Search

To compare the effect of posterior capsular stretch on pain, ROM and functional disability in Adhesive Capsulitis. Study Design: Experimental, Randomized Control Trail. Setting: Department of Physiotherapy, Capital Development Authority Hospital Islamabad. Period: October 2015 to March 2016. Materials and Methods: Forty female patients having aged between 40 to 70 years with freezing and frozen stage of adhesive capsulitis were screened out. Adhesive capsulitis secondary to cervical Spondylosis, osteoporosis, direct trauma and any inflammation were excluded from the study. Subjects were randomly placed into two groups lottery method, the experimental group having 19 subjects received posterior capsular stretch along with conventional manual therapy and electrotherapy whereas the control group had 21 subjects and they were given manual therapy and electrotherapy alone. The Numeric Pain Rating Scale, Shoulder Pain and Disability Index, and Range of Motion of shoulder joint were used as outcome measures. All the patients were assessed at baseline before intervention and at the completion of 6 weeks of treatment. Data was analyzed using SPSS version 20. Results: Abduction, Internal Rotation and disability show significant result. The abduction mean value of Group A was 115.00±22.023and of the Group B was 81.74±20.653 with p value was P

Sexual health is inversely associated with estimated glomerular filtration rate and is associated with adverse cardiovascular outcomes, depression, poor self-image, and impaired quality of life. Many women with chronic kidney disease (CKD) and ESKD experience symptoms of sexual dysfunction which is underrecognized secondary to a variety of factors including physicians' discomfort in discussing sexual health, patients' reluctance to bring up sexual health, difficulty in the assessment of sexual health in comparison to men, and the overall lack of well-conducted clinical studies in women. The pathophysiology is not fully understood but likely involves changes in sex hormones throughout the hypothalamic-pituitary-ovarian axis. Proper evaluation of this axis is necessary as treatment is tailored to these findings and can improve outcomes. A comprehensive assessment of sexual dysfunction inclusive of women with varying gender identification and sexual orientation, partnered with recognition and treatment of contributing factors as well as identifying the underlying cause, is paramount. With the lack of studies, particularly in women with CKD, treatment options, in some cases, can be considered unchartered territory. In this article, we will review available evidence on the pathophysiology, clinical manifestations, and treatment for sexual dysfunction in women with CKD and ESKD.

Objective of the study was to investigate effects of task specific circuit gait training to improve gait parameters and mobility among sub-acute and chronic stroke patients. A randomized control trial was conducted on stroke survivors of either gender being capable of standing 10 seconds and having 2-4 score on Rankin Modified Scale. Sample comprised of 30 participants randomly assigned into two groups. Training was given for a session of 40-50 minutes for 3-4 days/week for six weeks. Timed get up and go test (TUG), Cadence, Step Length and Step Width assessed measures of concern. The sample included 16 males and 14 females with mean age of 54.10 ± 10.10 years. After six weeks, significant improvement was recorded in TUG (p=0.014). Cadence (p=0.001), step length (p

Background: Worldwide prevalence of chronic low back pain is 19.6% in thoseaged between 20-59 years and more prevalent in women. Routine physiotherapy appears to beeffective in reducing pain and improving functional outcome in chronic low back pain patients.Lumbar stabilization exercises are trending in the management of chronic low back pain thoughit is not known whether addition of these exercises produce better results as compared to routinephysiotherapy alone. Objectives: The objective of this study was to determine the effect of thelumbar stabilization exercises on pain, ROM and functional disability in the management ofchronic low back pain. A randomized control trial. Period: February 2016 to July 2016. Setting:Rehab & Research Center, Pakistan Railway General Hospital. Methodology: 42 chronic lowback pain patients (02 drop outs, one from each group). The participants were recruited throughpurposive sampling technique. Random allocation was done through coin toss method into twogroups Lumbar Stabilization Exercise (LSE) group (n=20) and Conventional Physiotherapy(CPT) group (n=20). Tools used to collect data were NPRS, Modified ODI, Goniometer (LumbarFlexion, Extension and Side bendings) and MMT (Trunk Flexors and Extensors). The data wasanalyzed (n=40) at baseline and later after 2 weeks of intervention (8 sessions) on IBM SPSS-20. Results: 28 females and 12 males participated in the study with mean age of 38.88 ±12.69.After 02 weeks of intervention both treatment groups showed improvement in decreasing painand improving functional status. LSE group had significant gains in NPRS p=0.001, ModifiedODI p=0.001, ROM Extension p= 0.027, ROM Right side bend p= 0.024 and MMT Flexion p=0.031 as compared to CPT group. Conclusion: Lumbar stabilization exercises in addition toconventional physiotherapy are found more effective in chronic low back pain managementas compared to conventional physiotherapy alone in terms of reducing pain and functionaldisability.

Non-dialysis-dependent chronic kidney disease (NDD-CKD) patients are at an increased risk of cardiovascular disease (CVD)–related deaths in comparison with the general population. This review summarizes recent guideline recommendations and studies on primary and secondary prevention of traditional cardiovascular (CV) risk factors in those with NDD-CKD. The use of antiplatelet agents for primary prevention in CKD is not supported by clinical trial evidence; however, they offer potential benefits when used for secondary prevention of CVD in the absence of an elevated bleeding risk. Lipid-lowering therapy reduces CV risk and is recommended for all NDD-CKD patients. In light of recent clinical trial findings, current clinical practice guidelines recommend a blood pressure (BP) goal

Hydropericardium syndrome (HPS) is a fatal disease of broiler chickens causing high mortality and heavy economic losses in various countries. More than 100 million birds have been affected by this destructive disease in less than two years worldwide. As it is a viral disease, the only solution is to vaccinate chickens. Different types of vaccines are being used against this disease in different areas of the world. Liver organ inactivated vaccines are more extensively used to control the disease initially. These vaccines have many drawbacks regarding their dose, un-predictable immune response and secondary bacterial infections. Following this, oil adjuvant vaccine was used to control the disease, however the handling stress and the formation of granuloma at the site of injection remains a problem. Consequently there is a need for cell culture adapted and attenuated vaccines, which can be administered through oral routes. A chicken embryo-adapted inactivated vaccine has shown good results but requires a continuous supply of specific, pathogen-free chicken embryos and a continuous life killing process. The continuous cell lines are a more promising solution for the production of cell culture-adapted and attenuated vaccines, which are safer, more economical and easy to administer. The following review discusses the development of modern HPS vaccines.

The study was designed to determine the blood glucose response of six different snakes/meals including chapatti + egg, chicken patty and pizza from three different local bakeries and pizza makers of Faisalabad, Pakistan. The approximate analysis of six different test meals was done for determination of carbohydrates, proteins, fats, ash and fibre contents. A group of 6 normal and 6 diabetic human volunteers were selected and given the test and control meals randomly. The volunteers were fed different meals containing 50g carbohydrates portion, the blood sample of diabetic volunteers were taken finger pricks at 0, 30, 60, 90, 120 and 180 minutes and normal volunteers 0, 15, 30, 45, 60, 90, 120 minutes and glycaemic index were calculated by standard formula. Results obtained in present study have suggested that all four test pizzas and chicken patty have very high glycaemic indices. It is therefore suggested that diabetic patients and high-risk families should not take all the test pizzas and chicken patty in their daily routine.