The term 'ergonomics' and 'human factors' are interchangeable, 'ergonomics' is generally used in regard to physical features of the workplace, such as workstations and control panels, whilst 'human factors' is generally used in regard to the larger system in which people co-operate. This COVID 19 pandemic impact make the children to stay at home only and government of India has been supported the online education for the children and because of that change the whole learning system in India. While attending the classes at home mostly the parents don’t have that much knowledge regarding ergonomics to prevent the lot of physical as well as mental health problems, impact of poor ergonomics kids faced lot of problems like headache, back pain, knee pain, eye irritation etc as we called as repetitive strain injuries and musculoskeletal health has been deteriorated. Conclusion: Parents and teachers do not appear to involve schoolchildren in conversations about safe computing behaviors, which might be due to their own lack of understanding of computer ergonomics and also the impact of COVID 19 Pandemic drastically affect the children’s schooling and have to learn at home through the online education system. Ergonomic education should also include into the school curriculum as future necessity.
COVID 19 (Coronavirus 2019) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was first discovered in December 2019 in Wuhan, Hubei, China and resulted in an ongoing pandemic. It has put the world on a crisis footing and children could be the hidden victim of the pandemic. Due to this pandemic, the impact on children is severe. Children may be more vulnerable due to school closures, lockdowns and other stressors. Access to a computer and the internet at home could determine whether education comes to a halt or if children can continue to learn outside of the classroom. And also raising the cases of malnutrition, hunger and may suffer from extended ill-consequences of this pandemic, such as child labor, child trafficking, child marriage, sexual exploitation and death etc. soap and running water may make the difference between whether children get sick or not. School closure, lack of outdoor activity, aberrant dietary and sleeping habits are likely to disrupt children's usual lifestyle and can potentially promote monotony, distress, impatience, annoyance and varied neuropsychiatric manifestations. Incidences of domestic violence, child abuse, adulterated online contents are on the rise. The COVID-19 pandemic is potentially catastrophic for many children around the world. For children caught at the apex of this crisis, there is a genuine prospect that its effects will permanently alter their lives.
Introduction: B- Cell lymphoblastic leukaemia of blood cancer that influences B- Lymphocytes, which are white blood cells that create within the delicate marrow of your bones (marrow) [1]. When healthy blood cells start to alter and expand out of control, this is called leukaemia. ALL is a tumour of immature lymphocytes. Lymphocytes are white blood cells that help the immune system function. Acute lymphoid leukaemia (ALL) is also known as acute lymphoblastic leukaemia. ALL is most visits in youthful children and people over the age of 50, but it can influence anybody at any age [2]. Aim: To acquire the knowledge regarding a case of B-cell acute lymphoblastic leukaemia. Clinical findings: Abdominal discomfort, fever high grade, chills, Weakness. Diagnostic Evaluation: Blood Test: Hb-5.5%, Total RBC count-2.21million/cu.mm, Total WBC count- 27400/cumm, RDW- 14.8%, HCT-17.7%, Monocytes-02%, Granulocytes-28%, Lymphocytes-68%, AST(SGOT)-110U/L. Peripheral Smear: RBC: Total RBC Count- Decreased on smear, Haemoglobin- Decreased Predominantly normocytic with few micro showing moderate lymphomia, Platelets- Decreased on smear No hemoparacites are seen, Peripheral smear is suspicious of severe viral infection. Ultrasonography: Splenomegaly. Bone marrow aspiration and biopsy. B-cell lymphoblasts (immature white blood cells) are found in the bone marrow Therapeutic intervention: Blood Transfusion-30 times, Inj Levofloxacin, Inj. Piptaz, Inj. Pan, Inj. Emset, Inj. Doxy, Inj. Hydrocort, Inj. Avil, Tab prednisolone, Tab Dolo. Outcome: After Treatment, The patient shows improvement. His fever and abdominal discomfort were relived and his Hb% increased from 5.5% to 6% after blood transfusion. Conclusion: B-cell acute lymphoblastic leukemia is one of the most common types of leukemia in children but is rare in adults. My patient was admitted to medicine ward no-30, AVBRH with diagnosed of Acute Lymphatic Leukaemia and he had complaint of fever and abdominal discomfort. After getting appropriate treatment his condition was improved.
