Background Appropriate choice of research design is essential to rightly understand the research problem and derive optimal solutions. The Comorbidity Action in the North project sought to better meet the needs of local people affected by drug, alcohol and mental health comorbidity. The aim of the study focused on the needs of Aboriginal peoples and on developing a truly representative research process. A methodology evolved that best suited working with members of a marginalised Aboriginal community. This paper discusses the process of co-design of a Western methodology (participatory action research) in conjunction with the Indigenous methodologies Dadirri and Ganma. This co-design enabled an international PhD student to work respectfully with Aboriginal community members and Elders, health professionals and consumers, and non-Indigenous service providers in a drug and alcohol and mental health comorbidity project in Adelaide, South Australia. Methods The PhD student, Aboriginal Elder mentor, Aboriginal Working Party, and supervisors (the research team) sought to co-design a methodology and applied it to address the following challenges: the PhD student was an international student with no existing relationship with local Aboriginal community members; many Aboriginal people deeply distrust Western research due to past poor practices and a lack of implementation of findings into practice; Aboriginal people often remain unheard, unacknowledged and unrecognised in research projects; drug and alcohol and mental health comorbidity experiences are often distressing for Aboriginal community members and their families; attempts to access comorbidity care often result in limited or no access; and Aboriginal community members experience acts of racism and discrimination as health professionals and consumers of health and support services. The research team considered deeply how knowledge is shared, interpreted, owned and controlled, by whom and how, within research, co-morbidity care and community settings. The PhD student was supported to co-design a methodology that was equitable, democratic, liberating and life-enhancing, with real potential to develop feasible solutions. Results The resulting combined Participatory Action Research (PAR)-Dadirri-Ganma methodology sought to create a bridge across Western and Aboriginal knowledges, understanding and experiences. Foundation pillars of this bridge were mentoring of the PhD student by senior Elders, who explained and demonstrated the critical importance of Yarning (consulting) and Indigenous methodologies of Dadirri (deep listening) and Ganma (two-way knowledge sharing), and discussions among all involved about the principles of Western PAR. Conclusions Concepts within this paper are shared from the perspective of the PhD student with the permission and support of local Elders and Working Group members. The intention is to share what was learned for the benefit of other students, research projects and community members who are beginning a similar journey.

The sudden twisting of ankle which overstretches the ligaments to torn or sprain around the ankle joint can lead to pain and swelling. Pain and swelling is one of the major causes of concern in patients with acute lateral ankle sprain while performing physical and daily activity. The study aim was to find the effect of ultrasound therapy and cryotherapy over taping technique among patients with acute lateral ankle sprain. A total of 30 subjects with acute lateral ankle sprain participated in this study. Group A was given ultrasound therapy with cryotherapy for 30 minutes; Group B was given taping technique additional to ultrasound and cryotherapy. Pre and post test was done after 10 sessions of treatment. The outcome was measured for the participants by VAS score. Student’s t-test, Mann Whitney test, Wilcoxon signed rank test were used to analyze data in this study. Group A and B have shown significant improvement after treatment. Comparative study found Group B, had significant changes by ultrasound therapy, cryotherapy and ankle taping technique over the Group A with P<0.001, on reducing pain, swelling and improving earlier active performance. On the basis of the result, the study concluded that treatment with cryotherapy, ultrasound therapy and taping technique is better compared with cryotherapy and ultrasound therapy, and has more effect in reducing pain, swelling and improving earlier active physical performance.

Background: Thalassemia major (B-TM) a grave health concern that poses serious health consequences during which there arises a mandatory need for regular blood transfusions that is vital for survival.. This led to the conception of this video assisted teaching to improve the Quality of Life (QOL) among B-TM patients. Aim: To assess the effectiveness of video assisted teaching on knowledge regarding quality of life among Thalassemia Major Adolescence and to find the association between knowledge regarding quality of life among Thalassemia Major Adolescence with selected demographic variables. Materials and methods Sample: A Pre- test and post - test designs was conducted in Gujarat. A total of 50 adolescents were included in study. The data from the thalassemic major adolescents is collected using a predefined questionnaire. Descriptive and inferential statistics were used to analyze the collected data, and the results were interpreted in terms of the study's goal and hypothesis. The 0.05 level of significance was chosen. Results: Post-test result shows that majority of thalassemic major adolescence 11(22%) were having adequate knowledge, 39(78%) were showing moderate knowledge regarding quality of life among thalassemic major adolescence. Conclusion: The study's goal was to see how efficient video assisted education is at improving knowledge about quality of life among thalassemia major adolescent.The goal of measuring thalassemia major adolescent knowledge and evaluating the effectiveness of video assisted instruction, researchers used a one-group pre-test and post-test approach. The knowledge of thalassemia major adolescents was assessed using a questionnaire.The data was interpreted by suitable appropriate statistical methods.