Part Of Multidisciplinary Team Research Articles

Antibiotic regimens tailored by clinical pharmacist supported by intensivist enhance rational use of antibiotics

ABSTRACT Background High antibiotics utility rates have been observed in surgical intensive care units (SICU). The present study was performed to evaluate the effect of engaging a clinical pharmacist in SICU on rational use of antibiotic treatment. Methods This retrospective quasi-experimental experiment involved 505 patients, over a period of one year, admitted to emergency department surgical/trauma ICU of a large tertiary care hospital. Before and during pharmacist participation periods of six months, 226 and 153 patients, respectively, are compared. Results Antibiotics consumption pattern changed with a decrease in total antibiotic consumption from 101.42 to 94.1 Defined Daily Dose/100 patients’ days after the clinical pharmacist participation, in addition to, a statistically significant rise (p = 0.001) in percentage of appropriateness of the prescribed antibiotic therapy from 72.1% to 86.3%. Time to control infection (days) was not statistically different (p = 0.825) in both periods. The average ICU days of stay was statistically significant longer (p = 0.046) during pharmacist attendance (4.42 ± 5.61) in comparison with period without pharmacist attendance (3.31 ± 3.66). The difference in ICU mortality rate was not statistically significance (p = 0.217). Cost per stay increased by 65% during pharmacist intervention period. Conclusions Antibiotic management with pharmacist participation as a part of multidisciplinary team with intensivist can promote rate of the appropriateness of the prescribed antibiotic therapy, lower utility of antibiotic consumption, but with a longer ICU stay, no mortality reduction, and higher expenses per stay. Trial Registry ClinicalTrials.gov: NCT04931914.

Potential drug-drug interactions in patients with non-small cell lung cancer at a university hospital in Turkey.

The aim of this study was to determine the drug profile of patients with non-small cell lung cancer (NSCLC) and to identify potential drug-drug interactions (PDDIs) during hospitalization. In particular, PDDIs in categories X and D were determined. This retrospective cross-sectional study was conducted in the oncology services of a university hospital between 2018 and 2021. PDDIs were evaluated using Lexicomp Drug Interactions® software included in UpToDate®. A total of 199 patients were included in the study. Polypharmacy was present in 92.5% of the patients and the median (min-max) number of drugs used was 8 (2-16). 32% of the patients had D and X PDDIs. A total of 16 PDDIs at risk grade X were found in 15 (7.5%) patients. A total of 81 PDDIs of risk grade D were found in 54 (27.1%) patients and a total of 276 PDDIs of risk grade C were identified in 97 (48.7%) patients. Anticancer drugs (p = 0.008), opioids (p = 0.046), steroids (p = 0.003), 5-HT3 receptor antagonists (p = 0.012), aprepitant (p = 0.025) and antihistamines (p < 0.001) were statistically more frequent among patients with PDDIs than among those without. The results of our study indicated that polypharmacy and PDDIs are common in hospitalized patients with NSCLC cancer. The monitoring of medications is critical for maximizing therapeutic effects and minimizing side effects related to PDDIs. As a part of multidisciplinary team, clinical pharmacists can contribute significantly to preventing, detecting and managing PDDIs.

Experiences in the training of specialist family and community nurses: a qualitative study.

The specialist Family and Community Nurse Practitioner (FCNP) is a professional who, after a period of training, is qualified to be part of multidisciplinary teams in primary care. The aim of this study was to describe and understand the experiences of nurses during their training process in the specialty of Family and Community Nursing in Spain. A descriptive qualitative study was carried out. Participants were recruited by means of convenience sampling from January to April 2022. Sixteen specialist nurses in Family and Community Nursing from different autonomous communities in Spain participated in the study. Twelve individual interviews and one focus group were conducted. Data were analyzed following a thematic analysis method in ATLAS.ti 9. The results showed two themes and six subthemes: (1) Residency period, more than a training: (a) Training during the residency period; (b) Specializing through a constant struggle; (c) Moderate optimism about the future of the specialty; and (2) A journey from illusion to disappointment: (a) Beginning of the residency: feeling special; (b) During the residency: between satisfaction and misunderstanding; (c) At the end of the residency: power and frustration. The residency period is important in the training and acquisition of competencies for the Family and Community Nurse Practitioner. Improvements are needed to ensure quality training during residency and to help give visibility to the specialty.

