Introduction: Traumatic brain injury (TBI), ranging from minor impacts to severe cases, affects temporal and frontal brain areas, contributing to mortality and disability worldwide. The Glasgow Coma ...Scale (GCS) evaluates consciousness levels, aiding in prioritizing emergency care, while the Disability Rating Score (DRS) assesses overall function, particularly in severe cases, with greater sensitivity than GCS for clinical changes in TBI patients.Objectives: To correlate various factors with each other in patients presented with severe TBIs.Materials and methods: The retrospective study analyzed data from patients with severe TBIs admitted to the hospital from February 2023 to April 2024. Patients' demographic and clinical data, including GCS and DRS scores, were collected. Statistical analysis, including logistic regression, assessed mortality predictors.Results: The study revealed significant correlations (p<0.05) between age and marital status (p=0.002) and surgery (p=0.003). Surgery also correlated significantly with the mechanism of injury (p<0.001). Furthermore, a negative correlation was found between GCS after 24 hours and change in GCS (p<0.001), while a positive correlation existed between DRS after 24 hours and DRS on the 14th day (p<0.001). These findings highlight the complex interplay between demographic factors, medical interventions, and clinical outcomes in TBI patients.Conclusion: The study found that older individuals, particularly those involved in road traffic accidents, had poorer recovery outcomes and higher rates of surgery, with a strong correlation between changes in GCS and DRS scores.
The popularity of electric vehicles (EVs) is increasing day by day due to their environmentally friendly operation and high milage as compared to conventional fossil fuel vehicles. Almost all leading ...manufacturers are working on the development of EVs. The main problem associated with EVs is that charging many of these vehicles from the grid supply system imposes an extra burden on them, especially during peak hours, which results in high per-unit costs. As a solution, EV charging stations integrated with hybrid renewable energy resources (HREs) are being preferred, which utilize multi-energy systems to produce electricity. These charging stations can either be grid-tied or isolated. Isolated EV charging stations are operated without any interconnection to the main grid. These stations are also termed standalone or remote EV charging stations, and due to the absence of a grid supply, storage becomes compulsory for these systems. To attain maximum benefits from a storage system, it must be configured properly with the EV charging station. In this paper, different types of the latest energy storage systems (ESS) are discussed with a comprehensive review of configurations of these systems for multi-energy standalone EV charging stations. ESS in these charging stations is applied mainly in three different configurations, named single storage systems, multi-storage systems, and swappable storage systems. These configurations are discussed in detail with their pros and cons. Some important expectations from future energy storage systems are also highlighted.
ObjectivesThis study aimed to evaluate and compare the prevalence of Forward Head Posture (FHP) in car and bike drivers, and its potential correlation with neck and cardiopulmonary ...parameters.MethodsThis cross-sectional study involved 400 participants from urban and suburban areas around Lucknow, Uttar Pradesh, India, including 200 car drivers and 200 bike drivers aged 18–65 years with a minimum five-year driving history. Neck health was assessed using measurements such as cervical range of motion and Neck Disability Index (NDI), cardiopulmonary parameters were evaluated through resting heart rate, blood pressure, and pulmonary function tests using the spirometry test, and FHP was assessed using Surgimap application. Statistical analysis was performed using IBM SPSS Statistics software (version 26.0) and included descriptive statistics, hypothesis testing, Chi-square or Fisher’s exact test for binary data, and correlation analyses.ResultsThe result show that difference in the mean FHP between car and bike drivers was statistically significant (p = 0.0001), indicating a higher prevalence of FHP among car drivers than among bike drivers. Correlation analyses revealed significant associations between FHP and neck health metrics, especially cervical flexion (r = 0.71, p<0.05), (r = 0.78, p<0.05) and left-side rotation (r = 0.56, p<0.05), (r = 0.61, p<0.05) in car and bike drivers. Among the cardiopulmonary parameters, significant correlations with FHP were observed in resting heart rate (r = 0.33, p<0.05), (r = 0.42, p<0.05), spirometry results FVC (r = 0.29, p<0.05), FEV1 (r = 0.22, p<0.05), and FVC (r = 0.31, p<0.05) for car and bike drivers.ConclusionWe observed a higher incidence of FHP in car drivers, indicating that a prolonged static posture may lead to greater postural deviation than dynamic movement during biking. This association suggests that FHP could have wide-reaching implications for systemic health, beyond musculoskeletal issues. These findings have the potential to influence preventative strategies and interventions aimed at improving the overall health outcomes for drivers.
