Homoeopathy—A Plausible Alternative Treatment of De Quervain's Tenosynovitis: Case Reports

Background De Quervain's tenosynovitis (DQT) is a disorder characterised by pain on the radial side of the wrist, impairment of thumb function and thickening of the ligamentous structure covering the tendons in the first dorsal compartment in the wrist. Methods Two patients—a 50-year-old housewife and a 43-year-old computer operator were treated with a homoeopathic medicine ‘Rhus toxicodendron’ prescribed in 1M potency. The assessment was done using a visual analogue scale (VAS) for pain, quality of life (QoL) and range of motion (ROM) at baseline and end of the treatment. Assessment of causal attribution of treatment effect was done with the Modified Naranjo Criteria. Result Both the cases showed a marked reduction in VAS (from +8 to 0 for both cases) and increase in QoL (from +5 to +10 & from +7 to +9) and ROM. The Modified Naranjo Criteria total score for each case was +7/13. Conclusion Homoeopathy can be an effective approach in the management of DQT. Randomised controlled trials are thus indicated.

Treatment of Pilonidal Sinus by Limberg Flap-Only Hope of Cure (Study of 50 Cases)

Background : Pilonidal sinus was first described by Dr. A.W. Anderson in 1847 and is often seen in the intergluteal region. It is a disease of mainly younger male and rarely affects after 40. Main causes for the formation of this sinus are hirsutism, sweating in the area, repeated maceration due to trauma, leading to breakage of the skin barrier, attracting hair inside which initiates a foreign body reaction leading to infection with abscess or sinus formation. Most common embarrassing situation is discharging sinus. The diagnosis is mainly on clinical ground. Though there are a lot of modalities of treatment but recurrence is still a challenge. We have adopted Limberg flap technique since 2012 with a least recurrent chance. Objectives : To prove that this procedure will be end up with lower morbidity & least chance of recurrence Methods : This prospective study was done jointly by the Department of Surgery of Central Medical College and Comilla Medical College Hospital. In this series 50 patients were selected from July 2012 to June 2017. Results : Out of 50 patients operated by Limberg flap technique 42(84%) were males and 8(16%) were females. Mean age was 27.3 years (range 18–37years). Of them,12(24%) were driver, 6(12%) police, 6(12%) teacher, 6(12%) student, 5(10%) worker, 4(8%) millitary army, 4(8%) housewife, 4 (8%)service holder, 2(4%) computer operator, 1(2%) doctor and 1(2%) were barber. In our study most common mode of presentation were chronic discharging sinuses 15(30%), beside this 12(24%) had multiple sinuses, 10(20%) had multiple pits,7(14%) had acute abscess and 6(12%) had unpleasant smell. Associated hirsutism were present in 30(60%) and absent in 20(40%) patients. One (2%) male patient had wound gap & discharge and six(12%) patients had flap edema. We have found no recurrence in follow up period. Conclusion : Pilonidal sinus is a notoriously recurrent disease, so treatment by this flap technique is the only hope of cure with lower morbidity. Journal of Surgical Sciences (2018) Vol. 22 (2) : 89-94

Faktor yang Berhubungan dengan Keluhan Kelelahan Mata pada Pekerja Operator Komputer

<p><em>Operators have some risks in getting visual fatigue because they always work in front of the monitor. The objective of this research was to know factors related to the grievance of visual fatigue in computer operator workers. The design of this research was quantitative by using cross-sectional in control room a cement industry in Padang on September 2014 till January 2015. The variables were age, eye-resting, working periods, deviation refraction toward grievance on visual fatigue. The sampling technique is total sampling with the amount of 40 respondents. Data were collected by questionnaire. Data were analyzed in univariate and bivariate with 95%CI(α=0,05). The result of analysis showed 67,5% (&gt;mean=0,44) operators experienced visual fatigue, 52,5% are old (&gt;40 years), 55% working periods &gt;3 years, 82,5% are never eye-resting(≤10 minutes/hours), 52,5% have deviation refraction. Statistical test result visual fatigue relationship with age (p-value=0,025), working periods (p-value=0.263), eye-resting (p-value=0.393), deviation refraction (p-value=0,025). There was a meaningful relation between age and deviation refraction with the grievance of visual fatigue. We do hope Company must oblige the workers to do eye-checking, pay attention to the pattern of rest at work and on each monitor installed with anti-glare</em></p><p><em><br /></em></p><p><em>Operator memiliki risiko mengalami keluhan kelelahan mata karena selalu bekerja di depan monitor. Penelitian ini dilakukan untuk mengetahui faktor-faktor yang berhubungan dengan keluhan kelelahan mata pada pekerja operator komputer. Desain penelitian ini adalah kuantitatif dengan pendekatan cross sectional. Penelitian dilakukan di ruang PT Semen Padang pada September 2014 hingga Januari 2015. Variabelnya adalah usia, istirahat mata, masa kerja, kelainan refraksi terhadap keluhan kelelahan mata. Teknik pengambilan sampel adalah total sampling dengan jumlah sampel 40 orang. Data dikumpulkan dengan kuesioner. Data dianalisis secara univariat dan bivariat dengan 95% CI (α = 0,05). Hasil analisis menunjukkan 67,5% operator mengalami kelelahan visual, 52,5% berusia tua (&gt; 40 tahun), 55% masa kerja &gt; 3 tahun, 82,5% tidak pernah mengistirahatkan mata (≤10 menit / jam), 52,5% mengalami kelainan refraksi. Hasil uji statistik hubungan kelelahan mata dengan usia (p-value = 0,025), masa kerja (p-value = 0,263), istirahat mata (p-value = 0,393), kelainan refraksi (p-value = 0,025). Terdapat hubungan yang bermakna antara usia dan kelainan refraksi dengan keluhan kelelahan mata. Diharapkan perusahaan mewajibkan para pekerja operator komputer melakukan pemeriksaan mata secara berkala, memperhatikan pola istirahat mata dan pada setiap monitor dipasang dengan anti-glare</em></p>

