It has been noted that as high as 20.3% of patients hospitalized for Coronavirus Disease 2019 (COVID-19) require Intensive Care Unit (ICU) admission. This has most commonly been attributed to the development of Acute Respiratory Distress Syndrome. These patients require prolonged periods of ICU stay, averaging about 20 days. As people recover and are discharged, there will be a new pandemic of critical illness survivors. These patients would present with impairments and disabilities arising due to prolonged ICU stay as well as consequences of severe respiratory illness. The longer the duration of ICU stay, the higher is the risk for long term physical, cognitive, and emotional impairments needing comprehensive and early rehabilitation. The article focuses on the indispensable role of early and interdisciplinary rehabilitation in effective disaster management, restoring functions, and improving quality of life in COVID survivors. It outlines how to practically expand rehabilitation services in a resource limited country like India and enlists the limitations being faced which prevent the uniform application of rehabilitation services in India. This would help to deal with the rapid increase in demand of post-acute care facilities, be it in hospital services, in the form of inpatient or outpatient rehabilitation or home care facilities including telemedicine.
Aim:
This study aimed to assess and compare the fluoride release and recharge capacity of CentionN, Zirconomer and Gc Gold Label 9 Extra.
Methodology:
Disk-shaped specimens (
n
= 12) of CentionN, Zirconomer and Gc Gold Label 9 Extra were prepared according to manufacturer's instructions. After setting, each specimen was dipped in a plastic tube containing 5ml deionized water and incubated at 37°C ± 2°C. Every 24 h, the samples were placed in fresh 5 ml deionized water. Mean fluoride release (in ppm) from each material, on day 1 and day 6 was calculated using a spectrophotometer. On day 6, the specimens were recharged with 0.2% neutral NaF solution for 2 min and the fluoride release on day 7 was determined.
Results:
Cention N released significantly greater amount of fluoride on day 1 and day 6, than zirconomer and Gc Gold Label 9 Extra (
P
< 0.001). Cention N showed a better recharge capacity than zirconomer and Gc Gold Label 9 Extra (
P
< 0.001).
Conclusions:
Cention N with a higher fluoride release and recharge capacity can be used as a posterior restorative material in patients with high caries risk, thereby inhibiting secondary caries
The COVID-19 pandemic has led to a surge of mental health disturbances and the subsequent use of various mind-body therapies. Although evidence supports the benefits of yoga for mental health in a variety of disease states, information on its effects among healthcare workers during the COVID-19 epidemic is scarce. Therefore, this study evaluated and compared the efficacy of relaxation to music and yoga nidra on the mental health of frontline healthcare workers during the pandemic. This open-label randomized trial was conducted at a Level III COVID-19 care center. In the Relaxation-to-Music Group, participants received deep relaxation music, whereas those in the Yoga Nidra Group performed yoga nidra practices; both interventions were delivered through a YouTube platform and were to be done daily for 30 minutes during the healthcare workers’ 2-week duty periods. The primary outcomes were measured using scores of the Patient Health Questionnaire (PHQ)–9, Generalized Anxiety Disorder (GAD)–7 scale, and Insomnia Severity Index (ISI) at the end of the duty period. A total of 79 healthcare workers were randomly divided into two groups: (1) Relaxation-to-Music (n = 40) and (2) Yoga Nidra (n = 39). Demographics; clinical characteristics; and PHQ-9, GAD-7, and ISI scores of the two groups were comparable at baseline. In the Yoga Nidra Group, PHQ-9 scores decreased significantly (5.17 ± 4.25 to 3.03 ± 2.40, p = 0.002) compared to the Relaxation-to-Music Group (5.68 ± 4.73 to 4.34 ± 2.90, p = 0.064). Similarly, GAD-7 scores decreased significantly in the Yoga Nidra Group (4.93 ± 3.27 to 2.33 ± 2.56, p < 0.001) compared to the Relaxation-to-Music Group (4.84 ± 3.94 to 4.03 ± 3.56, p = 0.123). ISI scores also decreased significantly in the Yoga Nidra Group (6.10 ± 3.53 to 3.03 ± 2.88, p < 0.001) compared to the Relaxation-to-Music Group (6.09 ± 5.37 to 5.93 ± 5.95, p = 0.828). In this study, yoga nidra practice was more helpful than relaxation to music in reducing depression, anxiety, and insomnia among frontline COVID-19 healthcare workers during their duty periods.
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