Physiotherapists play an important part in providing health care and physiotherapy is a recognized profession around the globe. Physiotherapy is a medical specialty that focuses on human function and mobility in order to aid people attains their full potential; It is significant to have a good understanding towards careers associated to one's field of study. Objective: The aim of the study was to assess the awareness regarding physiotherapy among urban and rural general population in Gujranwala Division. Methods: This observational study was carried out on a sample size of 384 divided equally into 192 urban and 192 rural population of people including male and female both from age group 20 years or above through non probability random sampling. The study was carried out in general population of Gujranwala Division for 6 months. Self-made Likert scale was developed to collect data. The responses were analyzed through SPSS. Results: Out of 384 participant’s population of urban area had high knowledge attitude and practice level regarding awareness of physiotherapy whereas rural population showed moderate to low knowledge attitude and practice level. According to association between education and awareness from category Undergraduate-post graduate were highly aware of physiotherapy, while other participant’s awareness was moderate to low. Conclusions: A very good response was seen in urban population of Gujranwala Division, mostly people were highly aware of physiotherapy, whereas in rural population there was a moderate to poor response. A strong association was seen between education and physiotherapy. Higher level of education displayed powerful impact on awareness of people. Education plays an impactful role in better understanding of physiotherapy.
Sepsis and septic shock are major healthcare problems, affecting millions of people around the world each year. The speed and appropriateness of therapy administered in the initial hours of treatment are likely to influence the outcome. We conducted a study to validate the clinical assessment score named 'quick sequential organ failure assessment' (qSOFA) score for use in the early identification of sepsis patients in the emergency department. Our primary objective was to see the sensitivity and specificity of the qSOFA-score for diagnosing sepsis in the emergency department and our secondary objective was to compare the sensitivity of the qSOFA score with the National Early Warning (NEW) score in patients with sepsis. A prospective observational study was conducted at Max Super Speciality Hospital Saket, New Delhi, from July 2016 to January 2017. Adult patients presenting to the emergency department with clinical signs and symptoms suggestive of infection were enrolled as per the eligibility criteria and divided into two groups on the basis of their qSOFA score at presentation. Out of 120 patients who had a positive qSOFA score 30 were subsequently confirmed as having sepsis whereas in qSOFA negative group 14 patients were subsequently diagnosed as having sepsis. This leads to the fact that although the test has near-acceptable specificity, the sensitivity is quite low. Calculations of the secondary outcome, that is 28-day mortality, revealed that 17 patients out of 120 who had a positive qSOFA score died within 28 days of first presentation whereas in the control group, nine patients had died. This means it successfully predicted mortality in only 17 patients and failed to predict mortality in nine patients out of 26 patients that died. The p-value is 0.097 which indicates both poor sensitivity as well as specificity for predicting mortality. We also compared qSOFA with the NEW score and found the latter to have a better sensitivity for detecting sepsis. This study shows that the qSOFA score, which has been specifically designed for early detection of sepsis patients in the emergency department or a pre-hospital setting in whom infection is suspected on a clinical basis, does not seem to be a good screening tool for early detection of sepsis patients in the emergency department.
In recent years, foot drop and lumber degenerative changes have become increasingly prevalent. These changes can be serious, necessitating immediate medical attention. Objective: To identify any risk factors that may be increasing patients' chances of experiencing foot drop and to observe functional disabilities related to foot drop including pain, foot wear, gait and foot posture. Methods: Data was collected through standardized tool to assess status of affected foot in lumber degenerative diseases. Variables which were considered in this tool are status of pain of the patient by asking directly to the person, any foot orthosis usage by the patient, daily activity status of the patient, range of motion of the foot, Results: Twenty participants (7.4%) were between the ages of 65 and 75; 154 (55.6%) were between the ages of 55 and 65; 63 (23.2%) were between the ages of 45 and 55; 26 (9.6%) were between the ages of 35 and 45; and nine (3.3%) were between the ages of 25 and 35. There were 193 (70.7%) participants with outstanding feet, 46 (16.8%) with good feet, 7 (2.6%) with fair feet, and 26 (9.5%) with terrible feet. Conclusions: The majority of participants (90,4%) fall into the excellent, decent, and fair categories and don't exhibit any foot drop. The prevalence of foot drop was precisely 9.55%.
Piriformis syndrome is a condition in which the piriformis muscle, located in the buttock region, spasms and causes buttock pain. The piriformis muscle also can irritate the nearby sciatic nerve and cause pain, numbness and tingling. Starts at the lower spine and connects the upper surface of each femur (thighbone). Functions to assist in rotating the hip and turning the leg and foot outward Runs diagonally. Objective: To find out the prevalence of piriformis muscle syndrome among individuals with low back pain. Methods: Participation of population from Gujranwala city from various emergency clinics was remembered for this study in view of inclusion and exclusion criteria. The data was collected through non-probability convenient sampling technique. Affirmed instances of low back torment patients were added and get some information about their agony as indicated by VAS (visual simple scale) and outer muscle tests (FAIR test, pace sign, Piriformis stretch (test) were performed on patients. Results: The results have been obtained from 219 participants. The overall Prevalence of piriformis muscle syndrome among individuals with low back pain was 18.3%.The Mean±SD of exact BMI were 27.43±6.859. Out of 219 patients, male and female Pace sign were respectively (85.8% negative and 14.2% positive). (81.7%) Negative and (18.3%) Positive Prevalence of piriformis muscle syndrome in the general population in Age groups chi-square value is (47.753b) and P- Value (<0.001*). Conclusions: In this research, the positive prevalence rate is 18.3%. It demonstrates that several individuals with low back pain have piriformis muscle syndrome.
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