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Geisler, Paul R., Chris Hummel i Sarah Piebes. "Evaluating Evidence-Informed Clinical Reasoning Proficiency in Oral Practical Examinations". Athletic Training Education Journal 9, nr 1 (1.05.2014): 43–48. http://dx.doi.org/10.4085/090143.
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Clinical reasoning is the specific cognitive process used by health care practitioners to formulate accurate diagnoses for complex patient problems and to set up and carry out effective care. Athletic training students and practitioners need to develop and display effective clinical reasoning skills in the assessment of injury and illness as a first step towards evidence-based functional outcomes. In addition to the proper storage of and access to appropriate biomedical knowledge, an equally important component of effective clinical reasoning is the ability to select and interpret various conclusions from the mounting quantity of evidence-based medicine (EBM) sources. In assessing injury and illness, this competency is particularly reliant upon experience, skill execution, and available evidence pertaining to the diagnostic accuracy and utility of various special tests and physical examination procedures. In order to both develop and assess the ability of our students to integrate EBM into their clinical reasoning processes, we have designed exercises and evaluations that pertain to evidence-based clinical decision making during oral practical examinations in our assessment of athletic injury labs. These integrated oral practical examinations are designed to challenge our students' thinking and clinical performance by providing select key features of orthopaedic case pattern presentations and asking students to pick the most fitting diagnostic tests to fit that particular case. Students must not only match the appropriate special/functional tests, etc, to the case's key features, but also choose and explain how useful the chosen tests are for the differential diagnosis process, relative to the best diagnostic evidence. This manuscript will present a brief theoretical framework for our model and will discuss the process we use to evaluate our students' ability to properly select, perform, and explain various orthopaedic examination skills and the relevant evidence available. Specific examples of oral practical exam modules are also provided for elucidation.
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Argeșanu, Roxana Diana, Lăcrămioara Aurelia Brîndușe, Cosmina Iustina Mogoș, Eugenia Claudia Bratu, Petru Armean i Maria Alexandra Cucu. "Improvement of the quality of life and the physical activity status in women with osteoporosis and osteopenia following physical activity intervention program". Balneo and PRM Research Journal 14, Vol.14, no. 4 (20.12.2023): 634. http://dx.doi.org/10.12680/balneo.2023.634.
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Background. Osteoporosis is characterized by low bone density, affecting predominantly women, especially after menopause, and it is associated with a decrease in the quality of life. It is a known fact that a low level of physical activity represents a substantial risk for osteoporosis. Purpose. The purpose of the survey is to compare the health-related quality of life (HRQoL) of patients with osteoporosis and osteopenia before and after a physical exercise intervention. Material and method. A prospective descriptive survey on 70 women with osteoporosis and osteopenia was carried out between April 2021 and February 2023 in the ambulatory of the Clinical Emergency Hospital “Prof. Dr. Agrippa Ionescu”, Bucharest, Romania. Data are collected using medical docu-ments (sociodemographic and anthropometric data, comorbidities, bone density level, osteoporosis treatment, etc), the Interna-tional Physical Activity Questionnaire (IPAQ) (physical activity level), and the Romanian version of the SF-36 (health-related quality of life). Results. The study included 70 female patients with osteoporosis (41.4%) and osteopenia (58.6%). All of the SF-36 doma-ins and the summary scales (physical and mental component scores) revealed significantly (except Social Functioning, p=0.158) higher mean values postinterventional than the baseline mean scores. The most remarkable improvements were observed in the following domains: Role limitation due to physical problems (18.5; p=0.003), Role limitation due to emotional problems (14.7; p=0.018), and General health (14.0; p<0.001). Conclusions. All dimensions of quality of life were significant improved after the exercise intervention program in the patients with osteoporosis and osteopenia.
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Orhan, Ilkay Erdogan. "Phytochemical and Pharmacological Activity Profile of Crataegus oxyacantha L. (Hawthorn) - A Cardiotonic Herb". Current Medicinal Chemistry 25, nr 37 (7.01.2019): 4854–65. http://dx.doi.org/10.2174/0929867323666160919095519.
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Crataegus oxyacantha L. (syn. C. rhipidophylla Gand.) (Rosac-eae) is one of the two medicinally recognized hawthorn species in European Pharmacopeia. Standardization of the extract prepared from the berry and flowers of the plant is required according to its oligomeric procyanidins. C. oxyacantha is well-known for its use in the treatment of various heart problems particularly, including heart failure in cases of declining cardiac performance equivalent to stages I and II of the New York Heart Association classification, angina pectoris, hypertension with myocardial insufficiency, mild alterations of cardiac rhythm, and atherosclerosis. C. oxyacantha has been reported to exert several other pharmacological activities such as hypotensive, antihyperlipidemic, antihyperglycemic, anxiolytic, immunomodulatory, and antimutagenic. Oligomeric procyanidins and flavone/flavonol types of flavonoids, which are considered to be the chief groups of active substances, phenolic acids, triterpenes, fatty acids, and sterols are present in the plant. The present review aims mainly to outline cardiotonic effect of C. oxyacantha as well as its brief phytochemistry. Numerous experiments and clinical studies have underlined cardiovascular efficacy of the plant through various mechanisms including positive inotropic and negative chronotropic effects, escalation in coronary blood flow and exercise tolerance, inhibition of the enzymes such as angiotensinconverting enzyme (ACE) and phosphodiesterase, anti-inflammatory and antihyperlipidemic effects, improving status of antioxidant enzymes, etc., which support its cardioactive efficacy. The plant possesses several other bioactivities for human health usually concomitant to its rich polyphenolic content.
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Ahmad, Iftikhar. "LIFE STYLE AND HEALTH EDUCATION". Gomal Journal of Medical Sciences 17, nr 3 (25.06.2020): 63–64. http://dx.doi.org/10.46903/gjms/17.03.2079.
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Lifestyle is the interest, behavior, opinion, style of living or world outlook of an individual, group, or culture; a combination of tangible factors like demographics and intangible factors like personal values and preferences.1 Recently researchers have more interest in the relationship between life style and health. Millions of people, following unhealthy lifestyle (or risk-factors), are plagued with morbidity, disability and mortality due to non-communicable, communicable diseases & nutritional disorders. Persons having unhealthy behaviors may be called as ‘at risk groups’.2 Although a healthy lifestyle has consistently been shown to decrease mortality, the population prevalence of healthy living remains low.3 The mental health of an individual can be assessed by his behavior and attitude. Common lifestyle variables influencing health include diet, exercise, sleep, smoking, alcohol consumption, substance abuse, stress management, sexual behavior, internet, recreation, etc.4 Besides, weight management, exposure to the sun, social contact, work life balance, leisure activities, screening for cancer etc. make a healthy life style. Healthy ways of living are developed through processes of socialization with parents, friends, relatives and community. However, not all life style factors are harmful. There are many life styles that promote health. For example, adequate nutrition, exercise, meditation, enough sleep etc.5 Modern or slow epidemics of non-communicable diseases (NCDs) e.g. hypertension (HTN), coronary heart disease (CHD), diabetes mellitus (DM), obesity, cancer etc. have been increasing in incidence compared to the previous century. With the increase in life expectancy, the prevalence of NCDs is on the rise. About 2 billion people are overweight in developed as well as low to middle income countries.6 Comorbidities of obesity include HTN, CHD, DM, stroke, cancers, gallbladder disease, dyslipidaemia, osteoarthritis, gout and sleep apnoea.7 Obesity is not only preventable but treatable with lifestyle modifications to forestall DM.8 Furthermore, several pathways linking obesity and CHD have been described; in particular coronary atherosclerosis, heart failure, and atrial fibrillation.9 In a study by CDC conducted in late 1970s in US, approximately 48% of all premature deaths prior to age 75 years could be traced to one’s lifestyle or health behavior choices, hence focusing on a personal responsibility model whereas another study accounts for about 63% of all deaths.10 Human behavior is a major obstacle to disease control. Changes in human behavior may prevent most of the world's major health problems & premature deaths at low cost. Public health is defined as ‘the health status of a defined group of people and the governmental actions and conditions at the local, state, and national levels to promote healthy behaviors, prevent spread of disease and injuries, protect against environmental hazards & disasters and assure the curative and rehabilitative health services. Many public health recommendations and clinical guidelines emphasize that healthy lifestyles have substantial health benefits.11 Changes in the life-style of the population by health education encompass three approaches of primary prevention as recommended by the WHO for prevention of chronic diseases. In first approach or primordial prevention, children are discouraged from adopting harmful lifestyles through individual/ mass education in countries in which many adult health problems (e.g., obesity, hypertension) have not yet appeared. Lifestyles are formed during childhood and aim is to prevent the emergence of risk factors. Second approach or population (mass) strategy is directed at the whole population, irrespective of individual risk level. A small reduction in the average blood pressure/ serum cholesterol in the community, helps in reducing the CHD prevalence. Third approach or high-risk strategy, on the other hand, aims to detect individuals at high risk by the optimum use of clinical methods and provide preventive care to them. To have an impact on the population, all the above three approaches should be implemented as they are usually complementary but the results are perceived after several decades and not immediately. Besides health education the population must have access to preventive measures.5 Lifestyle medicine program serves as a systematized approach to manage NCDS by addressing multiple risk factors through self-management skills.12 Physical activity leading to cardiorespiratory fitness is needed in all age groups, both sexes, race & ethnicities to prevent NCDs including CVDs.13 Better control of behavioral risk factors alone could prevent one-third of all acute and two-thirds of chronic disabilities. Physical activity, consumption of fresh rather than processed foods, limited use of cooking/ table salt to
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Rzayev, O. "Training and Education in Physical Education Lessons". Bulletin of Science and Practice 10, nr 2 (15.02.2024): 528–33. http://dx.doi.org/10.33619/2414-2948/99/58.
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Training and education in physical education lessons is a complex, multifaceted process, the effectiveness of which depends not only on what the teacher himself knows and can do, but also on how he transfers knowledge and skills to students. Pedagogical activity is a continuous solution of pedagogical problems. A special feature of the working conditions of a physical education teacher is the need to demonstrate physical exercises and insure students when they perform physical exercises, as well as to move with students during outdoor exercises, on hikes, etc. The effectiveness of a coach depends on many factors: economic, social, scientific, organizational, etc. The indicator of a coach’s effectiveness is the successful achievement of a goal with the most rational use of forces and means, which presupposes that the structure and functioning of the coach’s psyche corresponds to the structure and dynamics of his activities.
