Asian Pacific Journal of Health Sciences
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Impact of Lockdown Restrictions on Mental Well-being in Adult Population not Infected with Covid-19
Get PDFThe worldwide effects of the COVID-19 pandemic have led to considerable physical and psychological strain. To curb the transmission of the virus, India implemented a nationwide lockdown, which created new challenges to mental health. The objective of this research is to investigate the mental health challenges faced by individuals in India during the nationwide lockdown. A prospective, observational, cross-sectional study was conducted with 300 participants in the physiology department of MGM Medical College and Hospital. The study used the Depression, Anxiety, Stress Scale-21 questionnaire to assess participants’ levels of depression, anxiety, and stress before and during the lockdown in two age groups: 19–30 and 31–50 years. The results indicated a significant increase in depression, anxiety, and stress levels during the lockdown compared to before it. The findings suggest that the COVID-19 pandemic and the subsequent lockdown had a profound negative impact on the mental health of the participants
Assessing the Reliability of Digital Caliper Measurements in Shoulder Flexion Assessment: A Preliminary Study
Get PDFThis initial study evaluated the reliability and validity of digital caliper measurements for assessing pectoralis minor muscle length through the tabletop test. Three evaluators assessed a total of 180 subjects, each documenting the average of three measurements. The findings demonstrated outstanding intra-rater and inter-tester reliability (intraclass correlation coefficient = 0.996 and 0.999, respectively) and exceptional internal consistency (Cronbach’s α = 0.999). The assessments exhibited robust face, construct, and content validity, affirming their therapeutic significance. These data confirm that digital calipers are a dependable and valid instrument for measuring shoulder flexion impairment linked to pectoralis minor muscle tightness
Orthorexia Nervosa: A Critical Review of an Emerging Disordered Eating Pattern
Get PDFOrthorexia nervosa (ON) is an emerging and controversial eating behavior characterized by an unhealthy obsession with consuming only foods perceived as healthy or pure. Although not yet officially recognized in diagnostic manuals, ON has garnered growing attention from researchers, clinicians, and public health professionals due to its increasing prevalence, especially among health-conscious populations. This review aims to provide a comprehensive understanding of ON by examining its conceptual evolution, diagnostic challenges, associated risk factors, clinical manifestations, and treatment approaches. An in-depth search of peer-reviewed literature was conducted to synthesize current findings on the epidemiology, psychological and sociocultural determinants, and assessment tools used to identify ON. The review highlights the overlap between ON and other eating or obsessive-compulsive disorders, emphasizing the need for standardized diagnostic criteria and validated assessment instruments. Despite its focus on health, ON can lead to severe nutritional deficiencies, psychological distress, and social isolation. The findings underscore the importance of increased awareness among healthcare professionals and the development of targeted interventions. Further research is needed to establish ON as a distinct clinical entity and to inform effective prevention and treatment strategies
Determination of Nutrient Values of Tuberous Vegetables Using Different Cooking Methods
Get PDFObjective: To investigate the nutrient quality of tuberous vegetables using different cooking methods such as boiling, steaming, and microwaving. Carrot (Daucus carota), radish (Raphanus sativus), and beetroot (Beta vulgaris) were used for the study. Results: This study identified the best cooking method for retaining nutrients and antioxidant activity in carrot, beetroot, and radish samples. Physiochemical analysis (pH and color measurement), nutrient quality testing (ascorbic acid, beta-carotene, total flavonoid content, total phenolic content, and iron), and antioxidant activity were done. It was observed that steaming is the best cooking method for retaining nutrients and antioxidant activity in carrot, beetroot, and radish samples. It minimizes nutrient loss and preserves antioxidant activity, making it a recommended cooking method compared to the other methods
Marma Chikitsa to Manage Griva Sandhigata Vata W.S.R. to Cervical Spondylolisthesis – A Case Study
Get PDFIntroduction: Ayurveda is a life science that emphasizes treating the mind, body, and soul to achieve complete health. Detailed descriptions about Marma and Marma Chikitsa is found in the Sushruta Samhita and Siddha texts respectively. Manipulating or stimulating Marmas to manage various diseases is known as Marma Chikitsa or therapy. Cervical spondylolisthesis is a rare and uncommon condition in patients with neck pain. Typically, this abnormality presents with cervical pain without any neurological deficit. It usually involves a defect in the pedicle of the sixth cervical vertebra. The prevalence of anterior spondylolisthesis is 6.0% in men and 6.3% in women, and that of posterior spondylolisthesis is 13.2% and 8.9%, respectively. Aims and Objectives: To evaluate the effectiveness of Marma Chikitsa in the management of Griva Sandhigata Vata. Materials and Methods: A single case study of a 54-year-old married man who was diagnosed with traumatic spine injury (C5 anterolisthesis over C6 with cervical cord compression) visited Shalya Tantra Marma Chikitsa outpatient department with the chief complaint of pain over the left shoulder joint and neck along with weakness of the left upper limb. The treatment approach involved employing Marma Chikitsa, primarily targeting the upper extremities. Results: Following the treatment regimen, the patient experienced a substantial recovery, achieving a 90% restoration of movement range, albeit with minor discomfort at the limits of motion. Conclusion: Marma Chikitsa holds significant importance in managing Griva Sandhigata Vata (Cervical spondylolisthesis
Adherence of Anti-Epileptic Drugs in Pediatric Age Group in a Tertiary Care Teaching Hospital: A Cross-Sectional Study
