  
The People ◽  
Cultural Roles ◽  
Ubiquitous Presence

AbstractDespite the ubiquitous presence and vital role of invertebrates in all known ecological systems, insects and arachnids are largely viewed as repugnant by people. Consequently, until nature intervenes in the form of infestations, swarms or plagues, we largely prefer to ignore them, lest our attention invite unwelcome interaction. In contrast, the people of ancient Egypt did not distance themselves from invertebrates but instead celebrated their myriad forms. Egyptian appreciation of insects and arachnids is reflected in a range of art, artefacts, and texts dating from the predynastic era until the Greco-Roman period, revealing many positive cultural roles, from practical to conceptual. By assigning them a useful function, they were rendered visible and relevant to Egyptian society. The Egyptians’ example suggests that as necessity forces us to acknowledge the value of invertebrates—from their function as pollinators to becoming future food sources—our respect for them may also grow.

Treatment of Chronic Cough: Single-Institution Experience Utilizing Behavioral Therapy

2016 ◽  
Vol 156 (1) ◽  
pp. 103-108 ◽  
Author(s):  
Resha S. Soni ◽  
Barbara Ebersole ◽  
Nausheen Jamal
Keyword(s):  
Behavior Modification ◽  
Medical Management ◽  
Chronic Cough ◽  
Behavioral Therapy ◽  
Care Center ◽  
Tertiary Care ◽  
Case Series ◽  
Response To Treatment ◽  
Record System ◽  
Speech Language Pathologist

Objective Chronic cough remains a challenging condition, especially in cases where it persists despite comprehensive medical management. For these particular patients, there appears to be an emerging role for behavior modification therapy. We report a series of patients with refractory chronic cough to assess if there is any benefit of adding behavioral therapy to their treatment regimen. Study Design A case series with planned chart review of patients treated for chronic cough. Setting The review was performed with an outpatient electronic health record system at a tertiary care center. Subjects and Methods The charts of all patients treated for chronic cough by a single laryngologist over a 30-month period were analyzed. Patients’ response to treatment and rate of cough improvement were assessed for those with refractory chronic cough who underwent behavior modification therapy. Results Thirty-eight patients with chronic cough were initially treated empirically for the most common causes of cough, of which 32% experienced improvement. Nineteen patients who did not significantly improve with medical management underwent behavior modification therapy with a speech-language pathologist. Of these patients, 84% experienced resolution or marked improvement of their symptoms. Conclusion Behavioral therapy may be underutilized in practice and could lead to improvement of otherwise recalcitrant cough.

scholarly journals The Role of Hemoperfusion in COVID-19 Infection: A Case Series

2021 ◽  
Author(s):  
Ali Amirsavadkouhi ◽  
Alireza Jahangirifard ◽  
Reza Shahrami ◽  
Saeid Safari ◽  
Faezeh Feizabadi ◽  
...  
Keyword(s):  
Medical Records ◽  
Medical Condition ◽  
Case Series ◽  
Severe Infection ◽  
Multiple Organ ◽  
Pathological Process ◽  
Rapid Expansion ◽  
Cytokine Storm ◽  
Cytokine Levels

The rapid expansion of a novel human infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has evolved into a pandemic, affecting thousands of people world wild. Some patients with coronavirus disease 2019 (COVID-19) develop severe infection, which may progress to acute respiratory distress syndrome, multiple organ failure, and death. Increasing studies indicate that abnormal elevation of cytokine levels in response to SARS-CoV-2 may contribute to the pathological process that leads mortality of COVID-19. Thus, application of extracorporeal hemoperfusion (HP) for removal of excessive cytokines from the blood can potentially mitigate or reverse cytokine storm related complications of COVID-19. Here, we presented series of COVID-19 patients, who were treated with HP (HA 380 cartridge, Jafron Biomedocal Co, China). The medical records were evaluated retrospectively to determine the effect of HP on patients’ clinical outcome. Our results showed that HP improvee PO2 and O2 saturation in patients with severe COVID-19. After the last courses of HP, 5 out of 6 patients were extubated and transferred to the general ward with an acceptable medical condition. The following case series demonstrate the promising role of HP in controlling the consequential effect of cytokine storm following a COVID-19 infection, which could facilitate patient survival.

scholarly journals The Role of Islamic Education In Student Organizations to Realize Human Resources In The Review of Higher Education Law Perspectives

