Activity

To determine and compare the clinical outcome of Cyriax manipulation and traditional physical therapy for the treatment of cervical discogenic problems in terms of pain, range of motion and disability.

The randomised controlled trial was conducted at Benazir Bhutto Hospital, Rawalpindi, Pakistan, from January to June, 2018, and comprised patients having prolapsed intervertebral disc with neck or arm pain who were then randomly allocated into control and experimental groups using the sealed envelope method. The control group received cervical isometrics 10 repetitions ×1 set, 4 days/week and targeted muscle strechings 10 repetition × 1 set/day for 4 days/week. buy Ribociclib The experimental group received 10 min pre-manipulative massage and Cyriax manipulation protocol. Data was analysed using SPSS 20.

Of the 40 subjects, there were 20(50%) in each of the two groups. The experimental group showed significance difference in terms of numeric pain rating scale, range of motion and the neck disability index (p<0.05 each).

Cyriax manipulation was found to be significantly better than the traditional treatment of physiotherapy for cervical discogenic pain.

Cyriax manipulation was found to be significantly better than the traditional treatment of physiotherapy for cervical discogenic pain.

To assess the impact of nursing discharge instructions on post-discharge care management in heart failure patients.

The quasi- experimental non-randomized study was conducted at the National Institute of Cardiovascular Diseases, Karachi, from January to December 2017, and comprised in-patients suffering from heart failure. They were divided into two equal groups. In the intervention group, discharge instructions and written material was thoroughly given by the nurses other than routine existing instructions for effective post-discharge care management. The control group received discharged instructions under existing routine. Data was analysed using SPSS 21.

Of the 80 patients, there were 40(50%) in each group with no significant difference in terms of age, gender and education (p>0.05 each). Regarding awareness and control of the disease, adherence with medication and proper management of their illness, the intervention group had higher level of competency than the control group (p=0.001).

Provision of nursing interventions to educate the patient of heart failure during hospitalisation, on discharge, follow-up day and continuous guidance on telephone significantly improved the post-discharge care management of the patients.

Provision of nursing interventions to educate the patient of heart failure during hospitalisation, on discharge, follow-up day and continuous guidance on telephone significantly improved the post-discharge care management of the patients.

To determine whether there is a relationship between complete blood count parameters at adnexal torsion and to investigate the clinical utility of these parameters in preoperative diagnosis.

The retrospective, case-control study was conducted at a tertiary care hospital in Turkey and comprised data of patients who underwent adnexal torsion surgery from 2007 to 2017. Medical records of healthy controls who underwent various gynaecological surgeries during the period were used as the control group. Demographic characteristics and preoperative complete blood count parameters were retrieved from the medical records, and factors influencing adnexal torsion diagnosis were evaluated. Data was analysed using SPSS 21.

Of the 296 subjects, 73(24.7%) were adnexal torsion cases and 223(75.3%) were controls. Demographic characteristics did not differ between the groups (p>0.05). Leukocytosis was present in 38(52%) cases. Mean white blood cell, neutrophil, and platelet counts and neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios were significantly higher, and mean platelet volume was significantly lower in the cases compared to controls (p<0.05). Logistic regression analysis identified an independent association between a low mean platelet volume and adnexal torsion (p<0.05). The optimal cutoff value was 10.35fL, with 77.4% sensitivity and 74.2% specificity.

There was found to be a significant relationship between adnexal torsion and certain parameters of the complete blood count. Low mean platelet volume could be considered a useful additional tool for the preoperative diagnosis.

There was found to be a significant relationship between adnexal torsion and certain parameters of the complete blood count. Low mean platelet volume could be considered a useful additional tool for the preoperative diagnosis.

To compare the success of treatment between thumb spica cast with “methylprednisolone acetate injection” versus thumb spica cast alone for the treatment of de Quervain’s disease as functional outcomes, complications and patient compliance.

A single blinded randomized controlled trial using a probability sampling technique was conducted from January 2014 to h February 2017at the Orthopaedic Unit II, King Edward Medical University / Mayo Hospital, Lahore. A total of 134 patients of both genders, between 30-60 years of age presented with wrist pain and diagnosed de Quervain’s disease, were included in the study. Patients were randomly divided into two group by the computer allocation method. Patients in Group-A received thumb spica cast with methylprednisolone acetate and xylocaine injection while patients in Group-B were treated with thumb spica cast alone. The outcome variable was frequency of successful treatment which was noted and compared among the groups.

Amongst the total 134 patients, the age of the patients ranged from 30 to 60 years with a mean of 37.16±5.15 years. Most of the patients were aged between 30 40 years (78.8%) followed by 41-50 years (21.2%). There were 38 (28.4%) male and 96 (71.6%) female patients in the study group with a male to female ratio of 12.5. In group-A mean VAS and Quick DASH score before treatment and after the treatment was statistically significant (p-value <0.001). In group-B mean VAS and Quick DASH score before and after the treatment was also significant (p-value <0.001) ( Table-2).

The effectiveness of treatment was significantly higher in patients treated with thumb spica cast with methylprednisolone acetate injection as compared to thumb spica cast alone.

The effectiveness of treatment was significantly higher in patients treated with thumb spica cast with methylprednisolone acetate injection as compared to thumb spica cast alone.