Complex respiratory and motor rehabilitation program in a patient with post-pulmonary tuberculosis conditions and multiple sequelae after SARS-CoV-2 infection: case report

Introduction: A great variety of medical issues can occur after the COVID-19 infection including fatigue, muscle weakness, locomotor disability, self-care dysfunction, polyneuropathy, persistent dyspnea on exertion and a hypercoagulable state. Materials and methods: This paper presents the case of a nonsmoker 49-year-old male with right lung lower lobe lobectomy for post tuberculosis bronchiectasis and diabetes mellitus, who developed multiple serious physicals, neurological, hematological and respiratory consequences, related to critical COVID-19 infection and prolonged hospitalization, Results: A favorable evolution of the patient’s respiratory sequels and motor impairment on both lower limbs was noticed after a complex individualized rehabilitation program started in the post COVID-19 Rehabilitation Department of Balneal and Rehabilitation Sanatorium, Techirghiol, Romania, consisting in better functional parameters and exercise tolerance, significant improvement in daily activities, remission of exertional dyspnea, social and family reintegration. Conclusions: multidisciplinary approach and complex individualized programs of rehabilitation is required after a critical form of COVID in a patients known with tuberculosis, and other complex pathologies, in order to restore physical function and mobility and optimize respiratory parameters. Keywords: COVID-19, Rehabilitation, Tuberculosis,

Roadblock on the Way of Disabled Students in the Higher Education

The development of any nation depends on its citizens. Every citizen has their contribution to the development of a nation even the disabled person. They also have an equal rights to get a higher education. Higher education increases the chance of employability, thus, affirming dignified life for persons with disabilities. As per Census 2011, in India, out of the 121 Cr population, about 2.68 Cr persons are ‘disabled’ which is 2.21% of the total population. But it has been seen that very few of these people reach higher education. According to census 2011, 61% of the disabled children aged 5-19 years are attending an educational institution, 12% attended educational institutions earlier while 27% never attended educational institutions. That makes the author think and ask about how our higher education institutions are accessible for disabled students. How inclusive are our higher education institutions? In the light of the above-mentioned problems the present paper has discussed the education of children with special needs in higher education specifically with respect to visual impairment, hearing impairement, locomotor disability, and speech-related impairment. The discussion starts with what all kind of legal provisions and reservations which are there for them in higher education and how many are utilized and used by them. What all things are there in the new education policy for them specifically in higher education, whether their needs have been realized in detail or it has been just touched superficially and at the end, few suggestions related to all these issues have been discussed.

Evaluation of in vivo anti-inflammatory activity of Ariflex tablet in comparison with diclofenac and aceclofenac tablet in carrageenan induced rat paw edema model

Background: Osteoarthritis is a major cause of pain and locomotor disability worldwide. Though various pharmacological, mechanical and surgical interventions are used, there is no known cure for OA. The present study was conducted to evaluate anti-inflammatory activity of Ariflex tablet (conceptualized and developed by Ari Healthcare Pvt. Ltd.) in comparison with diclofenac and aceclofenac tablet in carrageenan induced rat paw edema model.Methods: Wistar rats of either sex weighing 150-180 g were taken and divided into 4 groups with 6 animals in each group i.e. group 1 (control group), group 2 (diclofenac tablet), group 3 (aceclofenac tablet) and group 4 (ariflex tablet). The study drugs were orally administered with feeding needle, 30 minutes prior to carrageenan injection. After 30 min 1% w/v of 0.05 ml carrageenan was injected subcutaneously in the rat paw. The paw was marked with ink at the level of lateral malleolus and immersed in mercury up to lateral malleolus mark. The paw volume was measured plethysmographically after injection at 30 minutes, 1 hour, 2 hour, 3 hour, 4 hour and eventually at 5 hour.Results: All the test formulations possess statistically significant (p<0.05) anti-inflammatory activity as compared to control group. The maximum percentage inhibition for Ariflex tablet was 96.97% at the end of 5 hours. When compared to control group, statistically significant reduction of paw edema was observed. The anti-inflammatory activity of Ariflex tablet from 2 hours onwards is comparable to that of diclofenac tablet and aceclofenac tablet.Conclusions: Ariflex tablet possesses significant anti-inflammatory activity.

Unidentified Persons With Disabilities in India- A Study Based on 76th Round of NSS (2018-19) Data

Background: Identification of the disabled and providing them a disability certificate is the first step for provisioning educational, employment, and other social benefits in a welfare state. Deprivation from disability certificate deprives persons with disability (PwDs) from government policy and programme. Though studies examined the extent, variation, and pattern of disability, no attempt has been made in understanding the extent and variation of unidentified PwDs in India. The study aims to examine the variation in unidentified PwDs by type of disability, state and socio-economic correlates.Data and methods: The unit data from the 76th round (schedule 26) of Nation Sample Survey, 2018 is used in analyses. A total of 1,06,894 disabled across seven types of disabilities; any disability, locomotor, visual, hearing, speech, mental retardation, mental illness, and other disability have been analysed. Descriptive statistics and logistic regression analyses are used.Results: 7 in 10 disabled person in India don’t have a disability certificate. The percentage share of PwDs with a disability certificate varies 12% among those with hearing disability to 47% with mental retardation. Unadjusted odds ratio shows that person with hearing disability (OR=0.30 CI 0.303-0.304) are less likely to hold a disability certificate compare to locomotor disability followed by mental illness (OR=0.52 CI 0.519 0520), and visual disability (OR= 0.74 CI 0.736 0.738). Person with mental retardation are two times more likely to hold the disability certificate (OR 2.05 CI 2.046 2.047) than the visual disabled. States variation in percent share of disability certificate is found to be large. The result depicts that there remains a high variation in the access of disability certificates across states in India. Conclusion: A nationwide drive to include the unidentified disabled is recommended with documentation and inclusion in the administrative processes.