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Parekh, Neel, Vipina Merota, Ruchira Joshi, Ginpreet Kaur, Hardeep Tuli i Harpal Buttar. "The impact of antioxidant diets, nutraceuticals and physical activity interventions in the prevention of cardiometabolic diseases: An overview". Scripta Medica 54, nr 4 (2023): 389–403. http://dx.doi.org/10.5937/scriptamed54-46932.
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Hippocrates - Father of Medicine (ca 460-370 BC) - endorsed the cuative effects of foods; he said: "Leave your drugs in the chemist's pot if you can heal the patient with food". This review focuses on the management of cardio-metabolic diseases (CMDs) with nutraceuticals and antioxidant diets such as Allium sativum, turmeric, soybean, peptides, phytosterols, resveratrol, polyphenolic substances etc. CMDs are a cluster of conditions linked to altered fat and carbohydrate metabolism as well as macroand micro-vascular problems. CMDs cause severe pathophysiological and metabolic alterations in the body, resulting in the occurrence of chronic diseases like atherosclerosis, coronary heart disease and stroke, neurodegenerative ailments, fatty liver, kidney malfunction, hypercholesterolaemia, hyperlipidaemia, insulin resi-tance and some cancers, consequently imposing a very high economic burden on the healthcare costs. Currently used pharmacotherapies are not only expensive but also are associated with undesirable adverse events. Thus, there is an urgent need for affordable, cost-effective and alternative safe therapies for the prevention and management of CMDs. Holistic approaches targeted for health promotion and prevention of CMDs include the intake of antioxidant-rich diets, anti-inflammation wholesome foods and moderate physical activity (about 30 min/day). Such strategies will not only prevent obesity-related CMDs, type 2 diabetes mellitus (T2DM), coronary heart disease and stroke, but also will improve the quality of patient's life and consequently reduce healthcare burdens. Nutraceuticals and probiotics exhibit anti-inflammation, anti-aging, anti-obesity and anti-diabetic effects, thereby reducing the adverse health risks associated with CMDs. Antioxidants protect cell membranes and DNA from excessive free radicals, which contribute to CMD related diseases. Physical exercise along with dietary interventions helps to mitigate oxidative stress, improve blood triglyceride levels, increase HDL-cholesterol and reduce LDLcholesterol and reverse the biological markers associated with CMDs. Many studies have provided robust scientific evidence and demonstrated links between dietary interventions, nutraceuticals, probiotics, wholesome foods and physical activity for the prevention of CMDs. The major limitations in promoting nonpharmacological therapies for health and well-being benefits are a lack of public awareness and a paucity of clinical nutrition instruction for medical students on the merits of complementary methods for the prevention and management of CMDs. The goals of this review are to provide up-to-date knowledge about selected nutraceuticals, wholesome foods and physical activity in the prevention of CMDs and the underlying mechanisms associated with each intervention, which will ultimately improve patient's quality of life and assist in reducing healthcare costs globally.
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Kehlet, H. "Enhanced postoperative recovery: good from afar, but far from good?" Infusion & Chemotherapy, nr 3.2 (15.12.2020): 113–16. http://dx.doi.org/10.32902/2663-0338-2020-3.2-113-116.
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Background. The main problems of the postoperative period include organ dysfunction (“surgical stress”), morbidity due to hypothermia, pain, hyper- or hypovolemia, cognitive dysfunction, sleep disturbances, immobilization, semi-starvation, constipation, thromboembolism, anemia, postoperative delirium and more. A multimodal approach to optimizing enhanced recovery after surgery (ERAS) includes improving the preoperative period, reducing stress and pain, exercise, and switching to oral nutrition. These measures accelerate recovery and reduce morbidity.
Objective. To describe the measures required for ERAS.
Materials and methods. Analysis of literature sources on this issue.
Results and discussion. The majority of postoperative complications are associated with the so-called surgical stress involving the release of stress hormones and the start of inflammatory cascades. The stress response is triggered not only directly as a result of surgery, but also as a result of the use of regional anesthesia and other medications. Mandatory prerequisites for ERAS include procedure-specific dynamic balanced analgesia, as well as patient blood management (PBM). The latter consists of hematopoiesis optimization, minimization of bleeding and blood loss, improvement of anemia tolerability. The presence of preoperative anemia before joint replacement significantly increases the number of complications in the 30-day period (Gu A. et al., 2020). Preoperative anemia also leads to the unfavorable consequences of other interventions, which underlines the need to detect and treat it early. An optimal infusion therapy with a positive water balance (1-1.5 L) is an integral component required for ERAS. Balanced solutions should be used; opinions on the use of colloids are contradictory. Venous thrombosis remains a significant problem, as immobilization is an important pathogenetic mechanism. The question of optimal prevention of this condition has not been clarified yet. In 40-50 % of cases after major surgery and in <5 % of cases after minor interventions, the patient develops postoperative orthostatic intolerance. The mechanisms of the latter are a decrease in sympathetic stimulation against the background of increased parasympathetic stimulation; the effects of opioids and inflammation are likely to play an additional role. Preventive methods have not been definitively established, α1-agonists (midodrine) and steroid hormones are likely to be effective. Unfortunately, for most of these problems, there is a gap between the available scientific evidence and the actual implementation of the recommended procedures. The ERAS Society has created recommendations for the management of patients, undergoing a number of surgical interventions (gastrectomy, esophagectomy, cesarean section, oncogynecological surgeries, etc.). For example, recommendations for colon interventions include no premedication and bowel preparation for surgery, use of middle thoracic anesthesia/analgesia, administration of short-acting anesthetics, avoidance of sodium and fluid overload, use of short incisions, absence of drainages, use of non-opioid oral analgesics and non-steroid anti-inflammatory drugs, stimulation of intestinal motility, early removal of catheters, oral nutrition in the perioperative period, control of surgery results and adherence to treatment. Knowledge of procedure-specific literature data and recommendations, multidisciplinary cooperation, monitoring, identification and sharing of methods that have economic advantages are necessary for the ERAS improvement. Outpatient surgery and one-day surgery are becoming more and more common. In a study by N.H. Azawi et al. (2016) 92 % of patients after laparoscopic nephrectomy were discharged home within <6 hours after surgery. Repeated hospitalizations of these patients were not recorded. In a study by G. Ploussard et al. (2020) 96 % of patients after robotic radical prostatectomy were discharged home on the day of surgery; 17 % required re-hospitalization. Early physical activity is an important component of rapid recovery after surgery. There is an inverse relationship between the number of steps per day and the severity of pain after a cesarean section. Despite a large body of literature on the subject, large-scale randomized trials and definitive procedure-specific recommendations are still lacking. This justifies the need for thorough pathophysiological studies and, once completed, randomized controlled or cohort studies. The objectives of these studies should include clear clarification of the pathophysiology of postoperative organ dysfunction, the introduction of a procedure-specific and evidence-based set of perioperative measures, monitoring of purely surgical and general medical consequences of surgeries, identifying areas for improvement and finding new treatment and prevention strategies.
Conclusions. 1. Multimodal approach to ERAS optimization includes improvement of the preoperative period, reduction of stress and pain, physical activity, transition to oral nutrition, etc. 2. Procedure-specific dynamic balanced analgesia, PBM, optimal infusion therapy with a positive water balance are the mandatory prerequisites for ERAS. 3. For the majority of problems of the perioperative period, there is a gap between the available scientific evidence and the actual implementation of the recommended procedures. 4. New preclinical and clinical studies are needed to form definitive guidelines for the management of patients in the perioperative period.
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Suba, T., i K. Aji. "Solutions to Problems in Learning Tamil". Shanlax International Journal of Tamil Research 6, nr 2 (1.10.2021): 105–9. http://dx.doi.org/10.34293/tamil.v6i2.4274.
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This review presents the problems that arise when learning Tamil and the solutions for it, which is our mother tongue, and which has been a virgin language for a long time. Solutions to problems in learning can be found through oral training and error free writing training. Oral training should be given through different and flexible exercises. The speech of the linguist should be an example to eliminate the shortcomings of unedited speech. The difference in the duration of the writing of the characters and the place of birth of a word should be clearly stated through individual training and group training. Writing training plays an important role in providing error & free writing training. Being able to write without error is made possible by clear pronunciation, oral reading, relaxed writing, checking what is written, knowing the rules of grammar etc.
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Ventegodt, Søren, Mohammed Morad, Gideon Vardi i Joav Merrick. "Clinical Holistic Medicine: Holistic Treatment of Children". Scientific World JOURNAL 4 (2004): 581–88. http://dx.doi.org/10.1100/tsw.2004.116.
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We believe a holistic approach to problems in childhood and adolescence will benefit the child, adolescent, and the whole family. As a rule, children have far less to say in the family than their parents. Therefore, it is the parents who set the agenda and decide how things are done at home and in relation to the child. Most often, it is also the parents who have a problem when the child is not thriving. The child thus acts as the thermometer of the family. When children are not feeling well or are sick, the parents are not doing well either. Most problems arising from dysfunctional patterns are almost impossible for the parents to solve on their own, but with help and support from the holistically oriented physician, we believe that many problems can be discovered and solved. Not only can health problems be addressed, but also problems of poor thriving in the family in general. With the physician in the role of a coach, the family can be provided with relevant exercises that will change the patterns of dysfunction. Consciousness-based medicine also seems to be efficient with children and adolescents, who are much more sensitive to the psychosocial dimensions than adults. Five needs seem to be essential for the thriving and health of the child: attention, respect, love, acceptance (touch), and acknowledgment. The physician should be able to see if the child lacks fulfillment in one or more of these needs, and he can then demonstrate to the parents how these needs should be handled. This should be followed by simple instructions and exercises for the parents in the spirit of coaching. This approach is especially relevant when the child is chronically ill.
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Taj Din, Saeed, i Ayesha Farooqi. "Physiotherapy Treatment Preferences for Common Musculoskeletal Problems across Pakistan". Journal of Surgical Case Reports and Images 4, nr 7 (7.10.2021): 01–10. http://dx.doi.org/10.31579/2690-1897/095.
