India is a vast country with a large number of individuals in the community with various disabilities. It had been estimated that there are roughly 0.62 amputees in India per thousand population. This translates to close to more than one million individuals with amputations. Digital amputation is a common injury. This very often results in extensive functional disability and a substantial psychological impact. More importantly, the outcome of digital dysfunction is detrimental to the patient's daily activities, such as buttoning a shirt or unlocking a door. Therefore, the overall goal for these patients is to rebuild a finger with the restoration of normal function, stability, length, and sensation. Prosthetic rehabilitation of amputated fingers is an attempt to rehabilitate aesthetics and limitedly function. A prosthesis will be a counterfeit body part that replaces a few of the work and presence of the absent a major aspect. The kind of your prosthetic hand, finger alternately arm will rely on upon the area Furthermore period for your remaining finger or hand Also your practical Also lifestyle necessities. It is critical with impart those exercises that you feel need aid. The separable die allowed the silicone to flow into narrow spaces. Once the mould is filled with silicone, the flask is closed and pressure is applied slowly.
BHS (breath holding spell) are very successive & significant demonstrative difficulties in pediatric medicine. The obviously terrifying functions are generally basic in youngsters. Yet, at times BHS (breath holding spell) can be extremely upsetting by the guardians & the strategies on your own may not be adequate. Strong enhancements and piracetam are the two distinctive pharmacologic techniques those were utilized for giving BHS in kids. That go through such kind of study is driven in our assessment site and it is speculated to give a couple of results to investigate two healing schedules that are typically suggested for BHS in kids. An aggregate of 70 BHS (breath holding spell) cases are chosen into the examination of the 35 patients (A) stayed specified iron alone and 35 patients (B) that gives piracetam and oral iron. The examination gives the data to differentiate the ampleness of using piracetam and oral iron versus iron alone in kids with BHS (breath holding spell) in the outpatient division of PVS Hospital (P) Ltd, Calicut. The assessment contemplated that piracetam has all the reserves of being ensured and reasonable medicine for BHS. Piracetam despite oral iron in adolescents with BHS can reduce the repeat and earnestness of attacks than using iron alone, henceforth diminishing the difficulty of the agitated watchmen and misery by children.
Anxiety disorder is one of the most common psychiatric co-morbidity found to be prevalent in many pandemic situations or while experiencing a delimiting illness to self or community. This study aimed at screening undergraduate students pursuing MBBS for anxiety disorder. It was focused on early diagnosis, intervention and creating awareness among themselves and their community. The study was done among 272 undergarduate medical students from Tamil nadu during the period when COVID- 19 infection was prevalent in the community. They were requested to fill a proforma and questionnaire and were screened with Hamilton Anxiety scale. Study reported 80.9% mild, 11.8% moderate and 5.1 % severe levels of anxiety in study population. Aim: To study the prevalence of anxiety among MBBS under graduates during COVID pandemic in Tamilnadu. Study Design: Cross sectional online screening and assessment study. Place and Duration of Study: The study was done online from Meenakshi Medical college and Research Institute, Enathur, Kanchipuram, Tamilnadu, from December 2020 to January 2021. Methodology: The study included 272 MBBS undergraduate students of Tamilnadu (180 female and 92 male participants; age range 18-24 years All the participants were asked to fill an online proforma questionnaire following an online consent form and were screened and assessed for anxiety disorder using Hamilton Anxiety scale. Students who had severe COVID-19 infection or non consenting individuals were excluded from the study. Results: 80% of the study population belong to age group between 19-21 years of age. This study had more female (66.2%) participants when compared to male (33.8%). Majority of the study population belong to Hindu religion (89%) followed by Christians (5.9%) and Muslims (5.1%). Majority of the study population belong to upper socio-economic status (76.5%). Most of the study population were not infected by COVID-19 disease 76.8%) followed by 14.7% with past history of COVID -19 infection and 8.5% were actively infected during the study period. Most of the study population reported on anxious mood (85.3%) with various severities ranging from mild (32.7%), moderate (34.9%), severe (13.6%), very severe (4%) while only 14.7% had no anxious mood. 67.6% of the study population reported of anxious mood from mild to moderate in severity. 84.2% of study population reported on tension with various severities ranging from mild (30.5%), moderate (31.3%), severe (16.2%), very severe (6.3%), whereas 15.8% reported on absence of tension. 62.1% of the study population reported of having fearfulness with varying severities mild (27.2%), moderate (25%), severe (6.6%) and very severe (3.3%) while 37.9% did not report of fear. Majority of the study population reported of insomnia (63.6%) with varying severities of mild (26.5%), moderate (16.9%), severe (13.2%) and very severe (7%) while 36.4% did not report of insomnia.71% of the study population reported of impaired attention and concentration. 71% of the study population reported of depressed mood, mild (29.8%) , moderate (19.1%), severe (16.2%)and very severe (5.9%) while 29% had no mood symptoms. Hamilton – Anxiety scale revealed that 80.9% had mild, 11.8% moderate, 2.2% severe and 5.1% had very severe anxiety levels. Conclusion: Majority of the study population had anxiety symptom severity ranging from mild to very severe. Pandemic situation had led to an increase in the incidence of anxiety disorder even among medical students. Early screening and management of symptoms might lead to better prognosis.
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