Enterococcus faecalis causes osteitis deformans in a Golden Lancehead snake (Bothrops insularis): a case report

Osteitis deformans (Paget’s disease) is a chronic bone disorder characterized by excessive osteoclast-mediated bone resorption followed by new bone formation. The present paper reports this condition in an 18-year-old captive golden lancehead (Bothrops insularis) from Brazil. This patient initially exhibited anorexia and swelling in the middle third of the spine associated with locomotor disability. For diagnosis, radiography, ultrasound, computed tomography, cytology, and microbiological culture were performed. Diagnostic imaging showed bone changes, vertebral fusion, and bone proliferation. Cytology revealed blood cells how toxic heterophiles, reactive monocytes, young red blood cells, and polychromasia compatible with an infectious process. A bacterial culture identified an ampicillin-susceptible strain of Enterococcus faecalis. Antibiotic treatment was promptly started, but the snake died 25 days later. Histopathologically, the bone tissue showed a generalized thickening of the vertebral trabeculae. For the first time, the presence of E. faecalis associated with the development of osteitis deformans in snakes was presented.

SPARSH: a camp based approach for orthopaedic disabilities and its success in central India

<p><strong>Background:</strong> Around 15% of population in the world is living with disability. The present study was carried out during the special project for assistance, rehabilitation and strengthening of handicapped (SPARSH) camp to know the current pattern of locomotor disability and to observe the outcome of the camp surgeries for the correction of deformity.</p><p><strong>Methods:</strong> This prospective observational cross-sectional study was conducted at the department of orthopaedics and<strong> </strong>traumatology Gandhi Medical College at SPARSH camp organised by the<strong> </strong>Government of M. P. at J. K. hospital Bhopal. All the patients with locomotor disability attending the SPARSH camp irrespective of age, sex and cause, were included in the study<strong></strong></p><p><strong>Results:</strong> In total 287 patients attended the camp in which majority of the patients were suffering from cerebral palsy. 107 patients were selected for operative intervention in which tendo-achilles lengthening was performed most commonly.</p><p><strong>Conclusions:</strong> The corrective surgical camp provides an avenue of healthcare opportunity for the underprivileged sector of society. A camp based approach helps in identification, gradation &amp; rehabilitation of orthopaedic deformities.</p>

Defense mechanisms of persons with locomotor disabilities

Background: According to World Health Organization 1, billion people -15% of the World population lives with various disabilities. Disabilities restricts individual’s participation of social life and this create limiting the maximum utilization of resources and hence the person crippled with psychological issues. Persons with disabilities were used various defense mechanisms as coping strategies to survive and compensate with their disabilities. The present study investigates the types of defense mechanisms used by persons with locomotor disabilities. Materials and methods: The total sample consists of 100 participants which include 50 males and 50 females. Among them 46 participants were congenitally disabled and 54 were acquired disabled. The participant’s age ranges between 18-60 years. The descriptive survey method was used for the present study and purposive sampling method adopted for sample selection. Defensive Behaviour Rating Scale (Sathya Giri Rajan, 1991) was used for data collection. The data was analysed by using Statistical Package for Social Sciences (SPSS) Version 16 for windows. Results: Female participants with locomotor disability have reported more reaction formation than male participants with locomotor disability. In the comparison of defense mechanisms of participants with locomotor disability with respect to their gender, male participants have reported more compensation, projection, identification, belittling and reaction formation and significantly lower repression than females. Females have reported significantly more daydreaming than males. Persons with congenital disability have higher sublimation than persons with an acquired disability. Conclusion: Researchers have long been fascinated by man’s defense mechanisms. Defense mechanisms are commonly used to protect the sense of self and help to defend people from painful emotions. In the present study, the investigator attempts to find out defense mechanisms of persons with locomotor disability and evaluation were made how they cope with the situation in relation to their nature of disability. The present study found that people with locomotor disability use both adaptive and maladaptive defense mechanisms, predominantly maladaptive defenses.

Intraperitoneal and local ozone applications in veterinary oncology treatment [abstract]

The elevated incidence of some non treatable, or with low therapeutic results, side effects in certain areas of veterinary medicine such as oncology, orthopaedics, wounds and infections in dogs, cats, and horses is notoriously reported and differentiated in several infirmities. These side effects manifest in symptoms acting as locomotor disability, pain, and in some cases, they result in a great loss of life quality in animals and their owners alike. Therefore, intraperitoneal and local ozone applications have brought relevant results and are now being used as complementary or, in certain cases, only treatment. The goal of this lecture is to show the use as well as the results and techniques used in oncological pathologies treated with intraperitoneal and local ozone applications which did not respond ,or had low therapeutic results, to conventional veterinary treatment. All this demonstrates that Intraperitoneal as well as local ozone applications are powerful tools available to veterinarians in order to promote relief, comfort, or, possibly, cure to animals.