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  • Sports Medicine

    Sports Medicine

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    Despite what the name implies, sports medicine is not confined to the athletic field. The branch of orthopedics consists of the treatment of injuries resulting from physical activity. These injuries can occur due to overuse, over-exertion, traumatic collision, or over-extension of the ligaments and cartilage of joints. Sports injuries can occur to any part of the body; however, the majority of sports injuries occur in the major joints, including the shoulder, hip, knee, and ankle.

    Minimally Invasive Rotator Cuff Surgery

    A common sports-associated injury of the shoulder is a rotator cuff tear. Composed of a group of four different muscles and tendons, the rotator cuff coordinates the movement of the arm at the shoulder. A tear of these muscles due to a traumatic impact, repetitive motion, or a strong pull may result in serious pain and the loss of mobility in the shoulder.

    Based on severity of the injury, a rotator cuff tear can be repaired through surgical or non-surgical methods. If pain is not relieved through non-surgical efforts and surgery is required, rotator cuff tears can be repaired through arthroscopic techniques. A minimally invasive procedure, arthroscopic surgery involves two small incisions for the insertion of a fiber-optic camera and specialized operating tools. Arthroscopic surgery usually results in the successful repair of the rotator cuff and an abbreviated and less painful recovery time.

    ACL Repair Surgery for Knee Pain

    A commonly performed sports medicine procedure is the repair of the anterior cruciate ligament (ACL) located within the knee. The ACL provides rotational stability to the knee and tears to the ligament occur due to over rotation, sudden changes in direction, landing incorrectly, or traumatic collision. Symptoms of an ACL tear include a 'popping' noise and the inability to put weight on the knee joint, followed by pain and swelling.
    Non-surgical treatment options are available after an ACL tear; however, a torn ACL will not heal on its own and surgery is necessary to return to an active lifestyle. Advances in knee surgery techniques now allow a torn ACL to be repaired through an arthroscopic procedure. Arthroscopic surgery techniques allow for a faster recovery time, although an athlete will require at least six months before returning to sports.

    Torn Meniscus Surgery for Knee Pain

    The meniscus consists of two pieces of cartilage located between the thigh bone and the shinbone that act as cushioning and 'shock absorbers' between the two bones. Sports-related meniscal tears result from excess stress on the knee joint from traumatic collision, squatting, or over rotation, and often accompanies other knee injuries, such as an ACL tear.

    Walking is still possible after a meniscal tear and athletes may continue to play through the injury. However, the knee will gradually become more stiff and swollen over a period of a few days. Non-surgical approaches to treatment include the RICE protocol of Rest, Ice, Compression, and Elevation. If the severity of the injury necessitates surgery, arthroscopic techniques utilizing a fiber-optic camera and miniature instruments will allow for the minimally invasive repair of the meniscus.

    Shin Splint Repair

    Shin splints are a common sports-related injury, as the condition results due to exercise-related overuse. Shin splints, or medial tibial stress syndrome, develop as repetitive, excessive physical activity causes muscle fatigue leading to extra force to be applied to the tissue attaching muscles to the shinbone.
    Shin splints are treated with rest and a refrain from physical activity. Rarely do shin splints require surgery; however, persistent pain may indicate the development of multiple microfractures in the tibia. Microfractures are severe and may require the evaluation of a physician.

    Achilles Tendon Repair Surgery

    The Achilles tendon is the largest tendon in the body and connects the muscles in the back of the lower leg to the heel bone. The Achilles tendon is essential to mobility as it is used to walk, run, and jump. Tears can occur when the Achilles tendon is overstretched and cannot withstand the large forces exerted on it during physical activity. Pain and swelling accompany an Achilles tendon tear, as well as the inability to bend the foot downward.

    Surgery is likely the only option to repair a completely torn Achilles tendon for patients who wish to return to sports. Surgically repaired Achilles tendons are more likely to return to near normal performance and less likely to be re-injured.

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    Source by Blake Nonweiler

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  • Flexible Yoga for Backbone Pain Relief and Overall Health

    Flexible Yoga for Backbone Pain Relief and Overall Health

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    Are you above 40 and thinking that developing hip flexibility or spinal flexibility at this age will not be possible? If yes, then read on. Hitting 40 is not an excuse to deprive yourself of good health, stamina and joint-pain free life you really deserve. However, what is important is to understand and choose something that works. Flexible yoga, as the name suggests is what you can try for back and hip flexibility, which is what keeps your overall fitness in good shape.

    What is flexible yoga

    As mentioned in one of our previous posts that yoga is not just a set of asanas or postures, flexible yoga is also not just about physical suppleness. However, we’ll keep the topic limited to physical flexibility for now. The basic idea behind flexible yoga is to develop suppleness in muscles and joints by using the most suitable set of asanas. As your spine becomes more flexible, you start gaining more stamina and overall better health.

