EXERCISE INTERVENTION IN THE MANAGEMENT OF VENOUS LEG ULCERS: A REVIEW

Venous leg ulcers (VLUs) are the most common etiology of lower extremity ulceration, with approximately 70 to 80 percent of leg ulcers developing from venous insufficiency or disease. The financial burden of VLUs on society, increase in prevalence with age, the chronic nature of the disorder, and high recidivism rate are, in part, the driving forces behind efforts to determine the most effective management options to achieve complete wound healing in a timely and efficient manner. Thus, the purpose of this paper is to describe the etiology, diagnosis, and management of VLUs, with a particular emphasis on exercise intervention. While medical treatment of VLUs include wound debridement, infection control, and proper wound dressing, compression therapy and elevation are the most common and effective treatment option for VLUs. When combined with routine compression therapy, exercise intervention (e.g., aerobic, resistance, and flexibility exercises) significantly improves the healing of VLUs in a cost efficient manner and should be strongly considered in the routine management of patients with VLUs. <p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0852/a.php" alt="Hit counter" /></p>

EFFECTIVENESS OF HIGH AND LOW INTENSITY REHABILITATION PROGRAMME IN CHRONIC PHASE OF GUILLAIN BARRE SYNDROME PATIENTS: A RANDOMIZED CONTROL TRIAL

Aim of the study: The aim of the study was to conduct a randomized control trial to compare the effectiveness of high and low intensity rehabilitation programme in chronic phase of GBS patient. Methodology: 20 Patients were included in the study as per inclusion and exclusion criteria. A written informed consent was signed by the subjects in their native language. The subjects were divided into two groups by simple random sampling. Group (A) Experimental Group (N=10): got treatment with High intensity rehabilitation exercises and Group (B) Control Group (N=10): got treatment with Low intensity rehabilitation exercises. Total rehabilitation program was for 12 months. The outcome measures for the both groups were Functional Independence Measure (FIM), World health Organization Quality of Life Scale (WHOQOL-BREF), Perceived Impact of Problem Profile (PIPP). Results: Intention to treat analysis of data from 20 patients (experimental n=10, control n=10) showed reduced disability in the treatment group in post-treatment FIM domains (self- care, sphincter control, transfers, locomotion; all p<0.001) and WHOQOL-BREF domains (quality of life; all p<0.001) and PIPP domains (self-care, mobility; all p<0.001). The treatment group compared with control group showed significant improvement in function (FIM scores): 72% vs. 50%. Conclusion: High intensity rehabilitation programme compared with Low intensity low intensity rehabilitation programme is effective in reducing motor disability (mobility, self-care, continence) in chronic phase of GBS patients. <p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0720/a.php" alt="Hit counter" /></p>

EVALUATION DU DEVELOPPEMENT COGNITIF ET DES FACTEURS PSYCHOSOCIAUX DE MAUVAISE ADAPTATION CHEZ LES SCHIZOPHRENES TRAITES AU CENTRE NEURO-PSYCHO-PATHOLOGIQUE « C.N.P.P. » DE L’UNIVERSITE DE KINSHASA, DEMOCRATIC REPUBLIC OF THE CONGO

Cette étude a évalué les déficits des fonctions neurocognitives de base, les facteurs psychologiques et ceux de la sphère sociale associés qui interfèrent avec la mauvaise adaptation des patients schizophrènes traités au C.N.P.P. de l’Université Kinshasa. Elle a fait suite à une recherche initiale menée auprès de 48 personnes souffrant de schizophrénie et qui avaient montré après la stabilisation des symptômes cliniques, la difficulté d’interagir adéquatement avec la réalité était la plainte. Le suivi psychologique en postcure a révélé une mauvaise intégration de ces patients dans le contexte familial. Quatre patients issus de cette cohorte, sélectionnés par choix raisonné ou de convenance (Pirès, 1977) ont été évalués à l’aide d’entretien clinique, des tests neuropsychologiques et des échelles de mesure sociale. L’objectif a consisté à utiliser une approche de remédiation cognitive de restauration du processus adaptée aux difficultés et des interventions individualisées de réadaptation psychosociale pouvant favoriser l’intégration de la personne à la famille et à la communauté, au rythme individuel. Les résultats des bilans individuels réalisés ont révélé des profils neurocognitifs déficitaires de mémoires, d’attention et de planification des tâches, un coping inapproprié, une estime de soi faible, une accumulation des stress, la stratégie globale de résolution de problèmes, un soutien familial non perçu, une relation malade-médecin moins bonne, une attribution causale externe de la maladie, une habitude de consommation de substances psychoactives, l’appartenance de l’enfant à une famille désunie. <p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0748/a.php" alt="Hit counter" /></p>