Intersecting care through specialized pharmacists: A case report of residency rotation focused on the new horizon of cardio-oncology

Background and purposeCardio-oncology is a nascent discipline in the synergy of clinical cardiology and oncology, aiming to improve antineoplastic therapies, whilst minimizing cardiovascular toxicities. It requires a multidisciplinary approach with particular knowledge to build individualized care for patients. As part of multidisciplinary teams, pharmacists are uniquely positioned to play a role in the management of these patients, being responsible for monitoring adverse reactions and having an active approach in preventing drug-related morbidity. However, despite the existence of oncology and cardiology residency pharmacy programs, and the burden of cancer and cardiovascular diseases, there is a lack of data regarding pharmacists training focusing on cardio-oncology. Educational activity and settingA 15-days rotation was built to develop knowledge and clinical skills on pharmacological cardiovascular management of patients in a hemato-oncology residency program. The hospital where the rotation was offered is a 900-bed university hospital in Porto Alegre, south of Brazil. The rotation was designed for a postgraduate year 2 (PGY2) onco-hematology pharmacy resident and mentored by two staff clinical pharmacists from the cardiology field. The rotation schedule was distributed to reach three different approaches of learning: theoretical, practical-theoretical and practical. Activities were proposed aiming to provide experiences in cardiac care for the PGY2 resident, and clinical activities with patients were developed in both inpatient and outpatient settings. After the end of the 15 days rotation period, an evaluation was carried out by the PGY2 resident together with the staff menthors. FindingsThis is the first cardio-oncology pharmacist rotation described in our country. The rotation was considered positive by residents evaluation on providing a clinical experience through cardiotoxicity management of oncology protocols. SummaryCollaborations between cardiology and oncology clinical pharmacy teams, and the multidisciplinary teams as well, can help provide structured cardio-oncology rotation opportunities for pharmacy residents.being the team's specialist on antineoplastic agents monitoring and preventable drug related morbidity, the pharmacist can contribute to achieve better outcomes to patients with cancer.

A Human-Centered Design Approach to SOVTE Straw Phonation Instruction

Extensive research has demonstrated that straw/tube phonation exercises produce positive effects on the voice quality of the user. The purpose of this study was to explore pedagogical practices employed by a range of voice professionals when using SOVTEs by applying human-centered design approaches to examine workflow and communication between teachers and students. The researchers conducted a series of five participatory role-playing workshop activities at a multi-disciplinary vocology conference that included speech-language pathologists, voice scientists, physicians, singing teachers, acting voice teachers, choral directors, and singers. Volunteers were asked to assume the role of teaching or learning straw phonation exercises. The other participants from each workshop were asked to provide written and verbal feedback regarding the teacher/student dynamics and what they found most important and relevant in terms of best practices for SOVTEs. Expert evaluators subsequently provided similar feedback based on video recordings of the workshops. While there was variability noted in teaching techniques and results, common themes emerged in the analysis. Successful and unsuccessful student and teacher techniques were identified by the workshop participants. Through the video analysis, the research team identified themes in instructional teaching, experiential learning, and straw articulation and mechanics. The benefits of straw/tube phonation exercises on voice quality have been well-established and are clear. As we continue to refine best practices in SOVTEs and, in particular, straw phonation, involvement of experts in HCD as part of multidisciplinary teams may lead to the eventual design of SOVTE tools that provide greater precision, consistency, and effectiveness both in clinical and pedagogical settings, and aid in the differentiation of SOVTE approaches within the taxonomy of vocal habilitation and rehabilitation techniques.

