A 52-year-old postmenopausal female diagnosed with duct carcinoma of the left breast underwent modified radical mastectomy 2 years ago. She had completed six cycles of chemotherapy postsurgery and complained of significant fatigue and depression. Her fatigue score on Piper Fatigue Scale was 4.1 and depression score on Beck's Depression Inventory was 22. She had a poor 6-min walking distance and a reduced quality of life. She was given a structured yoga program for 40 min five times a week for 4 weeks. Results showed a marked reduction in fatigue and depression scores and improvement in cardiorespiratory fitness. Her quality of life also showed improvement after the structured yoga therapy. This case report highlights the benefits of yoga for reducing fatigue, depression, and improving the cardiorespiratory fitness and overall quality of life in a breast cancer survivor.
Background: Early detection and identification of the risk factors is crucial in minimizing morbidity and mortality arising due to breast cancer. Research has proven that, physiotherapist as a part of multidisciplinary team, plays an important role in treating these patients after surgery. However, evidence suggesting the role of physiotherapist in the domain of health promotion and prevention is limited. Thus an effort is made in this study to explore the level of awareness about the risk factors and prevention and to predict the percent risk of having breast cancer in future five years.Methods: A cross sectional study was conducted in the urban slums of Turbhe. 200 females aged 35 years and above were selected. A self structured questionnaire was formed using Gail’s model. The questionnaire was validated and a house to house survey was conducted.Results: 67.5% females thought that alcohol/tobacco consumption carried the highest risk of breast cancer. 61.5% females were aware of lack of breast feeding as the risk factor for breast cancer. 74% females did not know about breast self – examination while 78.5% had not heard about mammography as screening methods for breast cancer prevention. 14.5% females carried a high risk of getting breast cancer in the future five years.Conclusions: Awareness of study participants about breast cancer was very poor. There is a need for awareness programs to educate women about risk factors and promotion of early detection of breast cancer.
Background: Poor sleep quality and depression along with physiological changes due to ageing contribute to increased incidences of falls.It has been observed that among most of the elderly residents these problems remain untreated and studies have shown almost eighty five percentage of this population rely on antidepressants and sedatives as a treatment of choice. But these medications can have deleterious side effects like day time confusion, drowsiness and falls. Physical exercises in different modes like resisted exercises or Tai Chai have shown to improve sleep quality and depression. But most of these exercises are done in standing or unaided and they can be difficult or impossible for frail elderly due to their co-morbidity and increased risk of falling.Methodology: Permission to carry out the study was taken from concerned authorities of old age homes.Written consent was taken from participants.Thirty subjects aged sixty five years and above were recruited in the study from the old age homes,Navi Mumbai. The participants were screened and pre-test score for depression and sleep quality were taken on Pittsburgh Sleep quality index and Geriatric depression scale. A structured group ,chair based exercises was undertaken and supervised by the physiotherapist,twice in a week for ten weeks .The exercises included were warm up, free mobility exercises for upper and lower limbs,breathing exercises and cool down for about forty five minutes. After completion of ten weeks post test score for outcome measures were noted and results were analysed.Results: Statistical analysis was done using Wilcoxon signed rank test for Pittsburg Sleep Quality Index and Geriatric Depression Scale .The Global Score of sleep quality scale showed improvement post-test value of 9.5 from 12.5,z value 4.230,p value less than 0.001.The post test for depression improved to 12 from pre-test score of 17,z value 4.639,p value less than 0 .001.The study was single blinded to reduce bias. Conclusion:Chair based exercises can be considered as simple and effective exercises to improve poor sleep quality and depression among institutionalized elderly.
The Coronavirus (COVID-19) outbreak was declared a public health emergency of international concern by the World Health Organisation. Pandemics can lead to increased level of stress and anxiety. This is especially true for COVID -19 when there is speculation surrounding the mode and rate of transmission, with the disease spreading at such a magnitude all around the globe. This online survey, related to the knowledge, attitude and anxiety about the novel Corona virus, was conducted among the urban population of Mumbai, India. A total of 155 responses were obtained. All the participants were above 18 years and of Indian origin. Among the participants, 74.2% were females and 25.8% were males. A majority of responders were aware of the basic knowledge of the disease COVID 19. About 65.2% participants reported that Corona virus can spread through touching, sneezing, kissing and food. Most of the participants had positive attitude towards the disease and the social practises related to the COVID 19. Majority of the participants complained of high anxiety and stress related to their personal hygiene, keeping a stock of all the essentials in their home and a constant fear of getting infected. Conclusion – There is moderate level of awareness about the knowledge related to the mode and spread of COVID 19 among the study population due to their high level of education and internet access. Though there is a positive attitude towards the practise of COVID protocol like isolation and the need for avoiding crowded places, there is still fear of getting infected among the study population. Key words: Corona virus, Knowledge, Attitude, Anxiety, World Health Organisation.
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