From the Maistry to the Computer Operator: the Colonial Legacy of “Skilling India” through ICT Training

Under the Hindu nationalist Narendra Modi government, the largest state-run and supported network of skills training schools, the Industrial Training Institutes (ITIs), are slated to be the most important sites for transforming subaltern youth into appropriate global workers for the IT-ITES sectors. Based on historical, archival research and sustained, ethnographic work in industrial schools in New Delhi, I trace parallels between the colonial, skilled craftsman, or the “maistry,” in the nineteenth century to the contemporary computer operator in the twenty-first century through inextricable linkages between forms of governmentality, communication technologies, and labor formations. Colonial and contemporary industrial students are constructed as uncivilized and trained for subordinate positions despite the leveling promise of industrial schools. However, both groups critically interpret development messages in the context of their everyday lives in demanding an “education” versus “training,” and in holding the state responsible for their welfare. Historical and ethnographic research is vital to critically examine the promise of “Skilling India” for marginalized communities.

Harrington v. United States of America

State immunity — Jurisdictional immunity — Employment — Foreign military base — United Kingdom national employed as civilian computer operator on United States military base in United Kingdom — State Immunity Act 1978 — Whether Section 16(2) applicable — Whether doctrine of restrictive immunity applicable under common law — Whether act de jure imperii or de jure gestionis — Whether contract kind that private individual could enter into — Whether performance of contract involving both parties in public functions of foreign State — Nature of breach of contract or other act of foreign State giving rise to proceedings — Whether investigation of claim involving investigation into public or sovereign acts of foreign State — Whether respondent entitled to immunity — The law of England

HUBUNGAN LAMA DUDUK DENGAN KEJADIAN LOW BACK PAIN PADA OPERATOR KOMPUTER PERUSAHAAN TRAVEL DI MANADO

Low Back Pain (LBP) is commonly found in society. LBP often results in decreased of productivity and disability. The most frequent causes of LBP are prolonged sitting, improper sitting position, bad body posture, excessive activity, and trauma. Risks of LBP are prolonged working such as computer operator. This study aimed to obtain the correlation of sitting duration of computer operators in travel agencies in Manado to LBP. This was an analytical observasional study with a cross sectional design. Data were collected by using questionnaires. The result showed that of 30 subjects, 27 (90%) had suffered from LBP. An upright sitting position is the most position that caused LBP in 18 subjects (60%). The sitting position where the knees were as high as the hip caused LBP in 25 subjects (83,33%). Prolonged sitting of 7-8 hours contributed in 21 subjects (70%). The alternative Fisher exact test showed a strong correlation (P=0.014) between prolonged sitting and LBP in computer operators of travel agencies. An upright sitting position (P=0.028) and the sitting position where knees were as high as the hips (P=0.003) were also correlated with LBP.Keywords: low back pain, computer operator, sitting position, knee positionAbstrak: Low Back pain (LBP) merupakan keluhan yang sering dijumpai dalam masyarakat. LBP sering menyebabkan penurunan produktivitas kerja juga disabilitas. Penyebab LBP yang paling sering ialah duduk terlalu lama, sikap duduk yang tidak tepat, postur tubuh yang tidak ideal, aktivitas berlebihan, serta trauma. Pekerjaan yang berisiko menimbulkan LBP antara lain yang memiliki jam kerja panjang seperti operator komputer. Penelitian ini bertujuan untuk mengetahui hubungan lama duduk dan angka kejadian LBP pada operator komputer perusahaan travel di Manado dengan menggunakan metode analitik observasional dan desain potong lintang. Data dikumpulkan menggunakan kuesioner kemudian dianalisis. Hasil penelitian memperlihatkan dari jumlah 30 subjek penelitian, 27 orang (90%) mengalami LBP. Posisi duduk tegak merupakan posisi terbanyak yang menimbulkan LBP pada 18 subjek penelitian (60%). Posisi lutut sejajar pinggul menimbulkan LBP pada 25 subjek penelitian (83,33%). Lama duduk 7-8 jam paling banyak menimbulkan LBP yaitu pada 21 subjek penelitian (70%). Uji alternatif Fisher exact memperlihatkan adanya korelasi kuat (P=0,014) antara lama duduk dan kejadian LBP pada operator komputer perusahaan travel. Posisi duduk tegak (P=0,028) dan posisi lutut sejajar pinggul (P=0,003) juga berkorelasi dengan LBPKata kunci: low back pain, lama duduk, operator komputer, posisi duduk, posisi lutut,

Computer Operator Cervical Disease Prevention and Physical Exercise

With the rapid development of computer technology, computer use has been universal coverage and promotion, the promotion of social development and the progress of civilization, but also a direct result of the incidence of cervical disease growing computer operations personnel toward younger age and development trend. In order to effectively prevent the occurrence of cervical disease, a computer operator for the work and life of special investigations carried out pathological studies of patients with cervical disease mechanisms, and found the risk factors which affect computer operations personnel, such as the presence of cervical disease: Continuing operations a long time, incorrect body posture, habits unscientific. Must take effective measures to deal with the timely evacuation exercises to do some exercise, posture alignment operation, pay attention to the computer operating system and placed in the correct position to strengthen targeted physical exercise, can effectively prevent the occurrence of cervical spondylosis, computer operator jobs and improve the quality of life.