Background: Quadriceps angle or Q angle is an index of the vector for the combined pull of extensor mechanisms and patellar tendon. It is a clinical measurement for knee and patella alignment. It is not a static but rather a dynamic consequence to the muscle mechanics, leg loading, and foot and leg position. Therefore in present study we assessed whether change of body position i.e. standing and supine position affects the Q angle measurement. Aims and Objectives: Present study aimed at finding whether there are any variations in Q angle in standing and supine position. Objectives of the study were to measure Q angle in supine position and standing position. We intended to assess the variations in the Q angle with change of body position. Methods: In this cross sectional analytical study, we assessed female participants between age group of 18-25 years, in supine and standing position, Q angle was measured in both the positions. Sample size was 100. Results: The results showed statistically significant increase in Q angle in standing position as compared with the supine position (p <0.0001) (C.I.  1.720 to 3.140). Conclusion: There was statistically significant increase in the Q angle measurement in standing as compared with the measurements in supine. Measuring the Q angle is concerned with assessing the knee functions during daily activities and sports participation, therefore assessing this important measurement not only in supine but also in a weight-bearing functional position in clinical setups would be helpful.

IntroductionThe prevalence of low back pain (LBP) among secondary school students is increasing. The magnitude of the problem is not well quantified. Evidence shows LBP in adolescents can be a significant risk factor for back pain in adulthood. The present study aimed to determine the lifetime prevalence of LBP among secondary school students from schools of an urban metropolitan city and the prevalence of LBP in the presence of associated factors.MethodsThis cross-sectional analytical study was done using a validated semi-structured questionnaire (N = 555; response rate, 85.3%). Secondary school students between the age of 12 and 15 years from three randomly selected urban secondary schools of Mumbai, India were recruited for the study.ResultsWe analyzed the data for prevalence and odds ratios (OR), and we conducted a univariate analysis to determine the significance of LBP prevalence. We found the lifetime prevalence of LBP was high (32.9%). The prevalence of LBP was highly significant (p < .0001) among girls (confidence interval [CI]: 1.5 to 3.2; OR: 2.2), those who felt their school satchel was heavy (CI: 1.7 to 3.5; OR: 2.4) and those who watched television (TV; CI: 0.03 to 0.28; OR: 0.09).ConclusionWe noted a high prevalence of LBP among adolescents. LBP had a significantly high prevalence among girls and in the presence of factors like a heavy school satchel and watching TV. LBP in adolescence is a significant risk factor in developing back pain in adulthood, and our findings highlight the need for awareness of LBP among stakeholders like educationists, policymakers, medical professionals and parents given the possible detrimental effects on adolescent children.

Learning is a social experience. In most of the health science disciplines students learn in variety of environments like clinical placements, laboratory and lecture-based setting. Peer learning can be a component in any of these environments. However, effectiveness of peer learning on learning outcomes is not extensively researched as like other formal instructional strategies. Present paper aims to discuss the conceptual understanding, theoretical basis and possible effects of peer learning on aspects of learning outcomes. This can offer the background information to design the future research on peer learning instructional strategy. Peer learning is beneficial pedagogical learning strategy which has all round effect on the process of learning. Cognitive benefits and outcomes on the learning as well as psychosocial outcomes like behaviour, critical reasoning, motivation, and appreciation of team work are also noted. However, scarcity and diversity in the research on peer learning makes it difficult to ascertain its benefits or shortcomings in terms of measurability and generalizability. Inclusion of peer learning as student centric, flexible and individualised approach can complement the individual needs of the learners. Comprehensive understanding of peer learning process, improved study designs considering the factors affecting group dynamics, and more representative sampling techniques can help overcome the barriers and can result in better understanding of this approach in health science education.

Purpose The present study was aimed to explore and analyse the multifaceted impact of coronavirus disease 2019 (COVID-19) on quality-of-life of survivors, in physical, social, psychological and environmental health domains.Design/methodology/approach This explanatory mixed-method study was conducted on 20 patients admitted in the Intensive Care Unit (ICU) of a tertiary care hospital having mild-to-moderate clinical spectrum. Scores of WHO Quality of Life Brief Version (WHO QOL BREF) questionnaire, a quantitative data source, were recorded during admission and two months post-discharge. Qualitative data were collected through in-depth telephonic interviews 2 months post-discharge.Findings Statistically significant improvement in the quality-of-life was seen post-discharge in all four domains. Explanatory qualitative data derived four themes. This experience was life changing and metamorphic. Many participants experienced social exclusions. However, they outlived it with hope, faith and positive frame of mind. Quarantine, limiting social contact impacted largely the well-being and mental health of patients. Integrated care and multidisciplinary protocols are accentuated to combat future crisis.Research limitations/implications COVID-19 was a wake-up call to human race for radical change in healthcare policies. Researchers have emphasised the need to build resilient communities. The role of this research in building evidence as a basis for informed integrated care and decision making is vital. Study findings suggest that along with exhausting physical symptoms survivors experienced psychological symptoms highlighting the need of integrated approach and tailor-made strategies in assessment and treatment.Originality/value Lack of integrated approach in the system resulted in long-lasting physical and psychosocial impact on the survivors. This novel mixed methods research report, adding a valuable insight to body of knowledge through first-hand information, help provide evidence base which can account for future research, policy reforms and response.

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