Assess effectiveness of multidimensional exercise on muscle strength among poisoned patient at Dhanvanthri critical care centre Erode, Tamilnadu

BACKGROUND: Poisoning is a significant global public health problem. Due to poisoning effect accumulation of exogenous chemicals enter in to the body. Body muscles are commonly been affected due to the chemical reactions from poisoned substances. It results in progressive muscle weakness, tissue necrosis and paralysis begins within 48-96 hours after intoxication. OBJECTIVES: To assess the effectiveness of multidimensional exercise on muscle strength among poisoned patients. DESIGN: Pre-experimental design. SETTING: Dhanvantri Critical Centre Erode, Tamilnadu. SAMPLE SIZE: 25 poisoned patients. SAMPLING TECHNIQUE: Purposive sampling technique. METHODS: 25 poisoned patients receives Multidimensional exercise (Aerobic exercise and resistant exercise) twice a day from second day of extubation for five days. Pre test was done by using respiratory muscle strength assessment scale for respiratory function and extremity muscle strength assessment scale for upper & lower limbs .Post test was done by using the same scale at 5th day of intervention. RESULTS: From the findings of the study it can be concluded that Most (48%) of poisoned patients were in the age group of 31-45 years of age group. Most of patients were females, ingested Organophosphorous poisoning, tracheal intubation and duration of 6-10 days. The Paired ‘t’ values for respiratory muscle strength 9.55 ,extremity muscle strength 8.5. The difference in the mean percentage in respiratory and extremity muscle strength were 9.17and 9 respectively. Chi-square value shows no significant association between demographic variables and post score of both respiratory and extremity muscle strength among poisoned patients. CONCLUSION: The Multidimensional exercise was effective respiratory and extremity muscle strength among poisoned patients. But mild difference in effectiveness was found in respiratory muscle strength when compare to extremity muscle strength

Sedimentation record in the Konkan-Kerala Basin: implications for the evolution of the Western Ghats and the Western Indian passive margin

The Konkan and Kerala Basins constitute a major depocentre for sediment from the onshore hinterland of Western India and as such provide a valuable record of the timing and magnitude of Cenozoic denudation along the continental margin. This paper presents an analysis of sedimentation in the Konkan-Kerala Basin, coupledwith a mass balance study, and numerical modelling of flexural responses to onshore denudational unloading and o¡shore sediment loading in order to test competing conceptual models for the development of high-elevation passive margins. The Konkan-Kerala Basin contains an estimated 109,000 km<sup>3</sup>; of Cenozoic clastic sediment, a volume difficult to reconcile with the denudation of a downwarped rift flank onshore, and more consistent with denudation of an elevated rift flank. We infer from modelling of the isostatic response of the lithosphere to sediment loading offshore and denudation onshore that flexure is an important component in the development of the Western Indian Margin.There is evidence for two major pulses in sedimentation: an early phase in the Palaeocene, and a second beginning in the Pliocene. The Palaeocene increase in sedimentation can be interpreted in terms of a denudational response to the rifting between India and the Seychelles, whereas the mechanism responsible for the Pliocene pulse is more enigmatic