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Introduction: Mountaineering refers to the sport of climbing mountains. The skill set and level of fitness required for mountaineering is very different from those required for other activities. It is a sport which involves considerable risk of injuries not only because of the technical demands but also because of the challenges posed by high altitude. Mountaineers are aware about the importance of physical fitness required in mountaineering, they may not be fully aware about the minute aspects such as the intensity and level of training from their base fitness levels. Physiotherapy helps narrow this gap and provides subjective levels of training required for a mountaineer and their fitness Objective: To assess the Awareness about the role of physiotherapy in mountaineering among Indian mountaineers. Methods: 68 Mountaineers between 16-49 years of age who have completed at least one trek above 12,000 ft participated in the study. A validated online questionnaire was circulated among the participants after taking their consent. The data collected was subjected to descriptive analysis. Results: The study revealed that most of the mountaineers have considerable knowledge about the role of physiotherapy in treatment of musculoskeletal injuries. However, there is lack of awareness about the role of physiotherapy in the aspects of cardiopulmonary function, injury prevention and prevention of AMS. Conclusions: This study shows that mountaineers need to be educated about the role of physiotherapy in all aspects of mountaineering and how it can help them perform better. KEYWORDS: Trekking, Rock Climbing, Ice Climbing, High Altitude, Climbing Sports.

Background: There is scarcity of essential medications, medical talent and health care facilities to treat covid-19, at remote places. This study explores various modalities in resource-limited settings for the management of COVID-19 patients.Methods: We retrospectively analysed data of 266 consecutive discharged and death Covid-19 patients from 26December 2020 to 29May 2021. All patients were admitted and received appropriate supportive care, regular clinical and laboratory monitoring.Results: Of total 266 patients the mean age of patients was 49.19 (SD 14.1) years and 185 (69.54%) of them were males. 99 (37%) cases were moderate, 83(31%)were severe cases remaining 84 (32%) were mild cases. 16 (6.01%) patients expired and remaining 250 patients were subsequently discharged. Median duration of stay in the hospital was 9 (37) days. Of total 266 admitted patients’ mortality rate was only 6.01%.Conclusions: We emphasize that even in healthcare facilities with limited resource, poor infrastructure and lack of ICU facilities, clinical observation-based managementt can help to reduce mortality considerably. Unique features of our study include; use of progesterone as an immunomodulator, use of dual antiviral agents, use of age-related lower limit of oxygen saturation.

Cancer is a debilitating and complex disease that affects millions of people around the world, it has been identified that cancer rehabilitation including physiotherapy can be important factor in management of cancer patients and survivors. There are disquisitions that showcase and prove the presence of certain problems with respect to referral and delivery of the physiotherapy treatment given to oncology patients. It is noticed that in spite of available facilities a large number of our population including the cancer patients are unaware of the presence of onco-physiotherapy and its potential benefits. This cross sectional study conducted among cancer patients aims to identify these barriers to help gain a complete understanding of them and the benefits of rehabilitation will help us gain valuable insight to optimise the beneficial services and its deliverance at these centres. It showed that only half of the samples were aware of onco-physiotherapy. There are multiple barriers faced especially with respect to the referral system present in our country. Though they do not lack motivation, family and community support, ability to follow exercise regime and home programme, this study showed that in spite of this being conducted in an urban setting most were unaware of such services. This tells us that there is a dire need of awareness among patients, doctors and general population. There is also a need for more awareness about NGOs, government schemes and specialised branch of onco-physiotherapy to aid the rehabilitation process. Key words: Oncology, cancer rehabilitation, onco-physiotherpy, barriers, awareness.