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Background: Musculoskeletal disorders are the frequent and serious hazards of the health in the overall world. Poor guidance to the individuals with musculoskeletal disorders can cause increase in intensity of pain and can alter the disability factor Physiotherapists have a major role in dealing musculoskeletal disorders as they use their clinical expertise to access and treat patients in order to reduce and relieve the pain and treat muscle weakness, loss of stability, and limited functional disabilities Objective: To determine the physiotherapy treatment preferences for common musculoskeletal problems across Pakistan. Material and Method: In this study 5 point likert scale was used to check the treatment preferences in which some are strongly agree, agree, while on the other hand some are disagree and strongly disagree and some shows no response or neutral reactions. Results: table 1 A total of 217 physiotherapists participated in the study. Out of total 54.8% were males and 45.2% were females. Their treatment preferences for 14 common musculoskeletal disorders of upper extremity, lower extremity and spine were asked and responses were recorded in the form of 5 point Likert scale Conclusion The most preferred treatment options were cryotherapy for Ankle Sprain, pain medication for Frozen Shoulder, anti-inflammatory agents for Plantar Fasciitis, heel lifts for Achilles Tendonitis, cervical mobilization/manipulation for Neck Pain, nerve gliding exercises for Cubital Tunnel Syndrome, strengthening exercises for Golfer Elbow, manual therapy for Knee Osteoarthritis, stretching for Piriformis Syndrome, therapeutic exercises for Hip Osteoarthritis, pain medication for Tennis Elbow, electrotherapy for Carpal Tunnel Syndrome, strengthening exercises for Low Back Pain, range of motion exercises for Rotator Cuff Tendonitis, and strengthening exercises for SIJ Dysfunct.
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Saveliev, M. A. "Ensuring Physical Activity of People with Injuries and Diseases of the Musculoskeletal System in Military and Emergency Conditions". Ukraïnsʹkij žurnal medicini, bìologìï ta sportu 8, nr 1 (27.02.2023): 235–40. http://dx.doi.org/10.26693/jmbs08.01.235.
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The purpose of the study was to consider the main methods of increasing the physical activity of people with disabilities (in wheelchairs) in emergency situations, military conflicts, natural disasters, etc. Materials and methods. The study of physical rehabilitation of people with disabilities (in wheelchairs) was conducted by the author during many years working as a trainer of the Kyiv Regional Center for Physical Culture and Sports for the Disabled “Invasport” and continued during the military actions in the country in 2022–2023 with an emphasis on the problems of rehabilitation of patients in military and emergency conditions. In order to increase the physical activity of people with disabilities (in wheelchairs) in conditions limited by military operations, it is recommended to pay special attention to exercises for the muscles of the neck, joints, and muscles of upper limbs; exercises for the lower limbs and pelvic organs; exercises for back and trunk muscles; balance exercises, breathing exercises, etc. Massage and self-massage procedures will also be useful in such situations. Results and discussion. The effectiveness of rehabilitation and, as a result, the successful outcome of maintaining the physical activity of people with spinal injuries and disabilities largely depends on the early start and correct selection of rehabilitation programs. In addition, the choice of methods and means of physical rehabilitation and physical activity for people with disabilities in the limited military and emergency conditions depends on their general physical and mental condition, the presence of accompanying diseases and complications, as well as on the surrounding circumstances. However, regardless of the difficulties and surrounding circumstances, people with disabilities (in a wheelchair) or with an injury and spine diseases must be engaged in physical therapy and do physical exercises in order not to lose the physical capacity for action, even limited, to be able to adapt to the circumstances and mobilize functional reserves of their bodies. Conclusion. Comprehensive rehabilitation is an integral part of therapy for patients with spinal injuries, people with disabilities (in wheelchairs), etc. Physical exercises not only affect the development of the motor activity of people with disabilities but also increase the body's resistance to adverse environmental factors, activating vegetative systems, stimulating and normalizing functions of body systems. The gradual adaptation of the body to physical exertion leads to adaptation, mobilization and use of the body's functional reserves. Physical training itself is an adaptation process that activates the body's hidden reserves
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Bruce, Julie, Esther Williamson, Clare Lait, Helen Richmond, Lauren Betteley, Ranjit Lall, Stavros Petrou i in. "Randomised controlled trial of exercise to prevent shoulder problems in women undergoing breast cancer treatment: study protocol for the prevention of shoulder problems trial (UK PROSPER)". BMJ Open 8, nr 3 (marzec 2018): e019078. http://dx.doi.org/10.1136/bmjopen-2017-019078.
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Musculoskeletal shoulder problems are common after breast cancer treatment. Early postoperative exercises targeting the upper limb may improve shoulder function. This protocol describes a National Institute for Health Research-funded randomised controlled trial (RCT) to evaluate the clinical and cost-effectiveness of an early supervised structured exercise programme compared with usual care, for women at high risk of developing shoulder problems after breast cancer surgery.MethodsThis pragmatic two-armed, multicentre RCT is underway within secondary care in the UK. PRevention Of Shoulder ProblEms tRial (PROSPER) aims to recruit 350 women from approximately 15 UK centres with follow-up at 6 weeks, 6 and 12 months after randomisation. Recruitment processes and intervention development were optimised through qualitative research during a 6-month internal pilot phase. Participants are randomised to the PROSPER intervention or best practice usual care only. The PROSPER intervention is delivered by physiotherapists and incorporates three main components: shoulder-specific exercises targeting range of movement and strength; general physical activity and behavioural strategies to encourage adherence and support exercise behaviour. The primary outcome is upper arm function assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire at 12 months postrandomisation. Secondary outcomes include DASH subscales, acute and chronic pain, complications, health-related quality of life and healthcare resource use. We will interview a subsample of 20 participants to explore their experiences of the trial interventions.DiscussionThe PROSPER study is the first multicentre UK clinical trial to investigate the clinical and cost-effectiveness of supported exercise in the prevention of shoulder problems in high-risk women undergoing breast cancer surgery. The findings will inform future clinical practice and provide valuable insight into the role of physiotherapy-supported exercise in breast cancer rehabilitation.Protocol versionVersion 2.1; dated 11 January 2017Trial registration numberISRCTN35358984; Pre-results.
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Shroff, Riddhi S., Jaspreet Kaur Talwar i Manish M. Ray. "Prevalence of post COVID-19 syndrome". International Journal Of Community Medicine And Public Health 9, nr 9 (26.08.2022): 3551. http://dx.doi.org/10.18203/2394-6040.ijcmph20222223.
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Background: Post COVID-19 syndrome is a condition where symptoms from the acute infection continue to persist after several weeks of testing negative on RT-PCR. It has been divided into 2 stages- post-acute and post chronic COVID-19, where symptoms continue to persist after 3 and 12 weeks respectively. The most common are fatigue, breathlessness, arthralgia, myalgia, chest pain, headache, concentration problems, etc. Different treatment techniques like breathing exercises, strengthening and stretching as well as cardiovascular endurance exercises can be given to improve their quality of life.Methods: A cross-sectional study was conducted among 150 COVID-19 survivors who are in the time-span of more than 3 weeks after testing negative on RT-PCR. A validated questionnaire was circulated via online platforms. The data was analysed using descriptive statistics.Results: Data analysis showed that there was a 39.33% prevalence of post COVID-19 syndrome among the Indian population. The standard deviation of age was 33.96±13.954. It is found that high levels of fatigue (28.2%), myalgia (12.9%), cough (10.3%), headache (7.7%) and breathlessness (7.7%) still exist post 3 weeks of COVID-19 infection. In the case of post 12 weeks of COVID-19 infection, symptoms like fatigue (19%), avascular necrosis of femur (AVN) (12.6%), arthralgia (10.8%), myalgia (9%), problems with concentration (9%) and brain fog (7.2%) still persist.Conclusions: The study confirms the occurrence of long-term COVID-19 effects in the Indian population, and a 39.33% prevalence of post COVID-19 syndrome.
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Ventegodt, Søren, i Joav Merrick. "Clinical Holistic Medicine: Chronic Pain in the Locomotor System". Scientific World JOURNAL 5 (2005): 165–72. http://dx.doi.org/10.1100/tsw.2005.24.
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Most pains from the locomotor system arise due to involuntary, chronic tensions in the muscles or other tissues. When the patient is motivated, the pain is easily cured in most of the cases by using the tools of consciousness-based medicine, primarily therapeutic touch, conversation, and coaching the patient in a positive philosophy of life. The pains are often caused by “blockages” that may cause problems other than just pain. Often it turns out that the blocked areas develop actual physical damage over time: a slipped disk in the back, articular degeneration, or osteoarthritis when the cartilage is affected, can often be explained in this way. Apparently, the exact areas where the blockage is situated cause cellular problems, disrupting cellular order. The holistic process theory of healing and the related quality of life theories state that return to the natural state of being is possible, whenever the person gets the resources needed for existential healing. The resources needed are “holding” in the dimensions of awareness, respect, care, acknowledgment, and acceptance with support and processing in the dimensions of feeling, understanding, and letting go of negative attitudes and beliefs. The preconditions for holistic healing are trust and the intention for the healing to take place. Case stories of holistic treatment of patients with chronic back pain, low back pain, muscle problems, knee pain, and symptoms of rheumatoid arthritis are discussed with exercises relevant for patients with these conditions in the holistic clinic.
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Shimoda, Motomu. "Communication Problems in Cases Addressed by Clinical Ethics Conferences". JAHR 12, nr 1 (2021): 9–17. http://dx.doi.org/10.21860/j.12.1.1.
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In the clinical ethics conference, individual cases are examined as problems to be addressed in a clinical setting. Various types of conflict over care policy are found in each case among the persons concerned–patients, their family members, and care providers–caused by differences of concept or practice of care, basic values, etc. Since these conflicts mostly arise in the form of communication problems, this article classifies some patterns of conversation model, analyzes the structure of the relationship among those concerned, and considers major points. By focusing on the mechanism of individual communication problems, a basic concept of the coping process is proposed.
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Pratama, Aditya Denny, Naufal Rafi Raihan i Aisyah Aji Furqonah. "Efektivitas Virtual Reality Training Terhadap Kemampuan Fungsional Ekstremitas Atas pada Kasus Stroke: Studi Literatur". Jurnal Fisioterapi dan Rehabilitasi 6, nr 1 (19.11.2021): 16–23. http://dx.doi.org/10.33660/jfrwhs.v6i1.158.
