Scientific Research Journal, Volume X, Issue V, May 2022 Edition

Scientific Research Journal

Scirj Volume X, Issue V, May 2022 Edition
ISSN: 2201-2796

Publication starts: 25th May 2022
Full Paper available from: 25th May 2022

Outcomes of a digital intervention focusing on wearable technology and lifestyle modifications on persons with diabetes
Dr Usha Sriram , Dr Dianna Henry Selvaraj, Dr Jagdish Devarajan

Abstract: This study aims to evaluate the effectiveness of adopting a digital approach to manage diabetes. Especially during these COVID times, when physical visits are challenging, digital interventions have gained popularity. However, there are not many studies which establish the advantages of this intervention. The aim of this pilot is to evaluate the quantitative and qualitative outcomes of using digital therapeutic interventions that use wearables and focus on lifestyle modifications on persons with diabetes. The pilot program was conducted by Securra Health Global Technologies, based in Siruseri, India and was designed by Dr Usha Sriram, a leading endocrinologist and diabetologist in India. Twenty-six participants received ‘Diabetes Kits’ that comprised of FDA approved, pre-calibrated, remote patient monitoring devices. These devices were connected to the Securra Health program smart phone app via Bluetooth. Interventions included 12 weeks of remote patient monitoring, periodic tele-consultations, personalised diet charts, push-notifications, quick check questions, digitalised health report, synced lab reports, etc. These interventions were aimed to increase adherence to the program and improve outcomes. 69% of the participants who were actively engaged with the program touchpoints had reduced HbA1c levels at the end of the program. There was a 0.4% increase in the reduction of HbA1c levels for those who completed the 12 weeks duration of the program. Overall adherence and acceptance of the program was high- at 62% and the ratio of men: women who participated was 1:3. 82% of the participants recorded blood glucose levels at least 3 times a day and the remote monitoring devices were widely accepted in general. This pilot therefore laid the foundation for further research on digital interventions by proving to have successful outcomes.

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A RANDOMIZED CONTROL TRIAL COMPARING THE EFFECTIVENESS OF CORE MUSCLE STRENGTHENING EXERCISES AND MCKENZIE EXERCISES FOR LOW BACK PAIN IN PAKISTAN AVIATION PILOTS
SIDRA GHIAS PT.

Abstract: OBJECTIVE: To determine the effectiveness of core muscle strengthening exercises and Mckenzie exercises for low back pain in pilots. METHOD: In this RCT, 34 patients were randomly allocated into two groups namely core muscle strengthening exercises ( n=17) and McKenzie exercises group(n=17). Both groups received the treatment for 4 weeks. The study was conducted in cmh Peshawar and cmh Gujranwala. The primary outcome measures were NPRS (Numerical pain rating scale) and MODI (Modified owestry disability index). The data was analyzed by spss version 20. RESULTS: The mean age of patients enrolled in this study was 31.2 (SD±1.98). The mean weight of total patients was 84.1 (SD±6.45). The mean height of total patients was 5.31 (SD±0.39). Out of total 34 patients 4 were those who ‘rarely’ have low back pain complaint and 21 were those who ‘sometimes’ have back pain during flying and 9 were those who ‘often’ have back pain during flying. Pre and post data analysis of core muscle strengthening exercises was done using paired t test. It showed nonsignificant result for NPRS while showed significant results for MODI with p value ≤0.05. Pre and post data analysis for McKenzie exercise group was done with paired t test. It showed significnt results for NPRS and MODI with p value ≤0.05. Between group analysis using independent t test showed no significant difference between two groups of core muscle strengthening exercises and McKenzie exercises for NPRS and MODI. CONCLUSION: This study concludes that both core muscle strengthening exercises and McKenzie exercises are effective in the management of low back pain though McKenzie therapy group seemed to be more effective in reducing pain in aviation pilots with low back pain.

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MODULAR SABO DAM CONSTRUCTION METHOD WITH PRECAST MODULES TO CONTROL LAHAR FLOW IN VOLCANIC AREAS
Chandra Hassan, Mukhlis Sunarso, Winda Agustin, Dyah Ayu Puspitosari

Abstract: Conventional sabodams built in volcanic areas are often damaged and even collapsed by the high impact force of the lahar flow, namely the debris flow that occurs due to the eruption of a volcano [8]. As a solution, modular sabodam innovation was carried out using high quality precast modules consisting of J-shape, C-shape, T-shape and box-shape modules for the main dam and subdam bodies. The sabodam wing uses a box-shape module. The apron uses an apron-shape module. The purpose of this research is to find out how to install these precast modules so that apart from having high quality, their construction can also be carried out more quickly.

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