This work presents an energy management scheme (EMS) based on a rule-based grasshopper optimization algorithm (RB-GOA) for a solar-powered battery-ultracapacitor hybrid system. The main objective is ...to efficiently meet pulsed load (PL) demands and extract maximum energy from the photovoltaic (PV) array. The proposed approach establishes a simple IF-THEN set of rules to define the search space, including PV, battery bank (BB), and ultracapacitor (UC) constraints. GOA then dynamically allocates power shares among PV, BB, and UC to meet PL demand based on these rules and search space. A comprehensive study is conducted to evaluate and compare the performance of the proposed technique with other well-known swarm intelligence techniques (SITs) such as the cuckoo search algorithm (CSA), gray wolf optimization (GWO), and salp swarm algorithm (SSA). Evaluation is carried out for various cases, including PV alone without any energy storage device, variable PV with a constant load, variable PV with PL cases, and PV with maximum power point tracking (MPPT). Comparative analysis shows that the proposed technique outperforms the other SITs in terms of reducing power surges caused by PV power or load transition, oscillation mitigation, and MPP tracking. Specifically, for the variable PV with constant load case, it reduces the power surge by 26%, 22%, and 8% compared to CSA, GWO, and SSA, respectively. It also mitigates oscillations twice as fast as CSA and GWO and more than three times as fast as SSA. Moreover, it reduces the power surge by 9 times compared to CSA and GWO and by 6 times compared to SSA in variable PV with the PL case. Furthermore, its MPP tracking speed is approximately 29% to 61% faster than its counterparts, regardless of weather conditions. The results demonstrate that the proposed EMS is superior to other SITs in keeping a stable output across PL demand, reducing power surges, and minimizing oscillations while maximizing the usage of PV energy.
Introduction
Clinical practice guidelines (CPG) exist for the management of non‐specific low back pain (LBP). The objective of this study is to evaluate if Indian physiotherapists' follow CPGs when ...treating patients with acute LBP.
Methods
A cross‐sectional survey using an online questionnaire was used to collect demographic information, views, and opinion about acute LBP and CPGs, and management strategies of a clinical vignette presenting a patient with acute LBP.
Results
Responses from 328 physiotherapists were included in this study. Eighty‐one percent of respondents indicated familiarity with CPGs for LBP and 75.3% (n = 328) respondents indicated that their intervention choices aligned with guidelines to at least some extent. Participants with post‐graduate and doctoral degrees were more accustomed to CPGs than those with bachelor's degrees (p < 0.01). There were significant differences in clinical practice (p < 0.01) between therapists who expressed familiarity with guidelines and those who were not, as well as those with and without post‐graduate and doctoral degrees.
Conclusion
In general, the study showed adherence to guidelines; however, there were areas that did not align with established evidence, especially referral for radiology and use of electrical modalities.
: To investigate the effect of whole-body stretching (WBS) exercise during lunch break for reducing musculoskeletal pain and physical exertion among healthcare professionals.
: Full-time healthcare ...professionals working in hospitals with more than one year of experience were invited to participate. Sixty healthcare professionals (age 37.15 ± 3.9 Years, height 1.61 ± 0.04 m, body mass 67.8 ± 6.3 kg, and BMI 26.5 ± 2.1 kg/m
) participated in this single-blinded, two-arm randomized controlled trial (RCT). Participants were divided into WBS (
= 30) and control (
= 30) groups. The WBS group performed a range of stretching exercises targeting the entire body during a lunch break period for 3 times a week for 6 weeks. The control group received an education program. Musculoskeletal pain and physical exertion were assessed using the Nordic musculoskeletal questionnaire and Borg rating of perceived exertion scale, respectively.
: The 12-month prevalence of musculoskeletal discomfort among all healthcare professionals was highest in the low back region (46.7%), followed by the neck (43.3%), and then the knee (28.3%). About 22% of participants said that their neck discomfort impacted their job, while about 18% reported that their low back pain impacted their job. Results indicate that the WBS and education program had a beneficial impact on pain and physical exertion (
< 0.001). When comparing the two groups, the WBS group experienced a significantly greater decrease in pain intensity (mean difference 3.6 vs. 2.5) and physical exertion (mean difference 5.6 vs. 4.0) compared to an education program only.
: This study suggests that doing WBS exercises during lunchtime can help lessen musculoskeletal pain and fatigue, making it easier to get through the workday.
Background
The results of recent systematic reviews have concluded that most exercise types are more effective than minimal treatment for improving outcomes in the management of non-specific chronic ...low back pain. However, exercise prescriptions are criticised for being prescribed without a clear rationale and with a high level of uncertainty. The preferred mode of exercise in this population is not outlined in clinical guidelines. The objective of this review is to describe the indications and dosimetry for the most common exercise interventions prescribed.
Methods
Literature was sourced from searches of MEDLINE, CINAHL, SPORTDiscus, and PEDro databases until October 2021 using descriptors related to pain, exercise, and prescription, totaling 33 articles that fulfilled the inclusion and exclusion criteria. The first author independently selected studies and extracted data on study characteristics of interest. Any doubts were resolved through discussion with the other reviewers.
Results
The results of the review showed that a baseline assessment comprising the patient’s pain, thoughts, beliefs, and behaviours concerning physical activity or exercises may be undertaken, and specific exercises may be prescribed based on the indication to reduce pain, allay fear, or re-educate neuromotor control.
