This document discusses fatigue assessment, including local and systemic assessments. Local assessment examines muscular fatigue at the site of contraction through techniques like electrophysiological testing, decremental studies, EMG, MMT, and endurance testing. Systemic assessment considers fatigue at the whole-body level through measures of anaerobic capacity, blood lactate levels, aerobic capacity, and energy expenditure. Specific tests discussed include the Katch test, Wingate cycle ergometer test, and VO2 max as determined by the Fick equation. Multidimensional scales are also used to assess fatigue from different perspectives.
Concept given by Shacklock (modern concept) and Butler (old concept), a method of assessment as well as treatment of peripheral neurological system by physiotherapists.
Part-I: The current slideshow: theoretical aspect of neurodynamics.
Part-II: Assessment of peripheral nervous system on the basis of neurodynamic concepts: Date: 01/04/2020
Part-III: treatment part: Date: 03/04/2020
Part-IV: Self neurodynamics: 05/04/2020
Concept given by Shacklock (modern concept) and Butler (old concept), a method of assessment as well as treatment of peripheral neurological system by physiotherapists.
Part-I: The current slideshow: theoretical aspect of neurodynamics.
Part-II: Assessment of peripheral nervous system on the basis of neurodynamic concepts: Date: 01/04/2020
Part-III: treatment part: Date: 03/04/2020
Part-IV: Self neurodynamics: 05/04/2020
The presentation includes the basic physiology of fatigue, different types of energy systems, clinical features, and various scales to assess the fatigue for.
Aerobic means "with oxygen," and anaerobic means "without oxygen." Anaerobic exercise is the type where you get out of breath in just a few moments, like when you lift weights for improving strength, when you sprint, or when you climb a long flight of stairs.
Principles of Pathological Investigation and Imaging in Skeletal DisordersPurvi Verma
The current presentation explains about the pathological and pathological investigation required for the skeletal disorders.
The basic requirement for a good prognostic and diagnostic feature which helps in evaluation of any skeletal disorders.
Neurodynamics, mobilization of nervous system, neural mobilizationSaurab Sharma
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
Muscle energy technique, a manual therapy technique with a long term history and 8 variations which can be used in various condition to treat muscle as well as joints. This slide show consists of detailed history, variations/types and summary of MET in detail.
A type of manual therapy in which the muscle or the joint is altered and placed in a position of comfort for certain duration after which the pain disappears completely or gets reduced. this slide show explains about the principles, mechanism and Phases of PRT
Basic Introduction about Joint Mobilisation and Manipulation, This article gives clear notes for the students to understand the Mobilisation techniques.
The presentation includes the basic physiology of fatigue, different types of energy systems, clinical features, and various scales to assess the fatigue for.
Aerobic means "with oxygen," and anaerobic means "without oxygen." Anaerobic exercise is the type where you get out of breath in just a few moments, like when you lift weights for improving strength, when you sprint, or when you climb a long flight of stairs.
Principles of Pathological Investigation and Imaging in Skeletal DisordersPurvi Verma
The current presentation explains about the pathological and pathological investigation required for the skeletal disorders.
The basic requirement for a good prognostic and diagnostic feature which helps in evaluation of any skeletal disorders.
Neurodynamics, mobilization of nervous system, neural mobilizationSaurab Sharma
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
Muscle energy technique, a manual therapy technique with a long term history and 8 variations which can be used in various condition to treat muscle as well as joints. This slide show consists of detailed history, variations/types and summary of MET in detail.
A type of manual therapy in which the muscle or the joint is altered and placed in a position of comfort for certain duration after which the pain disappears completely or gets reduced. this slide show explains about the principles, mechanism and Phases of PRT
Basic Introduction about Joint Mobilisation and Manipulation, This article gives clear notes for the students to understand the Mobilisation techniques.
Presentation developed for an assigned topic of "cardiac monitoring devices" for paramedic program director interview; presentation portion.
Brief to the point overview of EKG monitors used in the pre-hospital environment.
