Cultural And Social Barrier in Community Physiotherapy Practice: Ethics in the Indian context

Background: Ethics becomes inevitable in the physiotherapy profession as it is concerned with professionalism and patient outcomes by avoiding patient-therapist conflicts and helps avoiding medical negligence. Objctive: This study aims to explore the impedance faced by the community physiotherapist in implementing the code of ethics. Methodology: A structured interview-based questionnaire was framed to assess the perception of ethics, role of ethics and the barriers faced in implementing ethical guidelines by community physiotherapist during their practice. Results: Ethics is important as it dignifies the profession and gains the confidences of the patient and helps in developing a good rapport with the patient. The most important barriers faced by the physiotherapist in abiding by the code of ethics were the unawareness among the patient and their cultural belief alongside with lack of inter-sectorial harmony. Conclusion: This study concludes that educating the patients and creating an inter-sectoral harmony will be most effective in breaking the barriers in ethical implementation in practice

Symptomatic Meckel\u27s Diverticulum Presenting As Recurrent Gastrointestinal Bleeding in an Adult.

A 51-year-old male presented to the hospital with recurrent gastrointestinal bleeding. Prior work up with an esophagogastroduodenoscopy (EGD), colonoscopy, and video capsule endoscopy failed to reveal a bleeding source. Given a history of a terminal ileum diverticulum noted on previous colonoscopy and persistence of hematochezia, a Meckel\u27s scan was performed, which revealed abnormal uptake suspicious for a Meckel\u27s diverticulum containing ectopic gastric mucosa. After surgical resection, pathology confirmed a Meckel\u27s diverticulum with gastric heterotopia. This case highlights the importance of considering Meckel\u27s diverticulum for instances of recurrent gastrointestinal bleeding, especially in patients who are still symptomatic despite an extensive workup. Moreover, it is important to note that a Meckel\u27s diverticulum can be missed on video capsule endoscopy

A Broadband Dual-Polarized Magneto-Electric Dipole Antenna Element for Low-Frequency Astronomical Arrays

This paper presents simulation-based design and analysis of a broadband dual-polarized magneto-electric dipole antenna element that can be used to construct VHF astronomical antenna arrays. The antenna consists of two pairs of radiating structures, each fed by a Γ-shaped feeding section. The feeding section and radiating parts are physically disconnected from each other. The antenna is evaluated by simulation, and its −10 dB impedance matching bandwidth ranges from 115 to 340 MHz. The maximum gain of the antenna is about 8 dB over the operating range. Isolation of about 20 dB is observed between the two input ports.</jats:p