Role of Empathy in Engineering Education and Practice in North America

Does engineering design education in North America prepare students to address the major issues of our time? In today’s political and social climate, engineers are part of multi-disciplinary teams tasked with finding solutions to complex issues like poverty, climate change, the housing affordability crisis, resource depletion, and water shortages. By definition, these problems are “wicked”. If engineers are to play a role in addressing issues that exist at the intersection of technology and society, they must have a deep understanding of both technical competencies and of human factors. They must have the ability to empathize. In consideration of today’s social, political, and environmental challenges, it has never been more important to instill social competencies into engineering education and practice, particularly around engineering design. This paper analyzes the previous literature on empathy in engineering education in North America and synthesizes the data to present the conceptualization that engineers have of empathy in education and practice.

Extinction, climate change and the ecology of Homo sapiens

Abstract Because of human domination, the world faces two major environmental problems—species extinctions and climate change. The still‐elusive solutions to these global problems must address interlinked ecological, economic, political, ethical and cultural constraints and trade‐offs, and will require unprecedented international cooperation. Major advances in ecological research will be essential and will require that ecology become a more mechanistic and predictive science. Research advances in disciplines ranging from evolution and population ecology to community and ecosystem ecology could greatly contribute to the formulation of viable, sustainable solutions. Synthesis. Because solutions must also be equitable, ethical, economically viable and societally sustainable, it will be increasingly important for ecologists to be part of multidisciplinary teams that evaluate the full range of interlinked environmental and societal impacts of alternative potential policies.

Benefits of physical exercise programs toward people with acquired brain injury: A protocol for systematic review and meta-analysis.

Background:Exercise has proven to be a tool improving health related quality of life in people with acquired brain injury (ABI) as part of multidisciplinary team during the subacute and chronic phase. While intervention studies and revisions have been increased in recent years, there is no consensus about the type, frequency and variables of control in exercise interventions. Besides, this collective need programs that respond to different functional levels, given the heterogeneity of people with ABI, not only because of the etiology, but also because of the severity differences over their deficits. The aim of this systematic review and meta-analysis is to summarize the evidence regarding the relationship between exercise and health related quality of life in subacute and chronic phase.Methods:A protocol of systematic review and meta-analysis will examine the benefits of physical exercise (PE) toward people with ABI will be conducted. A comprehensive search will be conducted in the following electronic databases: MEDLINE, The Cochrane Library, CINAHL, SportDiscus, and Web of Science from inception to July 2020. Independent review authors will evaluate the title and abstract for each trial and disagreements will be solved by discussion with a third author if necessary. Standard pairwise meta-analysis, including heterogeneity analysis, subgroup analysis, and sensitivity analysis, will be performed using the Stata software. The quality evaluation of this study will be completed using the Cochrane collaboration risk of bias tool and the risk of bias assessment will be conducted by the World Health Organization grading of recommendations, assessment, development, and evaluation. The review will be reported in accordance to the preferred reporting items for systematic reviews and meta-analyses statement.Results and Conclussion:This systematic review and meta-analysis protocol will provide an overview regarding the benefits of PE on functioning, social participation and quality of life toward people with ABI. The variability of outcomes across PE from the selected studies will provide important information for future trial designs. Results of the proposed review will inform practice and the design of future clinical trials. This study will summarize all the selected trials aimed at estimating the effectiveness of applying physical activity programs to ABI users.Systematic review registration number: PROSPERO CRD42020191779.

Pharmacotherapy and the Role of Pharmacists in Rehabilitation Medicine.

