Introduction: Urinary Incontinence (UI) is the involuntary loss of urine with social alienation, loss of sexual activity and other psychosocial issues which may affect the Quality of Life (QOL) and psychosocial well-being of patients. Electrotherapy may play an important role in the treatment of incontinence by means of stimulating the weakened structures which helps in control of micturition. Various electrotherapeutic currents including Faradic, Galvanic, Inferential Therapy (IFT), Russian currents along with the pelvic floor muscles strength training may be helpful in UI. Aim: To find the impact of electrotherapy or training of muscle on QOL in male geriatric population of incontinence of urine. Materials and Methods: This randomised controlled trial will be carried out on geriatric male patients attending Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha as well as on patients from geriatric homes and nearby PHCs. They will be screened for UI. The participants will be divided into three groups each of which will receive Faradic stimulation, Russian current stimulation and Pelvic Floor Muscle Training (PFMT) exercises respectively. The study will be carried out between October 2020 to October 2022. The data will be collected and analysed utilising inferential and descriptive statistics by using Chi-Square test and student’s t-test (unpaired and paired) and software for analysis will be SPSS 22.0 version and Graph pad prism 6.0 version and level of significance will be considered as p<0.05 and results will be obtained. Conclusion: In male geriatric population, muscle strength training or electrotherapy can reduce urine incontinence.
Background: Cancer is a broad term that refers to a variety of diseases that can occur in any part of the body. Depressed symptoms are more common in cancer patients than in the general population, and depression is linked to a worse prognosis. The patient has anxiety, depression and other mental health disturbances when diagnosed with the fatal disease. The research scales in this paper focus on how to improve the quality of life and manage mental health problems like depression a patient goes through by pre-operative coping strategies for depression and finding out post-operative impact of it is explored. Aims & Objectives: to study effect of pre-operative coping strategies and exercises on post-operative improvement in patient’s mental stability and overall health. Methods: The participants (n=20) will be recruited in the study suffering from cancer and meeting the inclusion criteria. Assessment will be done using various scales and treatment in the form of coping strategies will be implemented pre operatively and evaluated post-operatively. The protocol will cover 6 weeks of treatment. In the rehabilitation period, we will evaluate the stress and depression levels affecting the QoL of cancer patients. Result: Expected result includes the coping strategies and exercises given pre operatively improves the post-operative recovery and quality of life of cancer patients having depression Conclusion: We can conclude that this method will help to improve quality of life and lower the effects of depression and betters the treatment results.
Introduction: Because of the rapid global spread, coronavirus disease 2019 (COVID-19) has caused a state of an emergency situation. Postgraduate (PG) health sciences students (HSSs) are the frontline healthcare workers who are susceptible to psychological issues like depression, anxiety and stress during such stressful pandemic period. The objective of this study was to assess the relationship between the psychological issues such as depression, anxiety and stress and the level of resilience among PG HSSs during the COVID-19 pandemic. Materials and Methods: The present cross-sectional online survey was conducted by the department of Psychiatry of tertiary health care center from Maharashtra state of India over a 10 days period (from April 15, 2020 to April 24, 2020), with a sample size of 195 which was calculated by using the formula of sample size calculation for the cross-sectional study design. Data were collected using the purposive sampling method from the PG HSSs. Data were recorded from the study participants in an online structured questionnaire prepared for the study using the sociodemographic details and the two scales namely Depression, Anxiety, and Stress Scale-21 item (DASS-21) and Brief Resilience Scale (BRS). DASS-21 scale was used to assess the presence and severity of depression, anxiety, and stress, while BRS scale was used to assess the level of resilience among the PG HSSs. Data were collected and analyzed using the SPSS software version 15.0, Fisher's exact test, and Pearson's correlation test. Results: Prevalence of depression, anxiety, and stress were 43.1%, 68.7%, and 11.3%, respectively. There was a high positive correlation between all three subscales of DASS-21 (depression, anxiety, and stress subscales). On BRS, 2 (1.0%) study participants had high resilience, 120 (61.5%) had normal resilience, and 73 (37.5%) Conclusion: Study concluded that significant proportion of PG HSSs had psychological impact of COVID-19 in the form of depression, anxiety and stress. Programs such as timely evaluation of mental health status and stress management to address these psychological issues should be a priority. In long terms, increasing the resilience of PG HSSs can have protective value against the psychological issues during the stressful events of infectious disease outbreaks like COVID-19 pandemic. The following core competencies are addressed in this article: Medical knowledge, Patient care, Professionalism, Practice based learning and improvement.
Background: Stroke is a sudden neurological explosion resulting from poor blood flow perfusion to the brain. Stroke prevalence rates in India are expected to range from eighty-four to two hundred sixty-two strokes every 100,000 persons in remote regions and from three hundred thirty-four to four hundred twenty-four strokes every 100,000 persons in metropolitan areas. It causes brain cells to die abruptly due to inadequate oxygen and is a neurological condition characterized by blood flow blockage. Aim & Objective: to examine the impact of TENS (Transcutaneous Electrical Nerve Stimulation), EMS (Electrical Muscle Stimulation), and ROM (Range of Motion) exercises on upper-limb functioning in hemi paretic stroke victims. Methods: The current study subjects (n=39) would be stroke survivors. Patients will be divided into three groups: group A will receive TENS, group B will receive EMS, and group C will get ROM exercises. The protocol will cover 2 weeks of treatment. We will assess upper limb functioning, activities of everyday living (ADLs), and mental condition at frequent intervals. By using the MHQ (Michigan Hand Outcomes Questionnaire), Hand Grip Strength (HGS), Brunnstrom Hand Function Recovery stages. Results: The successful completion of this study will provide evidence on the best treatment strategy for stroke patients to improve their upper extremity motor function using individual TENS, EMS, or ROM exercises. Conclusion: This study will be beneficial to treat Stroke patients with upper limb dysfunction by treating by TENS modality which might be an option for EMS treatment.
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