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Narinder Kaur Multani ¹, Pragya ¹

Affiliations
1 Department of Physiotherapy, Punjabi University, Patiala, IN

Abstract

Background

Ageing is associated with changes to the structure and function of the foot and ankle, and there is preliminary evidence that foot problems impair balance and increase the risk of falls. To explore this in more detail, a study was conducted to determine the relative contribution of several foot and ankle characteristics to balance performance with ageing.

Methods

50 community-dwelling voluntary subjects between 30-80 years participated. Cross sectional observational study included the measurements of Modified POMA and Foot characteristics include Range of motion and Isometric Muscle Strength of ankle plantarflexion, dorsiflexion and biomechanical characteristics Navicular drop and Standing rearfoot angle.

Results

Data was analysed using Pearson Product Moment Correlation. Many foot and ankle characteristics measures were associated with performance on the balance (p<0.01)

Conclusions

Foot and ankle characteristics, particularly ankle flexibility, and strength of ankle dorsiflexor and plantarflexor muscles, has significant relation with scores of balance with aging. Programs to improve the strength and flexibility of the foot may be beneficial in improving mobility and reducing the risk of falls.

Keywords

Foot Characteristics, Balance, Ageing

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Sumanand Sonia ¹, Pragya ², Nupur ³, Praveen Prashant ⁴, Sat Pal ⁴

Affiliations
1 Department of Skin and V D, BPS GMCW. KhanpurKalan, Sonepat, IN
2 Department of Community Medicine, Pt BD Sharma PGIMS, Rohtak, Haryana, IN
3 Department of Radiotherapy, Pt BD Sharma PGIMS, Rohtak, Haryana, IN
4 Department of Physiology, Pt BD Sharma PGIMS, Rohtak, Haryana, IN

Abstract

Celiac disease came to notice during world war II when due to wheat and other cereals shortage alternate diet was accepted and it improved symptoms in patients with celiac disease. Worldwide prevalence in white population is around 1%.With newer diagnostic techniques and high penetration of health facilities it's diagnostic reporting is increasing. Immunological testing and his to pathological examination now increased detection. Diarrhea, bloating and gas abdomen, weight loss remain chief complaints of patients with celiac disease. Nutritional deficiency depends on site and extent of involvement of small gut. Villousatrophy in small intestine is responsible for malabsorption. In cases where there is less involvement of duodenum and proximal jejunum, Iron folate and Calcium absorption is hampered due to situation of high affinity transport mechanisms in these areas. Bone mass loss, macrocytic anemia or iron deficiency anemia are the consequential clinical presentations. Nutritional evaluation is done for patients include anthropometric measurements to hematological levels of nutrients and related evaluations. Six key elements are recommended for management of celiac disease (CELIAC),Consultation with a trained dietician, Education on the disease, Life long gluten free diet, Identification of nutritional deficiencies, Access to reputable support group and Continuous follow-up. Gluten-free Diet excludes the grains wheat, barley and rye. Other grains are non-toxic unless contaminated with wheat or barley and rye. Strict monitoring is thus needed for children with celiac disease and are monitored for adherence to gluten free diet, nutritional status and other such complications of celiac disease. Celiac disease is though not very common but a suspected case should always be investigated for celiac disease as per routine and specific investigations. A strict gluten free diet is advised and it should be monitored regularly. Regular monitoring of patients with clinical assessment and other investigations must be done. Consequential clinical manifestations must be taken care of accordingly. Aregular GFD is necessary for disease. Patient should be counseled regarding regular check up and diet plans.

Keywords

Celiac Disease, Gluten Free Diet, Awareness.

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O. P. Singh ¹, Pragya ²

Affiliations
1 Deptt. of Community Medicine and Public Health, King George Medical University, Lucknow, IN
2 Assam University, Guwahati, Assam, IN

Abstract

Corporate social responsibility has gained much importance in the changed business environment in India. A large number of big corporate houses have set up their Trust and Development Foundations for initiating CSR activities. Even some of the Corporate Houses embarked upon corporate social responsibility initiatives and at the later stage, they developed a full-fledged institute / organization committed towards social development. There has been a progressive increase in social investment by the Corporate Houses in the country. Large MNCs like Tata Group, ITC, Ranbaxy, Infosys, Microsoft, Dr. Reddy's Laboratory, etc. have endeavored to create a better social order by investing hugely in social development. However, Tata Group has emerged to be the pioneer in the field as it has comparatively larger social investment. A number of institutions and social development organizations are being supported by Tata Group in the field. The present paper highlights the CSR spending by PSUs in north east region of India.

Keywords

Social Investment, PSU, CSR Activities.

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