Pełny tekst źródłaStreszczenie:
Background. Stroke is a disease caused by the death of tissues in the brain. Clinical problems arise such as motor, sensory, cognitive, language, and emotional disorders. Motor disorders experienced by stroke patients are a decrease in functional ability. Virtual reality training is one of the physiotherapy exercises in handling stroke cases and is estimated to be able to modulate neuroplasticity so as to improve the functional capabilities of the extremities of stroke patients. Materials and Methods. This study is a literature review study with narrative methods. Purpose. Know how effective virtual reality exercises against improving the functional ability of the upper extremities in case of stroke. Result. The provision of virtual reality exercises is proven to improve the functional capabilities of the upper extremities in stroke patients. Virtual reality exercises for stroke provide audio and visual stimulation that triggers neuro-rehabilitation resulting in cortical re-mapping. And also provide motivation that triggers stroke patients to do exercises with a lot of reps so that neuroplasticity occurs. with various parameters such as Fugl-Meyer Upper Extremity Scale (FMA-UE), Wolf Motor Function Test (WMFT), and Box and Block Test (BBT). Conclusion. The administration of physiotherapy exercises using virtual reality can be an interventional solution to rehabilitate and improve the function of the upper extremities if paying attention to several things, such as virtual reality methods, dosages, and the availability of therapeutic tools.
Keywords: Stroke, Virtual Reality training, Functional Abilities
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Vovchuk, Igor M., Kateryna V. Khromykh, Tetiana V. Formanchuk i Iryna V. Chyhir. "DUNBAR SYNDROME: CLINICAL MANIFESTATION IN ADULTS, DIAGNOSTIC PROBLEMS (CASE REPORT)". Wiadomości Lekarskie 75, nr 7 (2022): 1801–4. http://dx.doi.org/10.36740/wlek202207135.
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In this case we used CBC and biochemical tests, ECG, ultrasound of the abdominal cavity and heart, CT scan with and without IV contrast. Women with complains on recurrent severe abdominal pain in epigastric region and right part of the abdomen radiating to the back, nausea, vomiting. Making laboratory and instrumental tests for confirmation of the diagnosis. Surgical treatment of DS was performed and after one year of the follow up there were no complications. DS may mimic other medical conditions such as gallbladder diseases, gastritis/peptic ulcer, appendicitis, colorectal malignancy, hepatitis, atherosclerotic diseases etc. That is why DS is a diagnosis of exclusion. This case illustrates pathway to find correct diagnosis and improve management tactic.
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Vašků, J., P. Urbánek, M. Dostál i Jan Vašků. "The Applicability of Experimental Experience with the Total Artificial Heart to its Clinical Use". International Journal of Artificial Organs 15, nr 5 (maj 1992): 307–11. http://dx.doi.org/10.1177/039139889201500510.
Pełny tekst źródłaStreszczenie:
Long-term experiments with the total artificial heart (TAH) are a source of valuable knowledge for later clinical application. Our observations result from 66 long-term experiments on calves and one goat ranging from 30 to 314 days, which have shown the main possible complications in the early period (one month) and later in the experiment. Problems until the second month of pumping concern the clinical pendant of the TAH as a bridge for transplantation, i.e. surgical problems, blood coagulation disorders, infection etc. Later problems are high venous pressure or arterial hypertension, infection with septic thromboembolization, mineralization of the driving diaphragm, etc., and are more closely comparable to the conditions of permanent clinical use of the TAH. Faultless surgery, device function and the regimen of pumping are essential factors in every long-term experiment, just as in clinical application. Infection is a threat throughout any experiment, as in clinical cases. The TNS-BRNO-VII/clin/80 TAH has been implanted in six patients.
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Mahajan, Leetali Satish, Dr Pradnya Mahajan i Dr Mukesh Shinde. "Effect Of Tai Chi Exercise Versus Pilates on Dynamic Balance and Gait in Elderly - A Comparative Study". International Journal of Health Sciences and Research 12, nr 7 (20.07.2022): 200–213. http://dx.doi.org/10.52403/ijhsr.20220730.
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Background: Elderly people within the society face plenty of physical & medical problems which make them more at risk of deconditioning & confined to their home and a few of them are impaired mobility, falls, impaired cognition, incontinence, etc. Out of this, falls are common & complex geriatric syndrome. Falls and poor bone health are major causes of disability and accidental home deaths in the older population. Aim: To study the effect of Tai chi exercises versus Pilates on dynamic balance and Gait in elderly. Methodology: A comparative study was conducted on 36 elderly subjects. Subjects were selected according to inclusion criteria & exclusion criteria. The pre assessment was taken before intervention & post assessment was taken after intervention by using TUG, Tinetti Balance Assessment Tool and Cadence. Participants were randomly divided into two groups with n=18 in each group. Group A received Tai chi exercise while Group B received Pilates exercise. The treatment was given for 6 weeks ,3 days/week. Statistical analysis was carried out using paired & unpaired t test. Results: Tai chi & Pilates exercise was effective on improving dynamic balance and Gait in elderly. on intergroup comparison using unpaired t test, there was no significant difference between effect of Tai chi & Pilates exercises (TUG p value =0.1739), (Tinetti p value =0.3378), (Cadence p value=0.3433) which implies both exercises were equally effective on improving dynamic balance & gait in elderly. Conclusion: Tai chi & Pilates were equally effective on improving dynamic balance & gait in elderly, except both could not improve walking velocity as gait improves in qualitatively manner. Key words: Tai chi , Pilates, TUG, Tinetti, Cadence. .
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Dave, Dr Rudra Rashesh, i Dr Nidhi Suthar. "Assessment of Mindfulness in Computer Users". International Journal of Health Sciences and Research 13, nr 7 (4.07.2023): 67–70. http://dx.doi.org/10.52403/ijhsr.20230711.
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Background and need of research: Assessment of mindfulness is essential to understanding its relationship with cognition functions such as attention, awareness, etc. While mindfulness has demonstrated many advantages in the workplace, the objective of this research is to assess the mindfulness in computer users using Mindful Attention Awareness Scale (MAAS). Methods: An observational study was conducted in Computer worker of Gujarat State. Mindful Attention Awareness Scale (MAAS) were filled from 104 computer users of both the gender between age group of 18 to 25 through online Google forms. Ethical clearance has been taken. Result: The Statistical analysis of this study shows that Components No.3 (Somewhat Frequently) of MAAS had the greatest number of responses (Mean±SD=40.64±15.61). If you want to check the Low Mindfulness, ask the question no.12 (I drive places on "automatic pilot" and then wonder how I got there). (Mean=39.42). Conclusion: The study concluded that 60.45% of Computer Users had Low to Moderate level of mindfulness. Clinical implications: Yoga, Meditation and Breathing exercises, Cognitive exercises. Key words: Mindfulness, Computer users, Mindful Attention and Awareness Scale, MAAS.
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Shevelova-Harkusha, Natalia. "The use of communicative activities for developing speaking skills of students at english lessons". ScienceRise: Pedagogical Education, nr 2 (53) (31.03.2023): 20–25. http://dx.doi.org/10.15587/2519-4984.2023.279581.
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This article is devoted to the issue of the use of communicative activities for the development of speaking skills of students in the university. It was established, that the intensification of the educational process requires the search and use of new forms, methods and technologies of teaching and learning, means of supporting students' interest in the material and activation of their cognitive activity. Thus, one of the urgent problems of modern methods of teaching foreign languages is the organization of the teaching process for students of different age groups with the help of a communicative approach. The article mentions various types and subtypes of conditionally communicative and fully communicative activities, which are most commonly used to teach students speaking foreign language. The article also defines the features and the means of using certain types of speech activities, in particular, reproductive exercises, which include: 1) retelling, 2) abbreviated and selective retelling, 3) retelling-translation, 4) dramatization, 5) creative retelling. As for responsive activities, they include: 1) question-and-answer exercises, 2) replica exercises, 3) free conversation. Among the productive activities, we highlight the following: situational activities that combine 1) solving problem situations, 2) imaginary situations, 3) role-playing. Descriptive activities include various types of descriptions. The article also talks about the advantages of discussion activities, mainly 1) educational discussion, 2) commenting, 3) situational discussions, as well as compositional activities and press conferences. The article states that during the performance of communicative activities, the work should be aimed at involving students into communicatively oriented activities regarding the observation of the phenomena being studied, at revealing the connections and relationships between the means of expressing information, at finding language units for expressing one's own opinion, etc. It was established, that it is also necessary to develop communicative exercises and activities based on real-life material or a model text, which are relevant for students of a certain age, which are interesting, close and understandable for students, which have educational and socio-cultural potential
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Andersson, Gerhard, i Lucy Yardley. "COMBINED COGNITIVE-BEHAVIOURAL AND PHYSIOTHERAPY TREATMENT OF DIZZINESS: A CASE REPORT". Behavioural and Cognitive Psychotherapy 26, nr 4 (listopad 1998): 365–69. http://dx.doi.org/10.1017/s1352465898264083.
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Dizziness is a distressing symptom that is often associated with fear and anxiety, as well as organic balance system dysfunction. We report here on the successful treatment of a 68-year-old woman with dizziness and balance problems. Treatment was given within a cognitive behavioural framework, but also included physiotherapy in the form of head movement exercises. Results were evaluated by a balance platform test, a behavioural provocation test and questionnaire data. Positive results were found in each of these three assessment domains.
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Anisimova, Tatiana V. "Modern University Textbooks on Rhetoric: Problems, Composition, Text". Current Issues in Philology and Pedagogical Linguistics, nr 4 (25.12.2022): 240–51. http://dx.doi.org/10.29025/2079-6021-2022-4-240-251.
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The article raises the issue of the content of a textbook on rhetoric, analyzes the available options for constructing such a textbook. The author concludes that most often the content of modern textbooks does not correspond to the classical idea of the concept of rhetoric, but duplicates various humanitarian subjects. The reason for this state of affairs is the lack of the necessary number of specialists in rhetoric. If a philologist is assigned to teach rhetoric, classes are usually filled with tasks on the culture of speech. If rhetoric is transferred to specialized departments (legal, economic, etc.), it is replaced by an analysis of certain aspects of future activities (and not speech) of students. If the actors take up the rhetoric, all its content is reduced to the stage of utterance. An important indicator of an unprofessional approach to rhetoric in all such situations is the availability of tasks on aspects not considered in the theoretical part of the relevant paragraph, as well as the replacement of a systematic and consistent presentation of the material with all kinds of “tips” and “memos”. A professional textbook is always based on a single scientific concept, which is reflected both in the content (the author is not distracted by the message of irrelevant information) and in the composition (the information is arranged in a natural logical sequence). The second feature of such a textbook is a strict orientation to a certain audience: the author consciously selects information, and also offers exercises and tasks that help to form professionally significant skills of the addressee. Textbooks addressed to representatives of specific professions necessarily contain a rhetorical analysis of all professionally significant situations and specific recommendations for constructing statements in professionally significant genres.