A gait cycle spans two successive events of the same extremity. During one gait cycle, each extremity passes through two major phases: a stance phase (one limb serves as a mobile source of support) and a swing phase (while other limb advances itself to new support site), then the limb reverse their role. This series of event is repeated by each limb.
Gait analysis is used for two very different purposes:
• To aid directly in the treatment of individual patients
• To improve our understanding of gait through research.
There are several methods which starts with no equipment required to progressively elaborate systems:-
1. Visual gait analysis
2. Timing gait cycle (footswitches and instrumented walkways)
3. Electro-goniometers
5. Electromyography (EMG)
6. Force platforms
7.Kinematic analysis system
Principles and Practices of Traceability and CalibrationJasmin NUHIC
To learn and understand different types of measurements units, measurement constants, calibration and measurement standards as well as principles and practices of treaceability.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
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Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
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Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
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6. 1. Local assessment:
• Muscular fatigue
• Fall strength or firing ability of the
muscle fiber determine fatigue.
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7. 1. Local assessment: contd..
• Commonly used techniques
follows:
1.Electrophysiological testing:
2.Decremental studies
3.EMG
4.MMT:
5.Endurance testing:
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8. a) Decremental studies
• Repetitive stimulation of the all muscle
fibers.
• Supramaximal stimulation
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9. b) EMG
• Voluntary muscle contraction
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10. c) MMT
• Fatigue the strength generated by
muscle decrease.
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11. d) Endurance testing:
• Ability to work without rest
• Tendency of the muscle to develop
fatigue.
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12. 2. Systemic assessment:
a) Anaerobic assessment
b) Measurement of blood lactate level.
c) Measurement of aerobic capacity.
d) Measurement of energy
expenditure.
Fatigue Assessment: Systemic assessment
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13. a) Anaerobic fatigue:
• The hydrogen oxidation in respiratory
chain.
• Anaerobic glycolysis
• lactate accumulates in active muscle
and blood.
• Anaerobic fatigue and Rate of fatigue
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14. a) Anaerobic fatigue: contd..
Test:
1. Katch test
2. Wingate cycle ergometer test:
Fatigue Assessment: Systemic assessment
22-Sep-14 14
16. a) Anaerobic fatigue: contd..
Wingate cycle ergometer test:
• Very popular and latest test.
• Anaerobic power , fatigue and total
anaerobic capacity.
Fatigue Assessment: Systemic assessment
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18. a) Anaerobic fatigue: contd..
Test score:
Peak power output:
Anaerobic fatigue:
Fatigue Assessment: Systemic assessment
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19. a) Anaerobic fatigue: contd..
Peck power output:
PPO=force *distance/time
• {no of revolution*distance of
revolution}/time(min)
• 5 sec = 0.0083 min
Fatigue Assessment: Systemic assessment
22-Sep-14 19
20. a) Anaerobic fatigue: contd..
Anaerobic fatigue:
• Total capacity to produce ATP
• AF = [highest 5 sec pp – lowest 5
sec pp]/highest 5 sec pp*100
Fatigue Assessment: Systemic assessment
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21. b) Measurement of blood lactate level
• Anaerobic metabolism to give
energy.
• Lactate levels reach maximum.
• Energy storing and generation
pathway
Fatigue Assessment: Systemic assessment
22-Sep-14 21
22. c) Measurement of aerobic capacity
• Lack of proper oxygen supply
• Long exercise during programmers.
• Maximal oxygen consumption which
is given by vo2max.
• Measured valve =ml/kg/min
Fatigue Assessment: Systemic assessment
22-Sep-14 22
24. d) Measurement of energy expenditure
• Open circuit portable spirometry
and telemetry.
• Spirometry testing:
• Telemetry or physiologic radio
transmission:
Fatigue Assessment: Systemic assessment
22-Sep-14 24
26. References
1. Exercise physiology .McAardle, Katch and
Katch
2. Physiology of sport and exercise. Jack H.
wilmore, W Lany Kenney.
3. Physiotherapy in Neuro-condition. glady
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