ABSTRACTPharmacotherapy is important in older patients undergoing rehabilitation because such patients, especially those with frailty and physical disabilities, are susceptible to drug-related functional impairment. Drug-related problems include polypharmacy, potentially inappropriate medications (PIMs), and potential prescription omissions. These problems are associated with adverse drug events such as dysphagia, depression, drowsiness, falls and fractures, incontinence, decreased appetite, and Parkinson’s syndrome, leading to impaired improvement in activities of daily living (ADL), quality of life (QOL), and nutritional status. Moreover, the anticholinergic burden is associated with impaired physical and cognitive functions. Therefore, pharmacist-centered multidisciplinary pharmacotherapy should be performed to maximize rehabilitation outcomes. Pharmacotherapy includes a review of all medications, the assessment of drug-related problems, goal setting, correction of polypharmacy and PIMs, monitoring of drug prescriptions, and reassessment of drug-related problems. The goal of pharmacotherapy in rehabilitation medicine is to optimize drug prescribing and to maximize the improvement of ADL and QOL as patient outcomes. The role of pharmacists during rehabilitation is to treat patients as part of multidisciplinary teams and as key members of nutritional support teams. In this review, we aim to highlight existing evidence regarding pharmacotherapy in older adults, including drug-related functional impairment and the association between pharmacotherapy and functional, cognitive, and nutritional outcomes among patients undergoing rehabilitation. In addition, we highlight the important role of pharmacists in maximizing improvements in rehabilitation outcomes and minimizing drug-related adverse effects.

The Role of Social Workers in Health System during the Covid-19 Pandemic

Social workers in health institutions in Republic of North Macedonia are included by giving of social protection services to individuals - patients hospitalized in health institutions or come for hospital treatments. They are part of multi-disciplinary teams, their role is seen upon their professional work in the area of prevention, giving of social interventions and social services to patients and their families, interventions in times of crisis, social support and enabling of patients for good social. Social workers as health coworkers were also struck during the pandemic in their area of expert work as a result of worsened epidemiologic state in the country, the measures and recommendations for protection from Covid -19. The empirical research was done in August 2021 yеаr, with the participants of 33 social workers working in secondary and tertiary health protection. The goal of this research is to gain information on the situation of social workers working in the health system, during the Covid -19 pandemic. A part of the research was to acknowledge the consequences of the Covid 19 pandemic’s influence on the expert work of social workers in our health system.Methods and techniques of the research: A quantitative method was used in the research, and a survey questionnaire was used to study the condition and professional work of social workers in the system. The obtained results have shown that 51.55 of the surveyed individuals face problems to realize their everyday work obligations. A total of 60.6% of the participants have problems in their cooperation with institutions, citizen associations and humanitarian organizations. As for the professional help and support given by social workers, a total of 25 participants or 75.8% percent have problem in giving this kind of social service to patients and their families.

The Impact of Pharmaceutical Care in Multidisciplinary Teams on Health Outcomes: Systematic Review and Meta-Analysis.

Pharmacists' care has an essential role in multidisciplinary teams in charge of chronic patients. However, data available on the clinical outcomes of these activities appear inconclusive. This study aimed to systematically investigate the effect of multidisciplinary teams that include coordinated pharmaceutical care on clinical outcomes. Systematic review and meta-analysis. Relevant studies identified from MEDLINE, Cochrane, Web of Science, Scopus and CINAHL databases were analyzed. The search included randomized clinical trials published in 2000-2018. Included studies were all published studies in English that compared the effectiveness of multidisciplinary teams including pharmacist care to usual care. Meta-analysis was carried out using a random effects model, and subgroup analysis was conducted to determine the sources of heterogeneity. 29 studies involving 4186 adult patients were included. Follow-up time varied from 30 to 180days. The most common primary endpoint was the frequency of hospitalizations or readmissions, followed by variation in clinical parameter variables related to quality of prescription, treatment adherence and costs. Twelve (41.3%) of the included studies scored low risk of bias according to the AMSTAR-2 scale, the remaining 17 (58.7%) being classified as intermediate risk. The intervention of a multidisciplinary team reduced the probability of readmission by 32% [odds ratio (OR) 0.74, 95% confidence interval (CI) 0.62-0.89]. Six of the 29 (20.7%) studies included met the inclusion criteria of the meta-analysis on quality-of-life outcomes. The intervention of the multidisciplinary team represented a significant increase in patients' quality of life (OR 0.58, 95% CI 0.47-0.69). Analysis of heterogeneity showed a significant difference between the studies. No evidence of publication bias was identified. Multidisciplinary programs that include pharmaceutical care reduce the risk of visiting hospitals and improve patients' quality of life. This review supports the importance of the pharmacists as part of multidisciplinary teams.