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Lysanets, Yu V., O. M. Bieliaieva i H. Yu Morokhovets. "THE EFFECTIVENESS OF «TED TALKS» VIDEO MATERIALS IN TEACHING ENGLISH AT A MEDICAL UNIVERSITY". Medical and Ecological Problems 26, nr 5-6 (29.12.2022): 37–40. http://dx.doi.org/10.31718/mep.2022.26.5-6.07.
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The article examines the methodological potential of video materials from the TED Talks resource (Technology Entertainment Design) in the context of teaching English for Professional Purposes and Academic English at medical higher education institutions. The TED Talks video materials cover not only topical issues of natural sciences but also modern problems of education, culture, history, business, sustainable development, etc., therefore, they can contribute to the development of both hard and soft skills of undergraduate and Ph.D. students majoring in Health Care and Biology. Short TED talks delivered by experts from various spheres can be used to develop public speaking skills, analytical listening, rhetorical text analysis, etc. The paper presents several linguodidactic mechanisms aimed at the development, practice, and systematization of the above skills to optimize students’ mastering of grammatical constructions and lexical material. The methodological algorithm is represented by receptive, reproductive, and productive types of exercises and can be used to improve communicative competence and English language proficiency, to organize the classroom and extracurricular activities, as well as a distance learning mode. The research may be of interest to teachers of English at medical universities, as well as specialists from other fields, in the process of planning training sessions and developing educational and methodological materials.
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Abbas, Sanjeela, Rabiya Noor, Muhammad Salman Bashir i Tehreem Mukhtar Mukhtar. "EFFECTS OF CRANIOCERVICAL FLEXION EXERCISES AND SCAPULAR STABILIZATION EXERCISES IN NECK PAIN AND FORWARD HEAD POSTURE AMONG FEMALES WEARING HEADSCARVES". Pakistan Journal of Rehabilitation 13, nr 1 (5.01.2024): 43–50. http://dx.doi.org/10.36283/pjr.zu.13.1/006.
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Background: In neck related problems, limited cervical ranges are considered a major contributor leading to forward head posture and increased disability. Methodology: The study design was a randomized clinical trial. Total of 50 subjects were recruited that fulfilled the selection criteria. Subjects were divided into two groups. Craniocervical flexion exercises group A (n=25) and Scapular stabilization exercises group B (n=25). Numeric Pain Rating Scale (NPRS) and Neck Disability Index (ND1) were subjective while the goniometer and plumb line were used as objective modes of assessment. Baseline and after 4 weeks of treatment values were assessed by using SPSS 21. Results: Both groups showed improvement in plumb line values, forward head posture and cervical spine mobility. NPRS, and NDI score values after the 4-week exercise program showed significant results (p-value<0.05). Outcomes except for plumb line value and NDI score indicated statistically significant improvement in the Craniocervical flexion exercise group than the scapular stabilization exercise group (p-value<0.05). However, in NPRS no statistical difference (p-value>0.05) was found between the two groups. Conclusion: Only females were recruited. Further studies can correlate with spatiotemporal features. The idea and conceptual framework were original. Keywords: Head posture, craniocervical, flexion exercises, scapular stabilization exercises, range of motion, plumb line, neck disability index, goniometer, numeric pain rating scale, craniovertebral angle.
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Lavrentiev, O., S. Krupenya, R. Golovashenko, Yu Sergienko i S. Antonenko. "Organization of educational and training activities of weight lifters in the competitive jerk exercise". Scientific Journal of National Pedagogical Dragomanov University. Series 15. Scientific and pedagogical problems of physical culture (physical culture and sports), nr 12(158) (30.12.2022): 65–70. http://dx.doi.org/10.31392/npu-nc.series15.2022.12(158).15.
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The article reveals the problems of training athletes- weightlifters. Regarding the mastering of the competitive jerk exercise. Exercises in kettlebell sports are divided into competitive exercises performed according to the specified requirements of the competition rules. Training exercises, which are divided into special preparatory and general preparatory. Since the jerk exercise is performed for 10 minutes (the exception is the Guard jerk or kettlebell marathon exercises). During the jerk exercise, the kettlebell changes several projections of body positions, moreover, these actions are constantly under the influence of weight (if during competitions it is 8 kg., 16 kg., 24 kg., or 32 kg.), and during training it is any - what weight according to the stage of training, sports qualification, article, etc. During the study, attention was paid to the four phases of jerk execution, namely: swing, lifting the weight to the squat, fixing and lowering the weight to the high position. All other phases, in our opinion, are auxiliary or complement the structure of the competitive exercise. According to the technical components, the movement abilities of the kettlebell are evaluated according to the following characteristics, namely spatio-temporal, dynamic and rhythmic, to the athlete's ability to maintain stability of orientation in space and voluntary muscle relaxation. The above-listed characteristics of the performed exercise can be attributed to the manifestation of the athlete's coordination abilities during the performance of a training or competitive exercise. With the correct setting of the technique in the performance of the exercise, it affects the effectiveness of the technical component of the exercise, which changes and complements the personal technique of the weightlifter and the economy of the athlete's energy expenditure.
.In order to improve their own methodology in the training of weightlifting athletes, barbell and kettlebell exercises were included in the educational and training process. According to the form and structure, barbell exercises were divided into general/special preparatory exercises (65% + 35%), and kettlebell exercises (30% + 70%). The load of these exercises was calculated for each participant separately. Their personal indicators were taken into account: physical health, gender, physical development, which was reflected in the athlete's individual sports diary.
The experimental study was conducted during the pre-diploma practice from September 5 to November 11, 2022 on the basis of the educational laboratory "Physical rehabilitation, occupational therapy and sports" of the Faculty of Social and Humanitarian Technologies and Management and the educational and sports complex of the State Tax University. 16 men aged 15-17 took part in the study, of which 4 were girls and 12 were boys. The participants of the experiment were divided into weight categories: men up to 65 kg, 70 kg, 75 kg, 80 kg. and over 80 kg. Girls have the following weight categories up to 60 kg, 65 kg. and over 65 kg.
The work uses methods of analysis and generalization of scientific literature and a comparative analysis of the control exercise of jerks during one mesacycle, 4 planned control starts were carried out (09.07.2022 / 09.25.2022 / 10.20.2022 / 11.9.2022). And to control the strength of the shoulder girdle and arms, we offer the "Lifting a kettlebell" test, that is, a jerk weighing 24 kg for men and 8 kg for girls.
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Lei, Xu. "Application of CT Imaging in the Analysis of Thigh Muscle Morphology of Athletes". Journal of Medical Imaging and Health Informatics 10, nr 4 (1.04.2020): 853–58. http://dx.doi.org/10.1166/jmihi.2020.2943.
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The objective of the paper is to investigate and explore the effects of progressive muscle relaxation training (PMR) on image qualities of computed tomography (CT) coronary angiography and the relief of anxiety and pain of patients, as well as the improvement of sleep qualities of patients. The SPSS 16.0 statistics software was applied to respectively obtain the mean number, the standard deviation, and P value, etc. and analyze the variances of each group; the analysis was statistically significant at P < 0 05. The results of the study showed that CT could clearly indicate the anatomy of the thigh muscles and adjacent organs, and could better distinguish the bone density; however, its partitioning accuracy of the erector spinae was slightly worse. Therefore, it was inferred that morphological parameters such as CT values would provide persuasive data for clinical diagnosis, intervention therapy, and rehabilitation exercises, etc.
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Zeba Afroz MB, Mallikarjun S. Yalagond i Asha V. Karki. "Clinical efficacy of Tila Taila Paada Abhyanga and Eye Exercises in the management of Timira w.s.r. to Simple Myopia". Journal of Ayurveda and Integrated Medical Sciences 7, nr 9 (3.11.2022): 57–63. http://dx.doi.org/10.21760/jaims.7.9.8.
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As the world is heading into this new era of digitalization, it is also dragging itself into the valley of diseases and the most apparent and direct ill effect of it can be seen on the health of the eyes. The diseases of eyes are very prevalently emerging in today’s time owing to its multiple abundantly found causative factors like absence of following healthy lifestyle, unhealthy/ improper diet, excessive screen time etc. The most common among the diseases of eyes are the refractive errors. Uncorrected refractive error is reported as the first cause for visual impairment. WHO states that uncorrected myopia is the most common cause for visual impairment. Ayurveda, the Science of Life explicitly talks about the structure of Eye, its Diseases, and the various measures and medications used to preserve the health as well as cure the Diseases of Eyes. Paada Abhyanga is one among them. All the Bhrihatrayees have mentioned about the positive effect of Paada Abhyanga on Eyes i.e., as Drishtiprasaadaka. Eye Exercises well known to reduce the constant Stress of the Eyes caused due to Myopia can be effectively adopted in the management of Myopia.
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Case, Timothy, Cecily Morrison i Alain Vuylsteke. "The Clinical Application of Mobile Technology to Disaster Medicine". Prehospital and Disaster Medicine 27, nr 5 (14.08.2012): 473–80. http://dx.doi.org/10.1017/s1049023x12001173.
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AbstractMobile health care technology (mHealth) has the potential to improve communication and clinical information management in disasters. This study reviews the literature on health care and computing published in the past five years to determine the types and efficacy of mobile applications available to disaster medicine, along with lessons learned.Five types of applications are identified: (1) disaster scene management; (2) remote monitoring of casualties; (3) medical image transmission (teleradiology); (4) decision support applications; and (5) field hospital information technology (IT) systems. Most projects have not yet reached the deployment stage, but evaluation exercises show that mHealth should allow faster processing and transport of patients, improved accuracy of triage and better monitoring of unattended patients at a disaster scene. Deployments of teleradiology and field hospital IT systems to disaster zones suggest that mHealth can improve resource allocation and patient care. The key problems include suitability of equipment for use in disaster zones and providing sufficient training to ensure staff familiarity with complex equipment. Future research should focus on providing unbiased observations of the use of mHealth in disaster medicine.CaseT, MorrisonC, VuylstekeA. The clinical application of mobile technology to disaster medicine. Prehosp Disaster Med. 2012;27(5):1-9.
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Khayrullin, E. R. "Value Foundations of the European Integration and their Exercises in the Current Relations between Russia and the European Union". Bulletin of Kemerovo State University 24, nr 3 (15.06.2022): 368–74. http://dx.doi.org/10.21603/2078-8975-2022-24-3-368-374.
