EFFICACY OF MANUAL THERAPY IN TREATMENT OF MECHANICAL NECK PAIN Introduction Everybody once in their life feel some kind of neck pain. Neck pain is one the potential disabling condition which has a high chance of relapsing. Recent research found that neck pain is one of the top five leading causes for disability (Cohen, 2015). It also found that more than 30% of the global population suffers from this condition. The prevalence of chronic neck pain is similar in developed as well as developing countries with women being affected more than men (Tsang, et al., 2008).
The reason for this is perhaps most clearly shown by looking at the prevalence of intracranial haemorrhage. This varied from 0.9% to 35% among the 16 studies (Table 2). The variation in the ICH prevalence rates is mainly explained by the variability in the inclusion criteria. Those studies that had low prevalence rates studied every patient that was treated for head injury attending the emergency department, whereas the studies with high prevalence rates used criteria such as ‘all children admitted for observation with loss of consciousness’. A second reason that may have contributed to the heterogeneity is the definition of intracranial haemorrhage used in each study.
Neck pain is a common occurrence affecting 10% of general population at least once during their lifetime(1). The occurrence rate of neck pain is 50-70% among individuals and 5 years after the onset of symptoms approximately 60% of patients experience chronic pain which lead to severe disability(2,3).Mechanical neck pain is a common classification of neck pain also called non- specific neck pain without specific underlying cause(4).Mechanical neck pain is defined as generalized pain in cervical spine or shoulder area with musculoskeletal and functional symptoms( e.g. decreased ROM, decreased work tolerance, impaired muscle coordination, stiff joint , pain and tenderness in neck region) exacerbated by neck postures, neck movement, or palpation of cervical muscles(5)(6).Mechanical neck pain affects 30-50% of both male and female at any given times leading to muscular, joint and neural impairments(7)(8).
Introduction: Intussusception is a common gastrointestinal emergency in the pediatric population. This illness is a conversion in which a portion of the intestine telescopes into another adjacent distal segment of the intestine and causes bowel and ileocolic obstruction. Intussusception is considered a frequent cause of abdominal pain in pediatric patients. It is well described in infants, with an incidence of 0.1 to 0.4 % nonetheless it is less well-established in neonates.1, 2 In fewer than 10% of the patients, a surgical lead point can be determined as a plausible etiology. Cecal duplication as a lead-point of neonatal intussusception is extremely rare.
The acute deformities are those exhibited within 4 weeks of the injury while chronic deformities are defined as those exhibited after 4 weeks. This injury is classified by Doyle into four groups. The first group is a closed or blunt trauma causing loss of tendon continuity with or without an avulsion fracture. The second group involves laceration at or proximal to the distal interphalangeal joint causing loss of tendon continuity. The third group would involve a deep abrasion with loss of skin, subcutaneous cover and tendon substance.
difficult intubation is defined as a trained Anesthetist using direct laryngoscopy take’s more than 3 attempts or more than 10 minutes to complete tracheal intubation (1, 2, 6).Difficult or failed endotracheal intubation is one of the leading causes of anesthesia-related morbidity and mortality (1, 2, 4, 6). The unanticipated difficult airway occurs with a low but consistent incidence in anesthesia practice. Literature review from 1990 to 1996 reported as difficult direct laryngoscopy occurs in 1.5-8.5% of general anesthetics and difficult intubation occurs with a similar incidence (3, 8). Keyvan K. et al (2000) were conducted observational study at tertiary-care level hospital to predict difficult intubation. Of the 461 patients included
Effects of McKenzie protocol on pregnancy related back pain INTRODUCTION Back pain is a major complaint encountered in clinical practice world-wide [1, 2] (Cypress, 1983; Asuzu, 1995). Back pain is not a diagnosis but it is a symptom that occurs in a wide variety of medical, musculoskeletal, and neurological conditions  (Roach et al., 1997). Back pain is identified as one of the major problems throughout the world with the highest prevalence among female individuals and those aged 40-80 years  (3). According to Mogren and Pohjanen,  back pain is one of the most common problems associated with pregnancy and this problem of BP is usually attributed to combination of mechanical, hormonal, circulatory, and psychosocial factors particularly
Endometriosis has four types including minimal, mild, moderate and severe, and it relies on the location, size, number and depth of endometrial implants. Moreover, dysmenorrhea, infertility, pain with intercourse, pain with bowel movements or urination and excessive bleeding
In this type of kyphosis, several of the vertebrae are more triangular in shape for unknown reasons. The curved spine usually becomes noticeable during adolescence. Osteoporotic kyphosis. This type is caused by thinning and loss of bone density (osteoporosis), which results in small breaks (compression fractures) in the thoracic vertebrae that causes them to become wedge-shaped over time. What are the causes?
Infertility, or the inability to conceive, is a problem of global proportions, affecting between 8 and 12 percent of couples worldwide (Etuk, 2009), In developing countries, one in four ever married women of reproductive age are infertile due to primary or secondary infertility (WHO/DHS, 2004). As a natural occurrence, infertility possesses
About 90% of the abortions occur in the first trimester. Since the legalization, the fatalities are still high compared to the 80s. By 2011, there were more than 1,023 facilities with permission to do so. Some of the contraceptives are not effective thus one ended up conceiving (Biggs, et al.
DOI: 07/17/2013. This is a 25-year-old female cashier who incurred injury to her low back when she missed a step and fell off a ladder while stocking sleeping bags. MRI of the lumbar spine dated 10/03/2013 revealed broad based central disc protrusion at L4-L5; moderate discogenic edema along endplates at L4-5; and broad bulge with a central annual tear at L5-S1. CT scan of the lumbar spine dated 01/08/2014 revealed that at L3, bilateral pars interarticularis defects are seen with sclerotic margins. The vertebrae at L3-4 are normal in present on the prior MRI.
2.4 Needle-stick Incidents (NSIs) Nurses are the most risk of needle-stick incident compared to other healthcare workers. In fact, nurses tend to be exposed 4.27 times more often than physicians. A study in Pakistan revealed that in addition to very high rates of NSIs, low safety practices including inadequate vaccination coverage, unavailability of infection control guidelines and other preventive facilities were reported. Other studies found that injuries from contaminated needles and other sharp devices used in healthcare settings have been associated with transmission of more than 20 different blood borne pathogens to nurses such as hepatitis B and HIV .In Gaza strip, a study conducted by Eljedi reported that 66% of health care workers
Often dubbed, “hemophilia C,” a hereditary Factor XI deficiency that interferes with thrombin production and affects both sexes has an average occurrence rate of 1:100,000 and usually only affects those with serious injuries or surgeries (Pemberton 81). An acquired form of hemophilia (AH) also exists - the presence of autoantibodies (antibodies that target internal tissue) against FVIII occurs once per roughly every 1.5 million (Lebegue 312). Approximately 50% of cases are idiopathic, and the disease carries a mortality between 8-22% (Ibid.). It is treated using bypassing factors, which target the antibody or inhibitor, and long-term treatment with immunosuppressive steroids like prednisone and cyclophosphamide - treatments also more commonly used to treat rejection of FFP or recombinant clotting