The relative acidity or alkalinity of all substances in nature can be categorised. The term acid is derived from the Latin word "acidus," that is to state "to eat."" which meaning "sour or tangy." Several of them the typical substances that are acidic we come into touch with have these characteristics, such as salad dressing vinegar, Beverages, which contain phosphoric acid and carbon dioxide, and black tea, which contains tannic acid, all contain acetic acid. Grapefruits, oranges, lemons, and limes contain citric acid, while grapes have tartaric acid. The acid-alkaline diet, or alkaline ash diet, is another name for the alkaline diet. Food is divided into three groups in the alkaline diet: acidic, neutral, and alkaline. Red meat, poultry, fish, chocolate, wheat, and alcohol are all acidic foods. Natural fats such as butter, most oils, milk, and cream are all included in neutral meals. Foods that are alkaline make up the majority of fruits and vegetables.
Introduction: Acute appendicitis (AA) is the most common surgical infection, with a 7–8% lifetime risk. The mortality rate following appendectomy is quite low, ranging from 0.07 to 0.7 percent in patients without perforation to 0.5 to 2.4 percent in patients with perforation, which is an acute inflammation of the appendix. It affects people of all ages, with the majority of cases occurring between the ages of 10 and 30, and both boys and females are afflicted equally. Appendicitis is substantially less common in developing nations, particularly regions of Africa, and among lower socioeconomic levels. After being diagnosed with appendicitis, a 24-year-old male was taken to AVBRH with complaints of pain in the right iliac fossa, nausea, and vomiting. The findings of the examination were consistent with acute appendicitis. His systemic health remained unaffected, and testing such as blood tests, urine samples, and abdominal ultrasounds were inconclusive. Acute appendicitis (AA) is the most common surgical condition, and in the vast majority of cases, appendectomy is the treatment of choice. An accurate diagnosis is essential for lowering the rate of negative appendectomy. In the case of a complex appendicitis, management can be tough. The diagnostic process must be improved in order to reduce the negative appendectomy rate and the danger of misdiagnosis. The diagnosis of acute appendicitis was primarily relied on symptoms, signs, and laboratory evidence prior to the widespread use of CT scans.
A vestibular schwannoma or acoustic neurinoma, or acoustic neurilemoma is a slow growing benign tumor arises balance and hearing nerves in the inner ear. It is caused by overabundance of Schwann type of cell, which support and insulate nerve fibers, wrap onion skin around them. The nerves that control hearing and balance are impaired when vestibular schwannoma increases in size, resulting in hearing loss that is one-sided or asymmetric, tinnitus and loss of balance. When a tumor develops large enough, obstruct the facial nerve, resulting in numbness in the face. Vestibular schwannomas can also damage the facial nerve, resulting in facial weakness or paralysis on the tumor's side. If the tumor becomes large enough, it press against surrounding brain areas like the cerebellar and brainstem, posing a life-deteriorating hazard.(1) 17 years old male child was admitted in neuro ward with rare case of right acoustic and left trigeminal schwannoma, hydrocephalus with neurofibroma. In the present case, the treatment approach was mainly underwent in the form of right V.P.Shunt done and treated with antibiotics, antacids, anticonvulsants, analgesics, brain stimulants, protectants, multivitamins and other supportive treatment. Nurses have to play an important role to identify such type of symptoms and they should think critically, take action immediately to provide care to such type of patients.
A hiatus hernia occurs when a portion of the stomach protrudes into the chest cavity. It enters through the same entrance through which the food tube (oesophagus) travels to the stomach. A case of an 39-year-old male with a history of diabetic presented to the emergency room with acute onset shortness of breath, epigastric pain and chest pain. The stomach bulges up into the chest through that opening in a hiatal hernia (also known as a hiatus hernia). The client was having burning sensation in epigastric region since from 2-5 year, acid reflux after taking food, heartburn, nausea, regurgitation, vomiting, and abdominal pain and irritation. After the physical examination, history collection and investigations he was diagnosed as case of hiatus hernia.The study's main focus is on professional management and excellent nursing care, which may be able to give the holistic care that hiatus hernia requires while also efficiently treating the difficult case. Following a complete recovery, the patient's multidisciplinary health care team works together to help the patient reclaim his or her prior level of independence and contentment.
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