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The article describes the value category behind the political development and practice of the European Union and the European integration project. Values are tools of developing the supranational ideology, identity, and political development vector. The author describes the connections between values and integration institutions, e.g., how the institution affects the stability of the value foundations of the integration project, how the interest of Europeans in the value discourse depends on the success of integration, etc. Public attention to values grows as the integration process slows down. Based on the theory of values, the author analyzed the current relations between Russia and the European Union. The analysis revealed a critical attitude of Europeans to the value component of Russia's contractual obligations, which developed as early as in 1994, the year of the first the Partnership and Cooperation Agreement. Europeans see Moscow as a threat to the integration values. Therefore, Moscow acts as a convenient opponent that can be held responsible for numerous integration failures. As a result, Europeans cannot understand that the integration problems are caused by the internal European political processes, which prevents them from reaching any compromise with Russia.
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Senturk, Yazgi, Berkiye Kirmizigil i Emine Handan Tuzun. "Effects of clinical Pilates exercises on cardiovascular endurance and psychosomatic parameters on primary caregivers of special needs children: A randomized controlled trial". Journal of Back and Musculoskeletal Rehabilitation 34, nr 5 (6.09.2021): 853–64. http://dx.doi.org/10.3233/bmr-191649.
Pełny tekst źródłaStreszczenie:
OBJECTIVE: Our objective was to investigate the effects of clinical Pilates exercises (CPE), applied to the primary caregivers of special needs children, on cardiovascular endurance (CVE) and psychosomatic parameters in comparison to a control group. METHODS: Fifty-five primary caregivers of special needs children, divided into two groups as the CPE and control groups, were included in the study. The six-minute walk test, the Fatigue Severity Scale, the Coping Orientation for Problems Experienced (COPE) Inventory, the Beck Depression Inventory and the State-Trait Anxiety Inventory were used to measure CVE, fatigue severity, attitudes toward coping with problems, depression levels and anxiety levels, respectively. RESULTS: Statistically significant differences between the groups in favor of the CPE group were found concerning the denial parameter of COPE, fatigue (which was the primary outcome), depression and anxiety (all p values < 0.05). Statistically significant intragroup comparison differences were only detected in the CPE group in the fatigue, depression, anxiety and COPE (use of instrumental and emotional social support and focus on and venting of emotions) questionnaire results (all p values < 0.05). CONCLUSIONS: CPE are an applicable and effective method for the primary caregivers of special needs children in improving psychosomatic parameters, albeit not effective for CVE. It is recommended to investigate the long-term effects of clinical Pilates exercises on a similar group.
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Euliano, Tammy Y. "SMALL GROUP TEACHING: CLINICAL CORRELATION WITH A HUMAN PATIENT SIMULATOR". Advances in Physiology Education 25, nr 1 (marzec 2001): 36–43. http://dx.doi.org/10.1152/advances.2001.25.1.36.
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The popularity of the problem-based learning paradigm has stimulated new interest in small group, interactive teaching techniques. Medical educators of physiology have long recognized the value of such methods, using animal-based laboratories to demonstrate difficult physiological principles. Due to ethical and other concerns, a replacement of this teaching tool has been sought. Here, the author describes the use of a full-scale human patient simulator for such a workshop. The simulator is a life-size mannequin with physical findings (palpable pulses, breath/heart sounds, blinking eyes, etc.) and sophisticated mechanical and software models of the cardiovascular and pulmonary systems. It can be connected to standard physiological monitors to reproduce a realistic clinical environment. In groups of 10, first-year medical students explore Starling’s law of the heart, the physiology of the Valsalva maneuver, and the function of the baroreceptor in a clinically realistic context using the simulator. With the use of a novel pre-/postworkshop assessment instrument that included student confidence in their answers, student confidence improved for all questions and survey items following the simulator session ( P < 0.0001). The students give these laboratory exercises uniformly superior evaluations with >85% of the students rating the workshop “very good” or “excellent.”
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Knež, Vladimir, i Damir Hudetz. "Eccentric Exercises on the Board with 17-Degree Decline Are Equally Effective as Eccentric Exercises on the Standard 25-Degree Decline Board in the Treatment of Patellar Tendinopathy". Medicina 59, nr 11 (29.10.2023): 1916. http://dx.doi.org/10.3390/medicina59111916.
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Background and Objectives: Patellar tendinopathy is one of the most significant problems in jumping and running athletes. Eccentric quadriceps exercise has been introduced into the therapy of patients with patellar tendinopathy in order to avoid weakening the tendon during rehabilitation. The use of decline boards with a decline angle of 25° has been the cornerstone of therapy over the last two decades. Biomechanical studies have suggested that an equal or potentially better outcome could be achieved with lower angles of decline (up to 16°). Materials and Methods: In this present research, we compared the effects of two various decline board angles on the clinical outcome of patients treated for patellar tendinopathy by performing eccentric quadriceps exercises. Patients were randomly allocated into two groups: patients practicing on the standard board with a 25° decline, and patients practicing on the 17° decline (n = 35 per group). Results: After 6 weeks of exercise, we found a significant improvement in all the clinical scores (VISA-P score, KOOS score, Lysholm Knee Questionnaire/Tegner Activity Scale, and VAS scale) of treated patients. However, there was no significant difference between the patients who performed eccentric quadriceps exercises on the standard 25° decline board and those exercising on the 17° decline board. A smaller additional degree of improvement was visible at the end of the follow-up period (at 12 weeks), but, again, no statistical difference could be detected between the investigated groups. We conclude that both treatment options provide similar short-term and midterm benefits regarding improvements in pain and clinical scores. The improvement in clinical scores does not depend on age, sex, BMI, or the professional sport of the patient. Conclusions: Our findings encourage changes in the decline angle of the board in the case of a patient’s discomfort in order to achieve better compliance without affecting the recovery.
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Khan, S., R. Agrawal i S. Memon. "Comparison of Effect of Yoga versus Aerobic Exercise on Waist Circumference, Waist-Hip Ratio and Body Mass Index in Overweight and Obese Adult Individuals". Kathmandu University Medical Journal 20, nr 1 (31.03.2022): 38–42. http://dx.doi.org/10.3126/kumj.v20i1.49894.
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Background Obesity is becoming serious global public health issue due to sedentary lifestyle and bad eating habits. Dietary and lifestyle practices are directly related to obesity, which can cause serious health problems like cardiac ailments, diabetes, and hypertension etc. Vast varieties of options are available for weight reduction including physical exercises, various diet plans and also the pharmacological agents. Physical activity improves the fitness of the individual and helps in reducing the ill effects of the obesity.
Objective To compare the effects of Yoga and Aerobic Exercise on weight circumference, waist-hip ratio (WHR) and body mass index (BMI) in overweight and obese individuals.
Method An experimental study was started with purposive sampling. Sixty overweight and obese individuals from the community were divided equally into two groups, one group was given supervised yoga asana and the other group was given supervised aerobic exercise for 6 weeks. Waist circumference, waist hip ratio and body mass index were taken pre and post intervention.
Result Statistically significant difference was seen in pre and post intervention value of waist circumference, waist hip ratio and body mass index in both the groups with the p value < 0.05. However there was no statistical significant difference noted in waist hip ratio in individuals performing aerobic exercises as p value was > 0.05.
Conclusion Both the interventions showed significant reduction in waist circumference, waist hip ratio and body mass index, while better results were noted in the individuals performing yoga asanas.
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Jogindra, Vati. "Effectiveness of intradialytic leg stretching exercises to reduce muscle cramps among patients undergoing hemodialysis". i-manager’s Journal on Nursing 11, nr 4 (2022): 16. http://dx.doi.org/10.26634/jnur.11.4.18325.
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Muscle cramp is one of the most frequent problems experienced by patients during hemodialysis who have low functional capacity, decreased muscle strength, and fatigue and are associated with poor health-related quality of life. Providing exercises reduce muscle cramps by improving muscle strength and flexibility. Workouts also increase blood flow and open capillary surface areas, thereby increasing waste removal. To evaluate the effectiveness of intradialytic exercises to reduce the frequency and intensity of muscle cramps among patients undergoing hemodialysis, a preexperiment, one group pre-test, and a post-test study were conducted on 60 patients who confirmed the inclusion and exclusion criteria recruited consecutively. A structured interview schedule, self-developed muscle cramps assessment proforma, and visual analogue scale were used after getting approved by the ethical committee and taking permission from hospital authorities. Intradialytic active and passive leg exercises were performed as per the developed protocol. A post-test was conducted after a follow-up period of 6 weeks. Data analysis was done using descriptive and inferential statistics. The result shows a significant decrease in the frequency and pain intensity of muscle cramps after exercise. There was no significant association of muscle cramps with the selected socio-demographic and clinical variables, except in post-intervention with sedentary lifestyles. The muscle cramps were more among patients with sedentary lifestyles than non-sedentary. Intradialytic stretching leg exercises were highly effective in reducing muscle cramps' frequency and pain intensity. Nurses must include this program as a part of routine care for all patients after assessing risks subjected to hemodialysis.
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Kovalenko, Y., O. Sokolova, S. Polskyi i N. Lymarenko. "Health systems as component of physical education for children of older preschool age". Scientific Journal of National Pedagogical Dragomanov University. Series 15. Scientific and pedagogical problems of physical culture (physical culture and sports), nr 10(155) (26.10.2022): 80–84. http://dx.doi.org/10.31392/npu-nc.series15.2022.10(155).19.
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A theoretical analysis of the problem of implementing health systems in the physical education of preschool children with the aim of improving their health was carried out. Scientists have noticed that it is advisable to use modern physical culture and health technologies for a productive solution to the health-improving tasks of physical education of preschool children. The use of modern technologies for improving the health of children becomes effective under certain conditions, namely: mastering by teachers of such technologies that have motor actions that include various proprioceptors and activate in a complex all the organs and systems of the children's body, their analyzers and contribute to the formation of basic program motor skills and skills, i.e. physical education; creation of a health-preserving environment in physical education classes. Well-known healthcare systems can be conditionally divided into modern and traditional. The content of wellness systems, as a rule, can consist of blocks of physical exercises, breathing exercises, music therapy, dance exercises, hardening exercises, etc. the successful implementation of the health-improving orientation of physical education lessons in a modern school will be facilitated by the use of health-improving systems. The purpose of all health technologies is to teach children to use the acquired knowledge in everyday life and to form in them all the necessary skills, abilities and knowledge about a healthy lifestyle. Health systems contribute to improving the quality of the pedagogical process, its modification, tolerance and flexibility.