Diagnostic Evaluation of Autism Spectrum Disorders, A Health Professional Survey

Background: Since the prevalence and awareness AutismSpectrum Disorders (ASD) is growing day by day, it is crucial to correctly allocate diagnosis of ASD. According to the guidelines, there should be a multi-agency strategy group for diagnosis of ASD.&#x0D; Aim: To find out the diagnostic practices of ASD among different Health Professionals.&#x0D; Place and Duration of Study: Riphah International University, Lahore campus. The study was conducted from October 2017 till March 2018.&#x0D; Methodology: Data was collected from 116 professionals which included Speech-Language Pathologists, Pediatricians, Psychiatrists, Psychologists and Occupational Therapists by using questionnaire. A cross-sectional survey was carried out by using the technique of convenient sampling. Researcher collected the data from Riphah International University in person and some professionals were sent questionnaires online.&#x0D; Results: Majority of professionals provide diagnostic service i.e. 84.4% as a part of multidisciplinary team whereas 15.6% are sole practitioners for giving diagnosis; 51.1% collaborate with other professionals to make a consensus diagnosis and the most frequently used tool by professionals for diagnosing ASD is Childhood Autism Rating Scale CARS (76.7%) and Diagnostic and Statistical Manual of Mental Disorders V/IV (DSM V OR IV) criteria (67.8%).&#x0D; Conclusion: The professionals in the current study are using multidisciplinary approach for diagnosing ASD and a small number are sole practitioners. The most frequently used tool for diagnosing ASD are CARS and DSM V OR IV criteria. However, very few practitioners use the diagnostic tool Autism Diagnostic Observation Schedule ADOS and Autism Diagnostic Interview-Revised ADI-R. The professionals who provide diagnosis of ASD are Speech and language Pathologists, Psychologists, pediatricians, psychiatrists and Occupational therapists.

Clinician's commentary: Atypia in salivary gland fine needle aspiration.

Due to the heterogenicity and morphological overlap among the broad spectrum of benign and malignant salivary gland lesions, cytopathology result interpretations can be challenging and variable even among the most experienced head and neck pathologist. There was no standardization of cytopathology result reporting until the recently proposed "Milan system for reporting salivary gland cytopathology" (MSRSGC). MSRSGC may offer more clarity and help minimize ambiguity, but surgeons, as part of multidisciplinary teams, do not only rely on the tiered stratification and risk of malignancy assessment. With only the MSRSGC reported, there may be critical information missing from the overall diagnostic evaluation of salivary gland masses. Cytopathologist evaluation, description of findings, and expert interpretation of the fine-needle aspiration cytology along with differential diagnosis can be critical pieces of information, that is, utilized in management discussions with patients and their families. This information needs to be included in every cytopathology interpretation in addition to the MSRSGC classification. In clinical practice, decisions concerning salivary gland tumor management are not based on single examinations but incorporate information from multiple sources including patient histories, clinical symptoms and signs, physical examinations, imaging studies, and when available, cytopathology. Additional cytopathology information will likely help to improve the utility and predictive power of MSRSGC, similar to Bethesda Classification and the predictive importance of nuclear atypia in indeterminate thyroid biopsy material for thyroid neoplasms.

