ABSTRACT
We report a rare complication of massive aneurysm of the proximal ligated end of the main pulmonary artery which occurred in the setting of a patient with a functionally univentricular heart and increased pulmonary blood flow undergoing superior cavopulmonary connection. Awareness of this possibility may guide others to electively transect the pulmonary artery in such a clinical setting
ABSTRACT
Background: Cervical spondylosis is a general term that refers to the degenerative changes that develop either spontaneously with age, or secondarily as the result of trauma or other pathological condition. The symptoms of cervical spondylosis include pain which might be radiating or localized in the neck, limitation of neck movements, postural abnormalities. The aim of this preliminary study was to investigate effectiveness of Gong’s Mobilization in the relief of pain, improvement in range of motion and functions in individuals with cervical spondylosis. Methods: Thirty subjects (19 male and 11 female) randomly allocated in two groups (Group A and B) using the coin method. Group A received Gong’s mobilization along with hydro collator packs and isometric exercises, group B received Sustained Natural Apophyseal Glides (SNAGs) along with hydro collator packs and isometric exercises. The treatment period lasted 4 weeks in total. Pain on visual analogue scale, Range Of Motion (ROM) by universal goniometer and functional disability on neck disability index was assessed on day one pre and post intervention at the end of two weeks and end of 4th week. Results: The findings of this study suggest that both the interventions are effective in reducing pain, improving ROM and decreasing the level of disability but particularly the Gong’s mobilization is more effective (P <0.01) in correcting posture, reducing pain, improving ROM and decreasing the level of disability. Conclusions: Gong’s mobilization can be utilized in the treatment of cervical spondylosis.
ABSTRACT
Nurses have one of the highest rates of MSD of any occupation. Although en number of studies were done to find out prevalence of Work related musculoskeletal disorders (WMSDs) among nurses across the world, there is limited information on its prevalence in Rural Maharashtra. This study investigated prevalence of WMSDs, job risk factors and the coping strategies towards reducing the risk of development of WMSDs among nurses from selected hospitals in rural Maharashtra, India. Validated questionnaires were distributed to 250 nurses working rural hospitals across Maharashtra but only 228 questionnaires were returned and 212 complete questionnaires were included for study. On Analysis we found that 89.1% nurses had experienced work-related musculoskeletal pain or discomfort at sometime in their occupational lives. WMSDs was highest in the low back (48.2%), followed by the shoulder (34.6%), neck (33.1) and knee (29 %). Other regions with less prevalence were Thoracic (10.5%), Feet and ankle (7.6%), Elbow ( 1.88%) and Hip (1.6 %). Priority was given to getting help to handle heavy patients ( 57.1 %), nursing procedure modification in order to avoid stress injury ( 50.2 %) coping strategies. Our study Concluded that high prevalence of LBP, Shoulder, neck and Knee pain over a 12-month period among nurses working in Rural hospitals in Maharashtra state , and certain risk factors like working in same position for long time, bending, twisting, lifting and treating excessive number of patients were strongly associated with WMSDs.