IMMEDIATE EFFECTS OF BACKPACK ON VENTILATION AMONG SCHOOL GOING CHILDREN AGED FROM 7 TO 15 YEARS IN NAVSARI, GUJARAT, INDIA

<p><strong>Background:</strong> Backpacks are used popularly by students to carry their school belongings in many countries. Therefore, serious concerns are being raised about the effect of the backpack on children. There is ongoing concern regarding the weight of children’s schoolbags and the negative consequences of such heavy loads on the developing spine and cardio-respiratory systems. There are various other factors which are affecting cardiorespiratory fitness in adult as well as children. A significant reduction was reported for most of the ventilatory function parameters while carrying the backpack.<br /> <strong>Purpose:</strong> To check the immediate effect of the backpack on the ventilation of school-going children aged from 7-15 years in Navsari. <strong>Method:</strong> 210 subjects were taken in this study to check respiratory parameters. All included children were tested in standing position with the head straight after taking written consent from parents. They were further divided into three age groups ranging from 7-9 years, 10-12 years, and 13-15 years. Spirometry was done using the spirometer of clarity medical Pvt. Ltd. Spirometer used in the study facilitates the total valuation of lung function including forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and peak expiratory flow rate (PEFR). <strong>Results:</strong> With the help of SPSS software paired sample t-test was done. The parameters of FVC, FEV1, and PEFR showed a significant reduction in the data with a backpack, without a backpack and with one shoulder strap. The result of parameters was p˂0.005 except for the value of PEFR with one shoulder strap in the third age group which was p=0.108. <strong>Conclusion:</strong> There is a significant reduction in respiratory function (FVC, FEV1, and PEFR) in correlation with age, weight, and height and bag weight of subjects.</p><p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0680/a.php" alt="Hit counter" /></p>

ASSESSMENT OF BLOOD CHOLESTEROL AMONG STAFF IN KASHIM IBRAHIM COLLEGE OF EDUCATION MAIDUGURI, BORNO STATE, NIGERIA

<p>This study assessed of blood cholesterol among staff in Kashim Ibrahim College of Education Maiduguri, Borno state. Three hypotheses guided the study. Survey research design was used for this study. The population for the study comprised staff of Kashim Ibrahim College of Education Maiduguri numbering 566 (academic staff 216 and non-academic staff 350). A sample of 57 (males 37, females 20) staff were selected for the study using stratified sampling technique with proportionate method. The instruments used for data collection were floride oxalate container yellow cap and green cap, syringe (5ml) with needle to determine blood cholesterol of the participants; biodata sheet was used in recording the information of each participant. Analysis of data was done using descriptive statistics of mean, standard deviation, frequency counts and percentage. t-test and Analysis of Variance (ANOVA) was used to test hypotheses at 0.05 alpha level of significance. All the hypotheses formulated was retained. It was concluded that there is no significant difference in the hypotheses tested. Based on the results of this study, it was recommended that adequate sport facilities, including time allocation for sporting activities should be provided by the College authority within the College environment; that will enable the staff to participate in physical activities as a means of preventing the occurrence of these biomedical health risk factors.</p><p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0622/a.php" alt="Hit counter" /></p>