Firstly, air should not be used for inflation of catheters unless specified in manufacturer's instructions. Secondly, when Foley catheters are used for post-nasal packing, silicone should be considered the first choice of catheter type. If not available, latex ones may be used but should be inflated with water and secured with a non-crushing clamp at the alar rim.
Aim: To compare the number of attempts at creating pneumoperitoneum for laparoscopic cholecystectomy using direct trocar versus veress needle insertion techniques. Design: Randomized controlled trial Place and Duration of Study: Department of Surgery, Allama Iqbal Memorial Hospital Sialkot and Govt. Sardar Begum Teaching Hospital, Sialkot from 27th September 2017 to 26th September 2020. Methodology: Six hundred and eight patients of both male and female patients, having uncomplicated cholelithiasis were selected. All participants were randomized into two equal groups, Group A (direct trocarInsertion) and the Group B (veress needle insertion). All trocars and veress needle used were disposable, with a safety shield. All procedures were carried out by the single experienced surgeons and his team. Data was noted, regarding age, sex, body mass index (BMI) and the number of attempts to create the successful pneumoperitoneum. Results: The number of attempts to create successful pneumoperitoneum in DTI group was significantly feweras compared to VNI group (p=0.026) but we found no statisticallysignificant difference between age, gender, and body mass index. Conclusion: The direct trocar insertion is a safe alternative to veress needle insertion in laparoscopic cholecystectomy because it requires fewernumber of attempts for successful creation of pneumoperitoneum as compared to the veress needle. Key words: Laparoscopic cholecystectomy, Veress needle insertion, Direct trocar insertion, Pneumoperitoneum
Objectives: To assess physiotherapy knowledge and experiences among pregnant females in antenatal care culture meanwhile aims to raise awareness about importance of physiotherapy in antenatal care. Methodology: This study was cross sectional .After the approval from IRB SMDC subjects were recruited using convenient sampling. Study setting was gynecology department of Shalamar hospital Lahore. Written consent form and study description was provided to each participant. After giving complete description of study data and signing the consent information was recorded through in person interview with each subject using a self-administered questionnaire, it took 5-10 minutes with each subject. Online Google form was sent to pregnant women. The data was entered and analyzed using SPSS 25. Results: With a response rate of 100% it was found that most of women (n=106 79.1%) knew about physiotherapy, but knowledge and awareness of antenatal physiotherapy and its benefits were fairly low (n=46, 34.1%. Prevalence of low back pain (n=112, 82.9%), urine leakage (n=48, 35.5%), and other musculoskeletal stresses were seen to be high among pregnant females. While there was little guidance (n=23, 17%) about antenatal physiotherapy and referral to physiotherapy (n=22, 15.07%) was also quite low. Conclusion: Pregnant females had quite insufficient knowledge and experiences in antenatal physiotherapy. There is a need to educate masses about physiotherapy and its benefits in antenatal care. Appropriate measures should be taken to spread awareness and knowledge among pregnant females, families and health care providers for improvement of quality of life among pregnant females. Key words: Pregnant females, Physiotherapy, Pregnancy, Exercise, Knowledge, Experiences.
Objective: Trisomy 21 is a genetic disorder occurs in 92% individuals. Majority of the skeletal abnormalities are associated with it. Therefore the study had been planned with an aim to determine the effect of PNF on basic motor skills in child Down syndrome children. Methods: The study design was quasi-experimental. 22 children were included on inclusion &exclusion criteria. The data was collected from Rising Sun Institute for Special Children Lahore Group A was treated with conventional physical therapy whereas Group B were treated with PNF technique and conventional physical therapy. Pre-assessment was done by using GMFM. Each subject received 36 treatment sessions with 03 sessions per week. The session continued for 30 minutes for both groups. Post treatment reading for Gross Motor Function Measure was recorded after the end of 12 weeks. The collected data analyzed by using Statistical Package for Social Software (SPSS). Results: It showed that across the group comparison shows both treatments which are applied to both groups shows good results as their mean difference values show it and their P value are not significant. Results also showed that within the group comparison PNF has better results on group B patients as per their mean difference values show it and their p values are significant. Conclusion: The study concluded that the PNF technique has better effect in Down syndrome children as compared to conventional physical therapy treatment in children on gross motor skills like standing, walking, running jumping Keywords: Down syndrome (DS), Proprioceptive Neuromuscular Facilitation (PNF), Gross Motor Function Measure (GMFM).
To find out the effectiveness of soft tissue release of paracervical muscles on the cantho-limbal distance among young adults. Methods: A quasi-experimental study was carried out at Shalamar School of allied health sciences. A sample of 32 of reduced lateral cantho-limbal distance and neck pain was taken. A purposive sampling technique was used. Pre-test Cantho-limbal distance was measured by ABN tape in mm then technique of ischemic compression followed by stretching was applied and post-test cantho-limbal distance was a measure. Results: Results show that the cantho-limbal distance before treatment was 7.38±0.98mm and after treatment, it increases to 10.06±0.88mm. The difference between the effect of pre and post-treatment on cantho-limbal distance was statistically significant (p-value <0.001). Conclusion: This study concluded that paracervical muscles and muscles of eyes have some neuronal and myofascial attachment so that soft tissue release of paracervical muscles has a significant and beneficial effect on reduced lateral cantholimbal distance.
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