Nature and scope of medical social work in healthcare setting in Pakistan

The Social Work discipline emerged in the earlier 20th century globally and in 1953 in Pakistan. Medical Social Work, as a branch of Social Work, deals with non-medical factors affecting diseases. As the needs of a sick person are hardly ever simple, rather these are complicated and multifarious, requiring several kinds of assistance, medical social work, in addition to medicines, is a way to deal with them. Medical social workers, as part of multidisciplinary teams, are well equipped to deal with the multidimensional issues of the patients. However, this in-depth literature review exposed that in Pakistan, Medical Social Work is still vague in terms of skills and services required and is struggling to achieve professional status. The major challenge to the profession is its integration with healthcare services. The role of social workers in healthcare setting is very limited, and they are involved merely in disbursement of free medicines out of charity funds. In Pakistan, neither the Social Work discipline has been given a chance to expand, nor its available services are made effective enough to be considered essential in healthcare.

The role of neuroplasticity in stroke nursing

Background: Neuroplasticity refers to the brain's ability to reorganise and change in response to experience or after brain damage. Neuroplasticity is an imperative component of recovery from stroke, and rehabilitation aims to capitalise on this during a patient's recovery. Aims: To highlight the role of neuroplasticity in stroke recovery and to explore how stroke nursing can use it. Methods: The paper is a narrative review of the literature on neuroplasticity and role of nursing in stroke recovery. Findings: Nurses can play a pivotal role in ensuring optimum conditions for neuroplasticity through a variety of means. These include the encouragement of repetition, integration of repetition into everyday tasks, creating a stimulating environment, educating stroke patients as well as their carers about the recovery process and working as part of multidisciplinary team. Conclusions: This paper highlights the important role stroke nursing can play in enhancing neuroplasticity during stroke recovery.

Changes in Mode of Oxygen Delivery and Physiological Parameters with Physiotherapy in COVID-19 Patients: A Retrospective Study.

Background: Coronavirus disease (COVID-19) is an infectious disease caused by SARS-CoV-2, clinically presenting with common symptoms of fever, dry cough, and breathlessness within 14 days of exposure. Its severity ranges from mild to severe, latter manifesting into severe acute respiratory syndrome. As a part of multidisciplinary team, physiotherapy along with medical management was administered to patients with COVID-19 in an acute care setup. This retrospective study aims to explore various patient characteristics and will aid in identifying the impairments associated with the disease, giving a direction to the physiotherapy community in planning future management strategy to improve quality of life.Patients and methods: The present study is a unicentric study wherein prospective analysis of retrospective data of patients referred for physiotherapy from May 13 to July 31, 2020, was performed. (i) Characteristics of patients, (ii) associated comorbidities, (iii) hospital course since the time of admission to discharge, (iv) mode of oxygen delivery, (v) pre- and post-physiotherapy treatment values of oxygen saturation and heart rate, and (vi) physiotherapy treatment were recorded. The archived data were analyzed using the commercially available SPSS software version 24. Wilcoxon's matched pair test was used to compare pre- and post-treatment oxygen saturation and heart rate, and McNemar's test was used to compare mode of oxygen delivery and pre- and post-physiotherapy treatment.Results: Descriptive analysis of data showed a better outcome in terms of grade of dyspnea and rate of discharge on day 14 of physiotherapy treatment. Hence, a comparative analysis of day 1 and day 14 was performed for mode of oxygen delivery, oxygen saturation, and heart rate. A statistically significant improvement was observed in the heart rate (p = 0.001) and oxygen delivery (p = 0.000). However, no significant difference in the level of oxygen saturation was found (p = 0.6433).Conclusion: Physiotherapy treatment in conjunction with medical treatment can be effectively administered in patients with COVID-19 in acute care setup taking into consideration the health status and the hemodynamic stability of the patients. It emphasizes the role of physiotherapy in the alleviation of symptoms, facilitating early weaning and recovery enabling early discharge from the hospital.How to cite this article: Verma CV, Arora RD, Mistry HM, Kubal SV, Kolwankar NS, Patil PC, et al. Changes in Mode of Oxygen Delivery and Physiological Parameters with Physiotherapy in COVID-19 Patients: A Retrospective Study. Indian J Crit Care Med 2021;25(3):317–321.