As a result of the study, the problems related to children's health, the need to reorient the content of the teaching methods to the health-improving effect and the formation of valeological skills, as well as the expansion of the use of health- improving systems in the physical education of children in preschool education institutions are outlined.
The effectiveness of the use of health-improving systems in various forms of physical education of preschool children has been established and experimentally confirmed. At the end of the pedagogical experiment, the functional indicators of the cardiovascular (according to heart rate, blood pressure, functional test of Martine-Kushelevsky, endurance coefficient, index of functional changes according to R.M. Baevsky) and respiratory system improved in both girls and boys (tests Stange-Henchi, vital capacity of the lungs, Skibinsky index). According to the state of physical health (methodology T.Yu. Krutsevich) at the end of the study, a positive redistribution of boys and girls from lower to higher levels was found.
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Chiknaverova, Karine G. "Teaching vocabulary in the course of legalese and legal translation". Vestnik of Kostroma State University. Series: Pedagogy. Psychology. Sociokinetics 29, nr 1 (14.06.2023): 85–92. http://dx.doi.org/10.34216/2073-1426-2023-29-1-85-92.
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The article analyzes and describes special characteristics of vocabulary of legal English and translation courses and ways to teach such lexis. It examines methods of vocabulary selection on the basis of contrastive analysis of the profession-oriented lexical units, terms and other frequent vocabulary of the language of commercial and corporate law. The vocabulary is limited to the lexical units that pose difficulties to Russian speaking students. The paper describes and analyzes the vocabulary which reflects such phenomena as polysemy, homonymy, and paronymy and other lexical phenomena frequent in the language of law and causing learners’ errors. Moreover, the author considers lexical and grammatical problems such as the compatibility of words, the change of the meaning of a noun with a change in the grammatical number, special aspects of word formation etc. The paper describes pedagogical and linguodidactic aspects of teaching applying methods of contrastive and comparative lexicology. They include early prevention techniques, regular monitoring, as well as introduction and drilling of learners` independent analysis and self-control skills. It concludes with the recommendations related to the type of exercises designed for processing and practicing this layer of vocabulary within the framework of the introductory course of legal English.
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Lavrentiev, Oleksandr, Serhii Antonenko, Olena Butok, Oleksandr Pristinskij i Viacheslav Ilchenko. "Organization of training sessions on small arms". Scientific Journal of National Pedagogical Dragomanov University. Series 15. Scientific and pedagogical problems of physical culture (physical culture and sports), nr 12(144) (22.12.2021): 79–84. http://dx.doi.org/10.31392/npu-nc.series15.2021.12(144).17.
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This article discusses the organization of training sessions on applied shooting. Attention is paid to the effect of physical and mental stress on the body of athletes in applied shooting. The practical experience of servicemen and athletes who have skills in handling and use of firearms of different tactical and technical characteristics is analyzed and generalized. Depending on the level of training, the athlete must be able to improve the imagination and technically correct execution of the entire movement from manufacture to shot, the consolidation of this imagination in the complex is ready. When an athlete clearly imagines his actions on the firing line during training, it is easier for him to control his actions in a stressful situation at competitions. To achieve this goal, the athlete must be able to concentrate on their own (team) actions, self-knowledge in the process of training and competition, the ability to control their actions on the firing line despite the actions of the opponent.
So active training takes place a month before the event. Training sessions are organized and conducted in specially designated places: shooting range, shooting ranges, military training grounds, etc. Before training, you need to choose equipment for yourself in accordance with the rules of the competition. Everyone chooses his own equipment and adapts it to certain exercises that will be performed.
The shooter must understand that during the performance of a particular exercise, the target situation may change. Therefore, it is necessary to consider the physical abilities and time of the reaction to the decision of various problems arising during exercise. Conditionally, training can be divided into subgroups: 1 week - studying the provisions of the competition and practice shooting for accuracy without regard to time; Week 2 - practice of shooting exercises with the addition of physical activity and taking into account the time for their implementation; Week 3 - improvement of skills when shooting from a place and in movement taking into account time; Week 4 - summarizing the work done for the entire period and working out control exercises.
The work uses methods of analysis and generalization of scientific, educational and methodological literature, pedagogical observation.
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Alim, Abdul, Yanbeni Humtsoe i Dhiren Deka. "MANAGEMENT OF KSHINA ARTAVA WITH SPECIAL REFERENCE TO POLYCYSTIC OVARIAN DISEASE: A REVIEW". August - September 2023 p7, nr 6 (20.09.2023): 588–93. http://dx.doi.org/10.46607/iamj13p7062023.
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For the well-being of family, society and culture, woman’s health is the prime consent to be considered. Right from birth, physiological changes and development occur but remarkably during the age of puberty. Lifestyle changes, sedentary life, diet and stress alters the physiology of “Hypothalamus-Pituitary-Ovarian-Uterine axis” resulting many gynaecological problems. In Ayurveda, Artava Dushti is one of the causes behind it. Among the Asta-Artava Dusti, one of the common menstrual problems is Kshina Artava. Its clinical features are Alpartava (oligomenorrhoea/hypomenorrhea), Yathochitakala Artava Adarshana (irregular menses or amenorrhoea) etc.1,2 Polycystic ovarian disease is an emerging psychosomatic and lifestyle disorder. Having wide spectrum of clinical features like oligomenorrhoea, hypomenorrhea, amenorrhoea, hirsutism etc.2,3 Therefore, Polycystic ovarian disease also may be taken as one causative factor of Kshina Artava. In modern medicine, available symptomatic treatment doesn’t correct the root cause, but it creates adverse effects like weight gain, loss of libido, headache, mood changes, etc. and also costly. There is a strong relation between obesity, stress and Polycystic ovarian disease. The science of Yoga works at root cause of Polycystic ovarian disease i.e., Stress and Obesity. Overall review of the available data indicates That the holistic approach is inevitable for the management of such disease.
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Schlinkert, William Rafaelo, Sandro Scarpelini i Antonio Pazin-Filho. "Problems and potentialities of e-Learning for regular undergraduate courses in emergency medicine". Revista Brasileira de Educação Médica 34, nr 3 (wrzesień 2010): 452–58. http://dx.doi.org/10.1590/s0100-55022010000300016.
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BACKGROUND: E-learning techniques are spreading at great speed in medicine, raising concerns about the impact of adopting them. Websites especially designed to host courses are becoming more common. There is a lack of evidence that these systems could enhance student knowledge acquisition. GOAL: To evaluate the impact of using dedicated-website tools over cognition of medical students exposed to a first-aid course. METHODS: Prospective study of 184 medical students exposed to a twenty-hour first-aid course. We generated a dedicated-website with several sections (lectures, additional reading material, video and multiple choice exercises). We constructed variables expressing the student's access to each section. The evaluation was composed of fifty multiple-choice tests, based on clinical problems. We used multiple linear regression to adjust for potential confounders. RESULTS: There was no association of website intensity of exposure and the outcome - beta-coeficient 0.27 (95%CI - 0.454 - 1.004). These findings were not altered after adjustment for potential confounders - 0.165 (95%CI -0.628 - 0.960). CONCLUSION: A dedicated website with passive and active capabilities for aiding in person learning had not shown association with a better outcome.
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Borzykh, O. B., M. M. Petrova, N. A. Shnayder i R. F. Nasyrova. "Problems of implementation of personalized medicine in medical cosmetology in Russia". Siberian Medical Review, nr 2 (2021): 12–22. http://dx.doi.org/10.20333/25000136-2021-2-12-22.
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At the present time, the 4P concept (predictive, preventive, personalised and participatory) is a prospective trend in development of clinical medicine. The concept is being actively introduced into diff erent medical specialities. However, the development of personalised approach in medical cosmetology as a speciality at the intersection of medical sciences (dermatology, maxillofacial surgery, plastic surgery, restorative medicine, general practice, psychiatry, clinical pharmacology, etc.) is at the stage of discussion. The concept of 4P medicine suggests, among other things, analysis of genetic risks and development of preventive procedures based thereon that would decrease the risk of cosmetological complications development. The review includes analysis of literature dated 2010-2020. The following databases in Russian and foreign languages were searched using the keywords and advanced search builders: E-Library, PubMed, Springer, Clinicalkeys, Google Scholar. In this paper, we introduce a novel compilation of the known gene polymorphisms that may be used for determination of the genetic risks in cosmetological patients.
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Vishnyak, A. D., A. N. Karimova, Yu A. Kulai, M. V. Chernobai, V. R. Kofeeva, G. M. Khairullina, E. T. Mullayarova i A. G. Isaeva. "Successful Pregnancy with Terminal Renal Failure: Fiction or Reality (on the Example of Clinical Observation)". Russian Archives of Internal Medicine 13, nr 4 (16.08.2023): 294–301. http://dx.doi.org/10.20514/2226-6704-2023-13-4-294-301.
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195 million women on Earth suffer from chronic kidney disease — some of them are planning to become mothers. Even in absolutely healthy women, pregnancy is fraught with risks. These risks increase when it comes to kidney pathology. It is known that pregnancy in women with kidney diseases, even with preserved renal function, is accompanied by serious problems for both the mother and the fetus. We present a clinical observation of a 23-year-old patient with terminal renal insufficiency who successfully carried out the pregnancy. The patient’s polymorbid condition (chronic kidney disease, ulcerative colitis, anemia, etc.) required complex therapy and an interdisciplinary approach, which was implemented from the first days of the woman’s observation. The highly professional work of a team of specialists (nephrologists, resuscitators, obstetricians-gynecologists, gastroenterologists, infectious disease specialists, functional diagnostics doctors, urologists, etc.) determined the successful outcome of this observation. The article focuses on the factors aggravating this observation, as well as determining, on the contrary, a favorable outcome.
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Tereshko, D., i M. Parfenova. "Methods of laboratory diagnosis of histoplasmosis – problems and prospects". Immunopathology, Allergology, Infectology 2021, nr 4 (1.10.2021): 63–90. http://dx.doi.org/10.14427/jipai.2021.4.83.
