RESUMO
Over fourteen million people suffer from neuromuscular diseases in the UK such as strokes, spinal cord injuries, and Parkinson's disease etc. That means at least one in six people in the UK are living with one or more neurological conditions. In order for patients to return to normal life sooner, a rigorous rehabilitation process is needed. In hospitals, physiotherapists and neurological experts prescribe specific neurorehabilitation exercises. In most cases, patients need to schedule an appointment to receive treatment in a hospital or to have physiotherapists visit them at home. The number of neuromuscular patients has increased, resulting in longer hospital waiting times. In particular, during COVID-19, patients were not allowed to visit hospitals or have physiotherapists visit them due to government restrictions. Online guides for personalised and custom rehabilitation therapy for joint spasticity and stiffness are also not available. This paper reports the development of an IoT-based prototype system that monitors and records joint movements using sensory footwear (consisting of FSR and IMU sensors) and Kinect sensors. In addition, a prototype web portal is also being developed to record performance data during exercises at home and interact with clinicians remotely. A pilot study has been conducted with six healthy individuals and test results show that there is a strong correlation between Kinect data and FSR data in terms of coordination between joint movements. © 2022 IEEE.
RESUMO
The COVID-19 pandemic has affected every sector in the world, ranging from the education sector to the health sector, administration sector, economic sector and others in different ways. Multiple kinds of research have been performed by research centres, education institutions and research groups to determine the extent of how huge of a threat the COVID-19 pandemic poses to each sector. However, detailed analysis and assessment of its impact on every single target within the 17 Sustainable Development Goals (SDGs) have not been discussed so far. We report an assessment of the impact of COVID-19 effect towards achieving the United Nations SDGs. In assessing the pandemic effects, an expert elicitation model is used to show how the COVID-19 severity affects the positive and negative impact on the 169 targets of 17 SDGs under environment, society and economy groups. We found that the COVID-19 pandemic has a low positive impact in achieving only 34 (20.12%) targets across the available SDGs and a high negative impact of 54 targets (31.95%) in which the most affected group is the economy and society. The environmental group is affected less;rather it helps to achieve a few targets within this group. Our elicitation model indicates that the assessment process effectively measures the mapping of the COVID-19 pandemic impact on achieving the SDGs. This assessment identifies that the COVID-19 pandemic acts mostly as a threat in enabling the targets of the SDGs.
RESUMO
Neurodegenerative disorders, including Alzheimer’s and Parkinson’s, are the leading causes of dementia in the elderly. In the coming days, an alarming upsurge of dementia patients is expected with increasing life expectancy. This is the scenario not only in the developed world but also in the developing world, where older people live in vulnerable situations. Even in the COVID-19 (coronavirus disease-19) pandemic, the situation has worsened. Due to the limitations of conventional therapeutic strategies, it is necessary to explore integrated approaches consisting of both pharmacological and non-pharmaceutical interventions. As existing anti-dementia drugs pose many adverse effects on patients, pharmacological intervention through naturally occurring agents should be employed to explore targeted therapy. Alongside, non-pharmacological interventions such as cognitive and motor rehabilitation, occupational therapy, and psychological therapy need to be explored. From this perspective, multidisciplinary approaches need to be employed in order to develop a sustainable patient-friendly treatment strategy for the management of these emerging health issues with tremendous social burdens. © 2022, Bangladesh Society for Microbiology, Immunology and Advanced Biotechnology. All rights reserved.
RESUMO
Persistence of symptoms or development of new symptoms, late in the course of COVID-19 puts a constant burden on our healthcare facilities. In its severe form, COVID-19 patient may present as acute respiratory distress syndrome (ARDS), shock, and multiorgan failure and other immunological disharmony. With extensive parenchymal and vascular endothelial damage to lung vasculature, some patient may develop extensive fibrosis and pulmonary hypertension. Our patient a 60-year-old male, slightly overweight (BMI = 28.3) with history of IGT suddenly developed fever, sore throat and anosmia with myalgia. At 7th day of symptom his saturation fell down and patient was admitted in Bangabandhu Sheikh Mujib Medical University (BSMMU) for advance management. Initially patient was treated in COVID-19 ward, latter he was shifted to ICU as oxygen saturation was not maintained by HFNC. After a long battle of 56 days in ICU and 19 days stay in post COVID ward patient was discharged home with intermittent oxygen therapy only to develop pulmonary hypertension as a sequelae of post COVID syndrome. A holistic approach to management of post COVID syndrome is needed for such multisystem involvement of severe COVID patients.