Research & Review: Management of Cardiovascular and Orthopedic Complications

Effectiveness of Simulation-Based Peripheral Intravenous Catheterization Among First-Year BDS Students at Selected College of Dental Sciences in Chennai

Nancy Priscilla. G — 2025-08-25

A study to assess the knowledge and practices related to Peripheral Intravenous Catheter (PIVC) strived to first-year BDS students from various colleges in Chennai. A quantitative method, utilizing a pre-experimental design, was employed in this study, which was carried out at selected institutions in Chennai. The study sample comprised 30 first-year BDS students, selected through purposive sampling. Data collection tools included a structured demographic questionnaire to gather background information, a semi-structured questionnaire designed to explore students' knowledge of PIVC, and a checklist for observation to evaluate their practical skills. The results showed a mean knowledge score of -3.066 with a standard deviation of 4.725. Statistical analysis revealed that there was a significant differencee in post-test knowledge (19(63.3%)) as compared to pre- test knowledge (4(13.3%), with a p-value of 0.05 (t = -3.496). The study concluded that the students had adequate knowledge and good practice after peripheral intravenous catheterization.

Clinical Presentation and Management of Prolapsed Intervertebral Disc: A Case Report with Review

Rafia Rashid — 2025-10-08

A prolapsed intervertebral disc commonly referred to as a herniated or slipped disc is an injury to the intervertebral disc located between two vertebrae. It typically results from excessive strain, repetitive stress, or trauma to the spine. This condition can lead to back pain, radiating pain, altered sensations such as tingling or numbness in the limbs, and even physical disability. Magnetic Resonance Imaging (MRI) is the most definitive diagnostic tool for PIVD. Management strategies range from conservative approaches, including pain medications and physiotherapy, to surgical interventions in severe or unresponsive cases. Preventive strategies involve strengthening core muscles, proper body mechanics, and maintaining good posture.

Assessment of Knowledge on Prevention of Cardiovascular Disease among Middle Adulthood Clients in a Primary Health Center, Chennai: A Quasi-Experimental Study

L. Lakshmi — 2025-10-13

Background: The average age of individuals suffering from heart disease has significantly decreased, primarily due to changing lifestyle patterns. Modern lifestyles, characterized by physical inactivity, unhealthy diets, and stress, have become major contributors to the growing incidence of cardiovascular disease (CVD) among middle-aged adults in India.

Aim and Objectives: This study aimed to evaluate the effectiveness of the heart smart package in preventing cardiovascular disease among middle-aged adults in an urban community in Chennai. Objectives included assessing participants' baseline knowledge, implementing the Heart Smart Package, and measuring post-intervention improvements in knowledge.

Methodology: A quasi-experimental pre- and post-test design was adopted. Thirty participants aged 40–65 years were selected using non-probability purposive sampling. Baseline knowledge was assessed using a structured questionnaire. The intervention included a lecture-cum-discussion, demonstrations of heart-healthy exercises, and distribution of an educational booklet on CVD prevention. Data were analyzed using descriptive and inferential statistics, with significance set at P<0.05.

Results: Pre-test results showed that 53 participants (53%) had poor knowledge, 42 (42%) had moderate knowledge, and 5 (5%) had adequate knowledge. Post-test findings revealed significant improvement, with 7 participants (7%) having poor knowledge, 38 (38%) having moderate knowledge, and 55 (55%) demonstrating adequate knowledge. The overall mean score increased to 9.86 (SD = 4.885), and the difference between pre- and post-test knowledge levels was highly significant (t = 13.12, P < 0.05). Demographic variables such as family history of CVD (X² = 15.94) and smoking habits (X² = 15.94) showed statistically significant associations with the intervention's effectiveness.

Conclusion: The heart smart package effectively improved knowledge on CVD prevention among middle-aged adults. Its comprehensive approach, combining education, practical demonstrations, and reinforcement materials, significantly enhanced participants' understanding and could serve as a scalable community-based intervention for reducing the burden of cardiovascular disease.

Effectiveness of Holistic Psychotherapeutic Nursing Intervention for Chronic Low Back Pain: A Randomized Controlled Study

Shahul Hameed K. P — 2025-10-27

Chronic low back pain (CLBP) is a major global health concern and one of the leading causes of disability across all age groups. It significantly affects an individual’s quality of life, productivity, and psychological well-being. Although physiotherapy and psychotherapy have both demonstrated effectiveness in pain management, evidence indicates that single-modality interventions often result in only partial and temporary relief. The complexity of CLBP lies not only in physical dysfunction but also in psychological distress, maladaptive coping, and reduced self-esteem, which contribute to the persistence of pain and disability.

Objective: To assess the effectiveness of a holistic psychotherapeutic nursing intervention that integrates physiotherapy and psychotherapy, in comparison to physiotherapy or psychotherapy alone.

Effectiveness of the Tripod Position in Alleviating Dyspnoea among Patients with Chronic Obstructive Pulmonary Disease

Gloria D’Souza — 2025-10-31

Background: Chronic Obstructive Pulmonary Disease (COPD) is a progressive respiratory disorder characterized by airflow limitation and persistent shortness of breath, contributing to high rates of illness and death. Dyspnoea remains one of the most troubling symptoms, restricting daily functioning and diminishing quality of life. Non-drug measures such as positioning can help reduce symptom severity.

Objectives: The present study aimed to determine the effectiveness of the tripod position in reducing dyspnoea among COPD patients, to compare its outcomes between experimental and control groups, and to explore associations with selected demographic variables.

Methodology: A quantitative time-series design was employed using purposive sampling. Sixty-three patients diagnosed with COPD participated, with 32 allocated to the experimental group and 31 to the control group through random assignment. The intervention required patients to maintain the tripod position three times per day over three consecutive days. Dyspnoea levels were measured using the Borg CR10 scale.

Results: The analysis demonstrated a significant decline in dyspnoea scores among participants in the experimental group compared with those in the control group (p < 0.001). No significant relationship was found between dyspnoea and demographic characteristics.

Conclusion: The tripod position was found to be a safe, practical, and effective non-pharmacological method for alleviating dyspnoea and improving comfort in COPD patients, highlighting its potential value in routine clinical care.