COVID-19 is a pathogen which is transmitted by the respiratory route may be sufficient enough to prove that mass gatherings, mass migrations and other types of clusters play a menacing role in the spread of contagious diseases. Globally, the source of several infectious diseases includes mass gatherings for sports events, religious events, concerts etc. People participating in such clusters as religious pilgrims, Olympic spectators and others becomes a carrier for leading to spread of disease. So any social gathering relating to religion or any other should be banned—guidelines developed by WHO are vital data for central organizations for formulating the multitude planning for a cluster. Risk evaluation, response, and monitoring are the basis of preparation; the International Organization for Standardization (ISO) 31000 is a well-accepted risk management methodology. In India, control and preparedness are dependent on the state Government because of Nipah virus which was experienced by Kerala in 2018. Hence this state can maintain low mortality because of the use of contact tracing, social distancing and avoiding clusters. All the pandemic has made us realize the need to respect the species, social and environmental relationships to live and flourish. The epidemiological investigations should be carried out timely to confirm the cluster belonging to a particular family, workplace or public area. The strategies such as the reversal of social gatherings (such as work from home and home-schooling), social distancing and cancellation of social events can prevent mass gathering and a global threat of an epidemiologic expansion of disease outbreaks.
The COVID-19 pandemic has put a strain on healthcare services all over the world. With the rising range of healthcare providers diagnosed with COVID globally and with the second wave in India, the crisis has gained global attention and assistance. The healthcare system in India is under strain, putting frontline healthcare staff on edge. Long and exhausting work hours, quickly depleting supplies of personal protective equipment, day-to-night news reports of COVID-19 statistics, inadequate availability of particular drugs, and insufficient societal assistance may all lead to the additional emotional strain of these HCWs. Depression, anxiety, insomnia, and stress are very prevalent among HCWs. Employed in the high-risk division like infectious disorder and pulmonology, and to see a family member that has been diagnosed, deficient or inadequate hand hygiene before and after interaction with patients, insufficient PPE, direct patient interaction (12 times a day), long daily contact hours (15 hrs), and uncontrolled exposure were all linked to COVID-19 risk among Health Care Workers. Working with COVID-19 has demonstrated the interdependence of various components of the work system, such as personal protective equipment (PPE), ventilators, monitoring equipment, staffing, work setting, and so on. Healthcare workers should also implement a detailed ‘infectious disease preparedness and recovery strategy' to train and protect staff before and after a pandemic. Workers must be closely watched, supported, and, when possible, supplied with evidence-based practice after the crisis has passed.
Background The hamstring muscle is related to the lumbar spine, pelvic, and lower limb movement dysfunction, as well as low back pain and abnormal gait. The kinematic chain's distal elements dysfunctions may affect the body's proximal segments. There is a biomechanical connection between the foot and proximal segments of the body and its effect on the body's functional status, but there is a lack of research that focuses on the correlation between foot posture and hamstring muscle tightness. The study aimed to find the correlation between hamstring muscle tightness and foot posture using the foot posture index (FPI). Methods After obtaining ethical committee approval, necessary authorization was obtained from relevant authorities to proceed with participant screening. Informed consent was obtained from every participant, accompanied by a comprehensive explanation of the study. Screening of participants was conducted based on specific inclusion and exclusion criteria. These criteria were crucial for selecting a homogeneous sample and ensuring the study's objectives were met. The assessment of foot posture was carried out using FPI, and hamstring tightness was examined using an active knee extension test. Result and discussion In our study, which included 188 participants aged between 18 and 25 (mean age: 21.91±1.97), we examined the correlation between FPI and active knee extension (AKE) test results. Using Pearson's correlation coefficient, we found a statistically significant correlation between the FPI and AKE test results. For the right side, the r-value was 0.678 (p-value = 0.0001); for the left side, the r-value was 0.653 (p-value = 0.0001); and for the total, the r-value was 0.663 (p-value = 0.0001). These findings indicate a significant relationship between the FPI and AKE test results. Conclusion The findings of our study revealed a significant relationship between hamstring tightness and pronation of the foot, as measured by the FPI. Understanding this relationship is crucial as it sheds light on the potential impact of hamstring tightness on foot biomechanics. By establishing this link, our study contributes to the body of knowledge surrounding the prevention of alterations in foot biomechanics. It highlights the importance of addressing hamstring tightness to mitigate potential foot pronation issues. Moreover, the study serves as a stepping stone for future research endeavors. It lays the groundwork for further large-scale investigations that encompass a broader range of age groups.
Background Individuals with overweight and obesity (OW/OB) have poor performance in weight-bearing exercises, resulting in low functional capacity. The dynamic neuromuscular stabilization (DNS) technique was created to engage the core-postural chain in conjunction with the core muscles, generating enough intra-abdominal pressure to dynamically support the spine through muscular activity. DNS is a strategy that emphasizes the activation of the spine's intrinsic stabilizers, as well as proper breathing patterns, before any intended functional movement. The aim and objective of this study was to determine the effectiveness of the DNS technique on functional capacity in OW/OB individuals and to compare the effectiveness of the DNS and conventional approach. Methods The study recruited 100 individuals, who were separated into an experimental group (DNS technique) and a control group (conventional exercises), each with 50 participants. Outcome measures, including a six-minute walk test (SMW test) and body mass index (BMI), were taken pre-treatment and post-treatment. Results and discussion Based on the inclusion criteria of this study, the age group included was 20 to 25 years old. Pre- and post-treatment statistically significant changes were observed in the experimental and control groups in the BMI and SMW test. However, the BMI (kg/m 2 ) was not statistically significant in the experimental group (t-value=-0.15, p=0.87) and control group (t-value=-0.22, p=0.82). Moreover, in the SMW test (meter), no statistical significance was found in the experimental group (t-value=-0.15, p=0.87) and control group (t-value=- 0.22, p=0.82). Conclusions Both groups are effective in increasing the functional capacity of obese and overweight individuals. The study indicates a strong need for further research into its long-term effectiveness in the OW/OB population.
A tensile force, normally caused by a high-energy force, including an automobile or industrial accident, crushes and elevates the pressure within the hand abruptly. To achieve good results in its recovery, mutilated arm and its treatment require a thorough knowledge of rehabilitative methods and a thorough knowledge of hand anatomy. Early wound excision, aggressive hand rehabilitation for perioperative care, low reconstructive surgery threshold and rehabilitative care is recommended Patient’s main concerned was stiffness in wrist and elbow joint, reduced range of motion with difficulty in doing daily activities. She was diagnosed with crush injury over right forearm back while working on a machine. Main clinical findings were reduced range of motion over elbow and wrist joint. Joint stiffness over elbow joint with reduced muscle strength. Diagnosis of this case was crush injury over right forearm which resulted into scar adhesion and joint stiffness. For six weeks, the patient received physiotherapy treatment. Session included range of motion exercises, strengthening exercises, patient education, scar mobilization, joint mobilization, gripping exercises and home program. Alexios Pitsillides and Dimitrios Stasinopoulos suggested that every third day, tendons and ligaments are treated to maintain a balance between collagen synthesis and degradation and also because type I collagen's response to high load in a normal tendon peaks around 3 days after intense loading in a normal tendon. Treatment plan made proved beneficial to the patient we were able to increase the range of motion and patient was able to perform daily activities. Keywords: Crush Injury, Joint Stiffness, Rehabilitation.
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