کوئی تکدیاں ہی وٹ کھاندی رہی
کوئی جندڑی گھول گھماندی رہی
کوئی یوسف وچھڑیا، ہجر اندر
کِتے اکھ یعقوب دی جاندی رہی
کوئی عشق دے قول نبھاون نوں
ٹِھل کچے گھڑے تے جاندی رہی
ایہو زلف ہے کالی ازلاں توں
دل عاشقاں دا تڑفاندی رہی
جہیڑا رب سچے دا حجرا سی
اوتھے حرص مکان بناندی رہی
کیڈی نیک سی روح گناہواں تے
پل پل تے جو پچھتاندی رہی
سکھ پاسے پاسے رہے پھردے
جند دکھاں وچ کرُماندی رہی
Background and Aim: The majority of people suffered with low back pain (LBP) at least once during their lifetime. As such, LBP is a highly prevalent and costly condition. People respond inappropriately as a result of current or possible risks and establish defensive habits (for example, hyper-vigilance) that aim at avoiding new injuries. A continued reconciling of studies which provide various answers for the same issue will be necessary for treatment decisions. This study is performed to conclude the function of Kinesiophobia and check it on Pain, Disability and Quality of Life in Patients that are suffering from Chronic Low Back Pain: A Systematic Review.
Methodology: A Systematic Review has been conducted. Secondary data collected from Electronic database including PubMed, Medline and Cochrain Library from inception to 2010. Total 554 Article found out of which 10 articles included in the study after excluding the duplicate article, Quality screening through Pedro Scale, and article don’t fulfilling the inclusion criteria of the study. Review completed within 9 months after approval of synopsis.
Results: According to this Review total Sample size was 554 with mean Sample size 130±90, mean Age 46±5 years, Mean of Pain Intensity (VAS 0-10) 6.12±1.5, mean Pain Duration 30±14, mean Kinesiophobia Measures (Tampa Scale of Kinesiophobia 0-68) 37±6.5, mean Disability (Oswestry Disability Index 0-100%) 56±27, mean Quality of Life (SF 36 0-100) 39.17±15.197.
Conclusion: TSK scores showed a statistically significant correlation with Pain, Disability, education level, and SF-36 QOL. As the education level decreases, kinesiophobia scores increase and as kinesiophobia scores increase, Level of disability increases and the quality of life decreases. Patients with kinesiophobia presented greater pain intensity, a greater fear of movement and of performing physical activities and it was also associated with worse quality of life.
Introduction: Intestinal obstruction is one of the common causes for emergency surgical consultations among neonates. Neonates’ quality of lives can be made better by early identification of the risk factors and proper management. The best available management for NIO is surgical treatment but the success rate for surgery of NIO is not reported as high. There are few studies available worldwide but no research is available in Afghanistan regarding the outcomes and factors associated with NIO surgery.Aim: The current study aims to find the outcome of NIO surgery and associated factors at FMIC, Kabul, Afghanistan.Methodology: A retrospective Case Series design was utilized. Consecutive sampling was employed and with the help of a structured checklist, medical records of 228 patients who had undergone surgery for intestinal obstruction in their neonatal period at FMIC were reviewed from January 2010 to September 2016. Chi-square test of independence was run to determine the factors associated with the outcomes of NIO. Results: A total of 228 neonates were participants of the study. Male to female ratio was 2:1. Mean weight was 3.04 kg and mean age was 9.5 days. Prematurity was seen only in 10 (4.4%) participants. Initially 118 (51.8%) patients were septic at their first visit to FMIC. Overall survival was 85.1% and high mortality was reported in complicated cases. The leading cause of NIO was ARM (42.1%) and leading cause of death was septicaemia (82.4%). Add factors like weight, septic condition at the time of admission, associated anomalies, and specific type of etiologic pathology, diagnostic accuracy and postoperative complications were found to be the predictors of outcomes of surgeries performed for patients with diagnosis of NIO at FMIC. Conclusion: The mortality associated with NIO surgery has improved over the years but still there is significant mortality which could be prevented by early diagnosis, proper management like proper resuscitation and a NICU setting with appropriate equipment and skilled health care professionals