Get PDFObjectives: In this cross-sectional study, the aims were to analyze the adherence of anti-epileptic drugs in pediatric age group. Comparison with age, gender, disease duration, education status of parents, etc., was considered. Non-adherence to epilepsy medications can interfere with treatment and may adversely affect clinical outcomes, although few studies have examined this relationship. Materials and Methods: Study was conducted over 200 patients for 6 months in outpatient basis pediatric department in Rajindra Hospital associated with Government Medical College, Patiala, a tertiary care teaching hospital in Punjab. The patient diagnosed by the pediatrician with epilepsy who fulfilling inclusion and exclusion criteria was enrolled after taking informed consent. Adherence was noted using Morisky adherence questionnaire at clinical visit. Results: In this study, a total 200 children were enrolled. Our study results showed that majority of the patients had medium (96.48%) medication adherence to prescribed treatment. In high adherence group, most of the patients were graduate (35.48%) followed by primary education (35.29%). In high adherence group, there were more patients present in the age group of ≤5 years (45.24%). In our study, low and high adherence group was more associated with who have positive family history. Conclusion: In the present study, majority of the patients had medium medication adherence to prescribe treatment. In high adherence group, most of the patients were graduate followed by primary education also in this group more patients present in the age group of ≤5 year who have positive family history
To Assess Cardiovascular Risk in Cases of Spinal Cord Injury by Screening Impaired Glucose Tolerance and Dyslipidemia – Prospective Study
Get PDFAim: To assess cardiovascular risk in spinal cord injury (SCI) by screening IGT and dyslipidemia. Purpose: With advances in acute care and management of septicemia, renal failure, pneumonia, and Cardiovascular complication is the leading cause of death in SCI. Physical inactivity, increased abdominal fat promotes insulin resistance and dyslipidemia promoting cardio vascular morbidity. Methodology: The sample size of 100 is considered with inclusion and exclusion criteria defined for SCI cases Parameters considered are (a) Fasting lipid profile, (b) HbA1C, (c) OGTT. Results: Based on the analysis, patients had hypo as well as hyperglycemia in addition to dyslipidemia. Conclusion: Metabolic abnormalities act as a multiplier effect for increasing the CV risk
Immediate Effects of Early Chest Physiotherapy on Hemodynamic and Ventilatory Parameters in Mechanically Ventilated Adult Patients: A Quasi-Experimental Study
Get PDFBackground: Mechanical ventilation is a life-saving intervention in intensive care units (ICUs); however, prolonged ventilation increases the risk of ventilator-associated complications. Early chest physiotherapy (CPT) has been suggested to improve lung compliance, secretion clearance, and hemodynamic stability in patients on mechanical ventilation. However, few studies have evaluated their immediate effects. Objective: The objective is to determine the immediate effects of early CPT on hemodynamic and ventilatory parameters in mechanically ventilated adult patients. Methods: A quasi-experimental pre–post study was conducted on 50 mechanically ventilated adults admitted to the ICU. Participants received early CPT, including manual percussion, vibration, manual hyperinflation, and endotracheal suctioning, for 3 consecutive days. Hemodynamic (heart rate, respiratory rate, mean arterial pressure, SpO2) and ventilatory (compliance, resistance, and peak inspiratory pressure [PIP]) parameters were recorded pre- and post-intervention each day. Statistical analysis was performed using Statistical Package for the Social Sciences v20 with repeated measures analysis of variance. Results: Early CPT significantly improved ventilatory parameters, including compliance (P < 0.05), reduced resistance (P < 0.05), and PIP (P < 0.05). SpO2 showed a significant increase post-CPT, whereas the respiratory rate significantly decreased. No adverse events were reported. Conclusion: Early CPT leads to immediate improvements in lung dynamics and hemodynamic stability in mechanically ventilated adults, without causing adverse effects. These findings highlight the importance of early physiotherapy interventions in ICUs
Psychological Well-being and Life Satisfaction: A Cross-sectional Study of Working versus Non-working, Married and Unmarried Women in Today’s Challenging Times
Get PDFDuring early 2020, every being on this earth was in some way or the other affected by the deadly coronavirus. One section of the society which was burdened the most was the women. The present paper focuses on the psychological distress and life satisfaction among working and non-working married/unmarried women. A sample of 160 women (80 working women and 80 non-working women) belonging to an age range of 25–50 years was selected. Both groups consisted of 40 married and 40 unmarried women. “The Kessler Psychological Distress Scale (K10)” by Kessler and Mroczek (1992) and “Satisfaction with Life Scale” by Diener et al. (1985) were administered to assess Psychological distress and life satisfaction. Findings showed that there was a significant difference in the psychological distress and life satisfaction between married and unmarried women. No significant interaction effect was observed between marital status and employability, while a significant interaction effect of marital status and employability on life satisfaction was found. The results clearly implicate that there is an urgent need for everyone to be sensitive to the overall well-being of women, who are the backbone of family, society, and country at large
Management of Complex Trans sphincteric Fistula in Ano with Distal Fistulectomy with Proximal Staged Fistulotomy using Ksharasutra: A Case Study
Get PDFAccording to Sushruta Samhita, Bhagandar is one of the Ashta Mahagada. Because of its recurrent nature, this condition is more challenging to cure. Ksharasutra has already demonstrated efficacy in treating fistula-in-Ano. In this case report, a 42-year-old male patient had complaints of pain at the perianal region, boil at the perianal region with pus discharge for 1 year. On examination, external opening is present at 3 o’ clock position, and an internal opening is at 6 o’clock position. Induration palpated from 3 to 6 o’ clock position. Transrectal ultrasonography (TRUS) revealed trans-sphincteric fistula-in-ano. Patient underwent partial fistulectomy with ksharasutra application under sadal block. After 2 weeks, two Ksharasutra placed in external fistulous tracts were removed when the track got healthy, and the one connected with the external opening was changed weekly once by the railroad method. Within 7 weeks, the wound was healed completely and without any recurrence