English

BACKGROUND The primary goal of a medical team for managing patients suffering from tertiary disease (cancer) is to eliminate the disease or to remove the underlying pathology. Also, restoration along with rehabilitation of the defect to boost the confidence and self-esteem of the patients must be done. Rehabilitation usually is considered as a part of prosthodontics i.e., maxillofacial prosthodontics. But the scope of maxillofacial prosthodontics as a specialty does not find recognition amongst the multidisciplinary medical team in dealing with maxillofacial defects. The objective of the study was to evaluate the awareness and knowledge of the maxillofacial prosthodontics amongst medical practitioners in and around Wardha city. METHODS A descriptive, cross-sectional survey was conducted using a questionnaire. The validated questionnaire contained 14 questions, of which 13 were awareness based, and 1 was attitude based. It included relevant photographs. 219 medical practitioners working either in hospitals attached to educational institutes or private sector participated in the study. RESULTS The study reveals the percentage of medical practitioners who are aware about maxillofacial prosthodontics branch. Only 10.9 % were aware about maxillofacial prosthodontics as a branch of dentistry which deals with the restoration of maxillofacial defects. CONCLUSIONS The survey points towards a need to conduct awareness activities to make the medical practitioners aware of this fact. This will hopefully increase the patient’s referral with such defects to a maxillofacial prosthodontists or can include a maxillofacial prosthodontist as a part of multidisciplinary team that could benefit the patient for complete rehabilitation. KEY WORDS Prosthesis, Trauma, Defects, Rehabilitation

Pharmacists' roles in mental healthcare: Past, present and future.

Mental illnesses cause significant disease burden globally, with medicines being a major modality of treatment for most mental illnesses. Pharmacists are accessible and trusted healthcare professionals who have an important role in supporting people living with mental illness. This commentary discusses the role of pharmacists in mental healthcare, as part of multidisciplinary teams, the current evidence to support these roles, and the training, remuneration and policy changes needed to recognize these roles and embed pharmacists as core members of the mental healthcare team.

The Prevalence of Work Related Musculoskeletal Disorders Among Female Nurses

Introduction: Work related musculoskeletal disorders are major job related health problems among healthcare workers. Nurses are the most significant part of multi-disciplinary team in hospitals. Aim of the study: The aim of the study was to assess the prevalence of work-related musculoskeletal disorders among female nurses. Methodology: The cross-sectional, quantitative study design was done on 100 female nurses of The Children Hospital, Lahore. A modified and adopted, self-administered questionnaire was used to collect the data. Results: This study results shows a high prevalence rate (71%) of WRMSDs in nursing population in the last 12 months. According to the body site, the prevalence was in the lower back (52%), neck (26%), in shoulders (24%), knees (25%), ankles (23%), hands/wrists (19%), upper back (17%), hips/thighs (10%) and in elbows (7%). Conclusion: This study concludes that WRMSDs are common occupational health problems among female nurses. Keywords: work-related musculoskeletal disorders (WRMSDS), musculoskeletal disorders (MSD) DOI: 10.7176/JHMN/80-16 Publication date: September 30 th 2020

Physiotherapy Management of a Middle-Aged Adult Male with Severe Symptoms of Coronavirus Disease-19: A Case Report

Coronavirus disease-19 (COVID-19) has affected people of various age groups with symptoms ranging from asymptomatic or mild to severe respiratory failure, with mild symptoms requiring little or no medical intervention whereas severe symptoms requiring hospitalisation and prompt medical management. The following case report illustrates about recovery of a patient with severe symptoms of COVID-19 in a COVID dedicated tertiary care hospital run by the Municipal Corporation of Greater Mumbai. Physiotherapy has long been a part of multidisciplinary team in management of patients with severe respiratory illnesses. The report mainly presents about the Physiotherapy management undertaken for the above-mentioned patient parallelly to the Medical management aiding in recovery of the patient.