Background
Polypharmacy is principal cause of potentially inappropriate medications (PIMs) in elderly patients, which include over prescribing, under prescribing, and misprescribing.
Methods
Elderly subjects (≥60 years), of either sex, receiving two or more medications for one or more chronic ailments, attending Geriatrics Outpatient Department (OPD), at All India Institute of Medical Sciences (AIIMS) New Delhi, were included. Their prescriptions were assessed for PIMs by using Beers criteria 2015 and were further followed up at least once in 6 months for adverse events, telephonically. The results were analyzed by using suitable regression models and correlation analysis.
Results
Three hundred eighty patients average age of 65.4 ± 4.7 years were enrolled. Eighty‐eight percent of the people were having greater than or equal to two ailments. Each patient was prescribed 6.7 ± 2.1 medications with 65% of prescriptions having one or more PIMs. Out of the total prescribed drugs, 15% were satisfying Beers criteria for PIMs. There were 63 adverse drug reactions (ADRs) reported. A statistically significant correlation was observed among comorbidities, number of prescribed medications, PIMs, and ADRs. Quality of life (QOL) of the elderly patients was negatively corelated with polypharmacy and female sex.
Conclusion
A risk‐benefit analysis of prescribed medications is part and parcel of prescribing, especially in elderly patients. In order to decrease further risks associated with inappropriate prescribing, there is need for indigenous guidelines and intensive training.
▼ Objectives : Core Stability Training (CST) is widely used as a sport training and therapeutic exercise. The current study was aimed to determine the eff ectiveness of the CST in enhancing dynamic balance (DB) in soccer players. Methods: A convenience sample of 40 professional soccer players with mean age of 18 ± 2 years were divided into 2 groups, experimental and control group (n = 20) in each group. The experimental group participants were given CST. Both the experimental and control groups were allowed to follow their normal playing and training schedule. The total study duration was for 4 weeks. Core Stability (CS) and DB outcomes were measured between pre and post intervention at 3 phases using Double Straight Limb Lowering Test (DSLLT) and Star Excursion Balance Test (SEBT). Results: Overall results revealed signifi cant differences of DB and CS within the experimental group as compared to the control group (p < 0.05). The post hoc analysis observed that signifi cant improvement in the DB after the completion of phase-II, however experimental group showed signifi cant improvement in CS even between phaseI and phase-II, however maximum improvement observed after the completion of phase-III (p < 0.05). Conclusions: CST can be added for enhancing the DB and CS in players in addition to their training sessions. The current study observed that minimum duration of 2 weeks CST requires improving the DB whereas and CS can show improvement even after one week of CST in soccer players.
Introduction: In the game of cricket dynamic balance and the strength of lower limb muscles plays a major role while bowling or to control the bowling speed. Bowlers use different style of run ups to optimise their bowling speed. Therefore, for every athlete physical fitness plays essential role. Aim: To find the correlation between bowling speed and lower limb explosive power and dynamic balance in state and district level cricket bowlers. Materials and Methods: This cross-sectional study was conducted at Cricket Gurukul, Faridabad, Mahadev Desai Cricket Academy, Faridabad, Haryana and Indraprastha Cricket Academy, Punjabi Bagh, Delhi, India from January 2018 to January 2019. Total 98 male bowlers with age between 16-28 years, playing experience of at least 6 months in University/District level and playing frequency at least 5 days/weeks were included in the present study. Modified Star Excursion Balance Test (mSEBT) was used to measure the dynamic balance, broad jump test was used to measure lower limb explosive power and radar gun was used to measured bowling speed. Data was analysed in the Statistical Package for the Social Sciences (SPSS) software 2.0 version. Descriptive statistics was calculated. Pearson’s correlation coefficient was calculated. The p-value <0.05 was set as statistically significant. Results: Mean age was 19±3.1 years and Body mass index was 23.1±2.68 kg/m2 . Dynamic balance showed positive correlation with bowling speed (r=0.227, p<0.0001) and lower limb explosive power showed positive correlation (r=0.638, p<0.0001) with bowling speed in cricket bowlers. Conclusion: It was found that, the bowling speed of the cricket bowlers can improve majorly if the explosive power of the lower limb is improved whereas, there is less impact of dynamic balance on the bowling speed.
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