2019 ◽  
Vol 3 (1) ◽  
pp. 61
Author(s):  
Ferry Irawan Febriansyah ◽  
Achyat Daroini ◽  
Widowati Widowati
Keyword(s):  
Human Resources ◽  
Formal Education ◽  
Vital Role ◽  
Islamic Education ◽  
Education Law ◽  
National Education ◽  
Higher Education Law ◽  
The People ◽  
The Right

Education, mainly Islamic based learning, can be found in formal schools, non-formal and informal institutions. A person can freely choose which path to use as a way to take talent and potential in him; even when making formal education, even an individual has the right to participate in non-formal education activities. One of the most appropriate places to forge one's abilities is the campus. It is undeniable that students are one of Indonesia's most influential human resources and are also the next generation of nation-building. Therefore the cadre regeneration function is the most basic. As a generation that must carry out the role of regeneration for the sake of the realisation of the good and happiness of the people, nation and country in the future. Therefore education is needed to help towards the better. Islamic culture has a vital role in the education model that exists in Indonesia. Islamic education is used to improve human morals in a better direction with Islamic methods. It can be observed that student organisations within the campus need a strong foundation to improve their quality in faith and loyalty that has both physical and spiritual intelligence. It is here that the need for Islamic education in helping them is better by the mandate of the national education law. Pendidikan, terutama pembelajaran berbasis Islam, dapat ditemukan di sekolah formal, lembaga non-formal dan informal. Seseorang dapat dengan bebas memilih jalan mana yang akan digunakan sebagai cara untuk mengambil bakat dan potensi dalam dirinya; bahkan ketika membuat pendidikan formal, bahkan seorang individu memiliki hak untuk berpartisipasi dalam kegiatan pendidikan non-formal. Salah satu tempat paling tepat untuk menempa kemampuan seseorang adalah kampus. Tidak dapat dipungkiri bahwa siswa adalah salah satu sumber daya manusia Indonesia yang paling berpengaruh dan juga merupakan generasi penerus bangsa. Karena itu fungsi regenerasi kader adalah yang paling mendasar. Sebagai generasi yang harus menjalankan peran regenerasi demi terwujudnya kebaikan dan kebahagiaan rakyat, bangsa dan negara di masa depan. Oleh karena itu diperlukan pendidikan untuk membantu menuju yang lebih baik. Budaya Islam memiliki peran penting dalam model pendidikan yang ada di Indonesia. Pendidikan Islam digunakan untuk meningkatkan moral manusia ke arah yang lebih baik dengan metode Islam. Dapat diamati bahwa organisasi mahasiswa di dalam kampus membutuhkan dasar yang kuat untuk meningkatkan kualitas mereka dalam iman dan kesetiaan yang memiliki kecerdasan fisik dan spiritual. Di sinilah perlunya pendidikan Islam dalam membantu mereka lebih baik dengan mandat hukum pendidikan nasional.

scholarly journals Climate change: what people living in Jammu city of India know?

2019 ◽  
Vol 7 (5) ◽  
pp. 1746
Author(s):  
Riya Gupta ◽  
Mudasir Majeed ◽  
Rashmi Kumari ◽  
Rajiv Kumar Gupta ◽  
Bhavna Langer ◽  
...  
Keyword(s):  
Climate Change ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
The People ◽  
Background Climate ◽  
Harmful Effects ◽  
Knowledge Attitudes And Practices

Background: Climate change has emerged as one of the greatest challenges of the present century. The current study explores the knowledge, attitudes and practices about climate change of the adults aged 18 years and above in Jammu city of North India.Methods: A cross-sectional study was conducted among attendants of the patients visiting medical OPD of a tertiary care teaching hospital. A pilot tested questionnaire eliciting information on knowledge, attitudes and practices about climate change was administered to those who were willing to participate.  The data collected was presented in proportions.Results: Majority (95%) of the respondents had heard of the term climate change, and 43.9% of them related it to changes in the weather pattern. Plastic use as a major cause of climate change was agreed upon by 95% of the respondents. About half of the respondents were very much concerned about climate change and 80% of them were very much interested in knowing more about climate change and its impact. Only 24.8% of the respondents read/watch stories on climate change.Conclusions: Knowledge levels of the respondents were found to be reasonably good but the same cannot be said about their attitude and practices. Role of NGOs, social communities and media is of utmost importance to make people aware of the harmful effects of climate change on both the environment as well as the health of the people.

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