Conclusion
Based on the heterogeneity in the understanding, administration, and progression of exercises and the sub-optimal or poor reporting of exercise prescriptions or dosages and outcomes reported, we conclude that it may not be possible to synthesise any evidence to inform precision exercise prescription for CLBP. Future studies should be of higher quality for the development of effective exercise programmes.
Car and motorcycle drivers frequently experience neck pain, which may have an impact on their quality of life and productivity at work. Understanding the prevalence of neck pain in this population ...and identifying effective interventions was essential for developing targeted healthcare strategies. The purpose of this review was to determine the prevalence of neck pain among car and motorcycle drivers and assess the effectiveness of primary, secondary, and tertiary care interventions in managing and preventing this health issue. A comprehensive literature search was conducted to gather relevant studies on neck pain prevalence and interventions among drivers. The collected data was analysed and synthesised to provide an in-depth understanding of the issue. The result of this review reveals a significant prevalence of neck pain among car and motorcycle drivers, highlighting the need for targeted interventions. Primary, secondary, and tertiary care strategies are essential in addressing neck pain in this population. Primary care interventions focus on preventing the onset of neck pain, while secondary care aims to manage existing symptoms and prevent their worsening. Tertiary care interventions involve rehabilitation and long-term management of chronic neck pain. The present review concluded that a multi-faceted approach, encompassing primary, secondary, and tertiary care interventions, is necessary to prevent and manage neck pain in drivers. However, the current evidence base has limitations, and further research is required to enhance our understanding of effective interventions for this population.
Digital technology has affected practically every aspect of modern life. Sitting is something that humans do for a number of purposes, including work (particularly for those who work in the computer ...industry), and for enjoyment. Daily computer use causes frequent neck and back pain. Flexed head and neck postures might cause neck pain during work. Pauses and postural modifications help avoid pain and sickness. Recent wearables can sense spinal alignment and provide immediate feedback on improper posture. Posture monitoring can help treat or change a user’s posture. In this narrative review, Google Scholar, PubMed, Cross-Ref, Cochrane, and ResearchGate were searched for English-only papers using review-specific keywords and fifty-one items were found. The search was narrowed by using more particular terms, such as “wearable postural correction sensors,” “forward head posture,” “neck discomfort in smartphone or computer users,” and “neck workouts.” Only current papers from 2015 onwards were considered. After filtering for relevancy, twenty-five articles were included. Researcher should identify intervention functions, policy categories, and tactics for behaviour change. Researchers have also examined neck discomfort, forward head posture in young individuals while using smartphones and computers, and posture correction using a wearable postural correction sensor. And also appropriate arrangement and support to administering a home and workplace fitness programme that eliminates pain and impairment while enhancing Forward Head Posture (FHP) and endurance. This review aimed to thoroughly examine existing literature for evidence concerning prevalent problems among smartphone and computer users such as neck discomfort and forward head position, postural correction sensor, and impact of exercises on neck discomfort.
Stroke survivors often face motor impairments leading to decreased physical activity, which can, in turn, result in secondary health-related issues like cardiovascular and pulmonary impairment and ...osteoporosis. This research finds out the impact of physical activity on bone mineral density, cardiopulmonary health, and metabolic status in stroke survivors. The goal is to generate knowledge to inform rehabilitation strategies, emphasizing the significant role of regular exercise in enhancing the health of individuals recovering from stroke. This study was conducted using a cross-sectional study design, and involved 100 stroke survivors selected through stratified random sampling. Physical activity was measured using the validated Stroke-Specific Physical Activity Questionnaire. Health outcomes were assessed through various means: bone mineral density via the OSTEOKJ3000 ultrasonic bone densitometer; resting heart rate and blood pressure via an automated monitor; lipid profiles through the CardioChek PA analyzer; Hb1Ac levels via the A1CNow + System; and respiratory parameters through a spirometer. Statistical analysis revealed bone mineral density is positively correlated with physical activity (R = 0.53, P < .001). Additionally, an association was found between physical activity and improved cardiopulmonary function (resting heart rate r = -0.45, P < .001; forced expiratory volume in one second R = 0.30, P = .0023; forced vital capacity R = 0.28, P = .0041). Moreover, higher physical activity levels correlated with lower low-density lipoprotein cholesterol levels (r = -0.35, P = .0007), higher high-density lipoprotein cholesterol levels (R = 0.33, P = .0012), and better glycaemic control (HbA1c r = -0.40, P = .0002). This study highlights the significant benefits of physical activity for stroke survivors, showing positive impacts on bone density, cardiopulmonary function, and metabolic health. It underscores the need to include regular exercise in rehabilitation strategies to mitigate secondary health complications and enhance the overall health of stroke survivors. Future research should continue investigating the potential benefits of physical activity in this population.