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Endemic infections, such as histoplasmosis, the causative agent of which is assigned to pathogenicity group II, can cause a number of difficulties in laboratory studies. The culture method is the gold standard of diagnosis, but requires a lot of time and skill of the doctor. Immunological methods used to detect H. capsulatum antigens and/or antibodies to them, although they have received a wide range of applications in endemic regions show variable sensitivity and specificity, which is influenced by: the nature of the course of infection, the immune status of the patient, the type of clinical material and etc. As a result, we are seeing a gradual shift in emphasis towards molecular genetic studies, which demonstrate high analytical performance in the laboratory diagnosis of histoplasmosis.
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Druhanova, Olena, Katerina Kvasova i Oleksii Nalyvaiko. "Formation of responsibility and independence as a feature of personality of student youth in the process of educational work higher education institutions". 50, nr 50 (30.06.2022): 46–55. http://dx.doi.org/10.26565/2074-8167-2022-50-04.
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The aim of the article is to substantiate the role of the educational environment of higher education institutions, under the influence of which students form a system of principles, values and moral guidelines, rethink existing ways of working and creating new ones. It is proved that an important role in the formation of such an environment is played by systematic educational work, including round tables, curatorial hours, talks with students of different courses and other forms and areas. It was found that the key to the correct attitude of students to learning, to further professional and social activities is their awareness of the importance of their initiative, determination, perseverance, demanding and other qualities that contribute to responsibility in action; needs for constant self-improve- ment, self-organization, etc. End-to-end discussion of current issues of education, upbringing, personality formation in general among graduates of senior and junior courses, between students and teachers, creating situations that encourage responsible decision-making, to express student social activity, promote responsibility and independence as personality traits . The article summarizes the methods and means of forming responsibility as an integral quality of personality accumulated by the domestic higher school. This is the humanization of the process of cooperation, the dialogue of learning; organization of socially significant workshops, solving deontological situations, situational exercises; reading special courses; performing tasks of independent work, etc. The role of scientific-pedagogical/assistant practice as a tool for creating and directing opportunities for students of the second (master’s) level of higher education to self-development and self-improvement, to express their own creative activity, freedom of choice, responsibility in specific educational activities. The article proposes curatorial hours for active discussion with students of different levels of higher education in order to form their responsibility and independence – «The role of responsibility in human life and society in the context of education», «Leadership in the student environment», Problems of academic integrity in Ukraine and the world, etc.
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Bhuvaneswari, P. G., S. Tamilselvi, J. Harini, J. Harshini i R. Parameshwari. "A study to assess the effectiveness of Intradialytic Stretching Exercises on Leg Muscle Cramp among Hemo Dialysis". CARDIOMETRY, nr 23 (20.08.2022): 97–102. http://dx.doi.org/10.18137/cardiometry.2022.23.97102.
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INTRODUCTION: Hemodialysis is a continuous treatment that might result in problems such as hypotension, leg muscle cramps, disequilibrium syndrome, and nausea. The most effective treatment is passive stretching of the shortened muscle. Stretching has numerous health benefits, including increasing stamina, relaxing the body and mind, improving focus and concentration, and lowering the chance of injury. OBJECTIVE: The goals of this study were to determine the severity of leg muscle cramps in Hemodialysis patients before and after intradialytic stretching exercises, to assess the effectiveness of intradialytic stretching exercises on leg muscle cramps in Hemodialysis patients, and to link the severity of leg muscle cramps with selected demographic variables following intradialytic stretching exercises. MATERIALS AND METHODS: Qualitative research approach was conducted at Saveetha Medical College and Hospital by using quasi experimental research design, the Sample size was 30 patients with leg muscle cramps undergoing Hemodialysis by using Purposive sampling technique. The muscle cramp questionnaire scale was created to determine the severity of leg muscle cramps before and after Hemodialysis. Pain Scores ranged from 0 to 10 on a numerical scale. Before the individuals were given the intradialytic stretching exercise, demographic data, clinical variables and muscle cramp status were measured as a pre-test. Then, every day after the intervention, the posttest muscle cramp was measured. RESULTS: The demographic and clinical variables data was analysed using descriptive and inferential statistics. The majority of the patients 17(56.7%) reported no pain during the post-test. There was no correlation between the severity of leg muscle cramping and any of the demographic variables. Data were categorized and analysed using descriptive (mean, percentage, and standard deviation) and inferential statistics (independent paired t test’, chi-square analysis). CONCLUSION: This study showed that regular stretching exercises on legs during the hemodialysis can help alleviate the leg muscle cramps.
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T. K, Subina, i Satheesh K. "CLINICAL STUDIES ON LEARNING DISORDER IN AYURVEDA - A REVIEW". International Ayurvedic Medical Journal p5, nr 02 (28.01.2021): 2733–39. http://dx.doi.org/10.46607/iamj12p5022020.
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Learning disorders are defined as problems in securing of developmental skills, academic achievement, social adjustment and secondarily emotional growth and development as a consequence of perceptual and linguistic processing deficits. The prevalence of learning disorders is 15.17 % in Southern India. In ayurvedic classics no separate narrative of such disease is seen, but many times delayed developmental skills such as Vāksḳalanam, alpamedha-smṛti etc. are stated and different remedies are considered for them. The Indriyās (sense faculties), Manas (mind), Buddhi (intellect) are comprised in the process of Jñānotpatti. Any altered function in these components hampers the learning process. Even if several studies have been conducted in Ayurveda on Learning disorder, the area remains still non conclusive. This is an attempt to report the studies from the postgraduate institute for Ayurveda psychiatry, with the available conclusions so as to augment the accessible possibilities in the clinical practice.
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Nieduziak, Edyta Maria. "Family Art Therapy: Towards possible applications of an underestimated form of art therapy". Studia Paedagogica Ignatiana 24, nr 4 (29.12.2021): 151–72. http://dx.doi.org/10.12775/spi.2021.4.008.
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The main purpose of the article is to present various ways of conducting art therapy with families, which is often referred to as Family Art Therapy. In the first part, the author explains the sources and unique features of this form of work, before proceeding to characterize therapeutic interventions described in the literature on the subject. Although they are not numerous, they present a wide range of possibilities for the use of Family Art Therapy. The author, therefore, proposes a division into three main groups of problems: (1) the functioning of the family is disturbed as a result of the health condition of one of its members; most often it is a child who is experiencing severe mental disorders, e.g. schizophrenia, mood disorders, depression, suicide attempts, etc. or ADHD, ASD and neurodevelopmental disorders; (2) the functioning of the family is disturbed as a result of external conditions: a crisis situation, or domestic violence; (3) disturbances in the relationship between the parent(s) and the child. These various family problems require different techniques and exercises, which has been highlighted in the characteristics of the different ways of working with families. The article is also complemented by short descriptions of art-therapy works prepared by art therapy students, the starting point for which was the use of a diagnostic and therapeutic genogram technique for creative, artistic work and self-reflection on one’s own family. The article ends with the significant words of the precursor of Family Art Therapy, Hanna Kwiatkowska showing the value of this form of work not only for its participants but also for art therapists.
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Apor, Péter, Máté Petrekanich i Júlianna Számadó. "Heart rate variability analysis in sports". Orvosi Hetilap 150, nr 18 (maj 2009): 847–53. http://dx.doi.org/10.1556/oh.2009.28605.
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Differences in the duration of the cycles reflects the balance of the sympathetic and parasympathetic influence on the heart. Variancy in the heart rate correlates to the breathing cycle, to baroreflex sensitivity, to day and night alternations and to changes in the vegetative tone evoked by physical exercises. Analysis of the time and/or frequency power domain of the heart rate variancy is expected to have diagnostic value in physiological and pathological situations as adaptation to training, overtraining, heart disease etc. Both time- and frequency domains reflect the same physiological phenomenon but from different point of view. Vagus tonus is reflected in the high frequency part of the range of variancy, while an increased sympathetic tone enriches the low frequency part of the variations of the duration of the consecutive heart cycles. This technically simple and relatively inexpensive method has inspired a couple of clinical and sports medical studies. Certain tendencies seem to be clear, but for individual diagnosis or for prognosis the data must be treated very carefully.
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Devlikamova, F. I., i D. H. Khaibullina. "A personalized approach to insomnia treatment in patients with chronic back pain". Meditsinskiy sovet = Medical Council, nr 21 (19.11.2022): 120–26. http://dx.doi.org/10.21518/2079-701x-2022-16-21-120-126.
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Sleep disorders and back pain are often found in the practice of various doctors specialties. Often these two conditions are comorbid. Sleep disorders can be both acute and chronic. To verify the state of insomnia, diagnostic criteria (MKRS-3) are proposed. Sleep disorder therapy is a complex task and includesnon-drug approaches (sleep hygiene, psychotherapeutic techniques, etc.) with more lasting effect. Drug therapy is considered as additional method of treatment using several groups of drugs. Doxylamine H1-receptor antagonists, is one of the well-known and promising drugs. The article describes two clinical cases of patients with back pain and concomitant sleep disorders. To relieve pain in both cases, standard therapy was prescribed, including NSAIDs, a muscle relaxants, B vitamins, and physiotherapy exercises. In order to normalize night sleep, the Doxylamine was additionally in a standard dosage. However, the second patient developed morning sleepiness while taking the standard dose, which required a dose reduction. Taking Doxylamine at a lower dosage effectively stopped sleep disorders and did not cause the development of drowsiness and lethargy.
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Filina, V. "Personality-oriented choice of sport by students of 10-11 grades in the new Ukrainian school". Scientific Journal of National Pedagogical Dragomanov University. Series 15. Scientific and pedagogical problems of physical culture (physical culture and sports), nr 2(146) (17.02.2022): 135–39. http://dx.doi.org/10.31392/npu-nc.series15.2022.2(146).29.
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The scientific article considers the problems and new approaches to the modernization of the modern school education system. As a means of forming the stability of children's motivation to engage in physical culture and sports, a personality-oriented approach in the choice of motor activity of students is proposed. In order to successfully implement a personality-oriented approach during physical culture and sports, it is necessary to attract additional capacity, such as new equipment, capital investments, etc. Today, one of the most important tasks of the modern education system is to find new approaches that will help increase the physical activity of students, which is a key component of their healthy lifestyle and comprehensive harmonious development. After all, one of the main reasons for the low efficiency of physical culture and health activities, in our opinion, is the imperfection of the system of implementation of various areas of physical activity of students, which in turn leads to low motivation to exercise and sports. It is substantiated that judo is one of the sports that helps to increase children's physical fitness and efficiency, promotes the formation of positive motivation for physical culture and sports. Because judo is very popular among schoolchildren, and the rational use of judo techniques and special exercises available to children help to improve their physical fitness, which in turn leads to improved health.