    Pashchimottasana to make your spine supple

    It goes without saying that yoga as a whole is highly effective to control and cure many muscle and mind related issues. However, people have their own preferences in terms of choosing the right types of yogic postures, which are effective depending on individual needs. Personally, I like Pashchimottanasa to make and keep my spine flexible.

    Yoga for spinal suppleness

    • Surya Namaskar-Sun Salutation (12-step sequence)
    • Chakrasana-Semi-circular pose
    • Bhujangasana-Cobra pose
    • Ustrasanana -Camel pose
    • Paschimottansana-Forward bend
    • Balasana-Child’s pose
    • Shashankasana-Rabbit pose
    • Halasana-Plough pose
    • Sun salutation-surya namaskar

    Developing flexibility easily

    There are various other postures and variations of the above mentioned poses. It all depends upon what suits you and fits into your hectic daily schedule. Starting with easy postures such as child’s pose or cat cow pose, which can be done immediately after waking up while you are still in bed, are highly effective for beginners. You can move on to tougher postures as your spine starts becoming flexible.

    Easy posture for spinal flexibility

    Stretching is highly effective for suppleness of spine, muscles and other associated organs. You can start your day with a few stretching exercises such as cat cow pose. This is the easiest way to start making your spine flexible in addition to kick-starting your day actively and relieving your neck or back pain, if any.

    Make your spine flexible effortlessly

    We have covered Bhujangasana previously, but there is also a simple variation of this pose, which can be also be highly effective in keeping your backbone flexible, digestive system strong and neck pain-free. Simply lie flat on your stomach and lift your head and torso supported by your elbows. You need not stretch fully like you do while performing full Bhujangasana.

    Natural Stretch -Benefits of semi-Bhujangasana

    • No special equipment, place or time recommended.
    • You can do this anytime except after meals
    • You can also read, write or watch TV if this posture
    • Keeps your digestive systems strong
    • Reduces big belly and helps in overall weight loss
    • Makes your spine supple without having to do specific set of exercises
    • Relieves and prevents neck and back pain
    • Relieves tiredness and fatigue immediately
    • Positive state of mind
    • Stretching in any form is one of the most effective ways to develop spinal flexiblity which is highly recommended for overall health.

    Stretching is one of the most effective ways to develop spinal flexiblity which is highly recommended for overall health.

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    Source by Felix Godwin

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  • Can You Cure Foot Pain, Back Pain and Fatigue With Shoe Inserts?

    Can You Cure Foot Pain, Back Pain and Fatigue With Shoe Inserts?

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    I’m always on my feet it seems like. I have a job that is pretty demanding, walking and standing on my feet, eight hours a day. Some days I walk five to seven miles. I know, there are plenty of other jobs out there that are way more demanding than mine. However, doing a job like mine in dress shoes or any low-quality shoe can kill your feet. And this can lead to significant foot pain, back pain and worse. It can knock your quality of life down a few notches, and that’s precisely what it did to me.

    With foot pain came back pain, exhaustion and me having to cancel my workout routine.

    I mean, it wasn’t too long ago, I’d spend eight hours a day, working on my feet, before coming home and having to soak in the tub with Epsom salts. It was the only relief I could find. All of the pain and discomfort was rooted in the shoes I was wearing. They were nice looking, but not pleasant to walk around in all day.

    Eventually, thinking I was going to have to quit my job (I did before going back.), I asked around and found out about some top of the line shoe inserts. I also bought new shoes.

    With the new shoes, I felt 100 times better being on my feet. It was unreal. However, the shoe inserts made the most significant difference in my life. With top of the line shoe inserts, I could literally walk all day and have zero issues. I mean, after work, I felt zero pain and had no issues with my feet or back. Not only was there no pain, but no exhaustion either. After work, I still had plenty of energy and could go to the gym without any problem. It was amazing.

    The best thing is that I can use the same inserts in all of my different shoes and enjoy the same benefits.

    I never would have guessed that such a simple change could make so much of a difference in my life.

    If you suffer from foot pain, back pain and your quality of life is suffering simply because of being on your feet, I highly suggest trying a pair of high-quality shoe inserts. They could change your life.

    Additionally, regular exercise, weight-training and a healthy diet might help you, too. Being physically fit can make certain types of labor easier on your body. However, always check with your doctor before starting any new workout routine and diet.

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    Source by Elvis Jackson Jr.

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  • WHO calls for healthy, safe and decent working conditions for all health workers, amidst COVID-19 pandemic

    WHO calls for healthy, safe and decent working conditions for all health workers, amidst COVID-19 pandemic

    On World Day for Safety and Health at Work, the World Health Organization calls upon all governments, employers and workers organizations and the global community to take urgent measures for strengthen countries’ capacities to protect occupational health and safety of health workers and emergency responders respect their rights to decent working conditions, and develop national programmes for occupational health of health workers and to provide them with occupational health services. Amidst the COVID-19 pandemic, ILO has dedicated World Day for Safety and Health at Work 2020 in addressing the outbreak of infectious diseases at work, in particular, on the COVID-19 pandemic.

    Health workers are at the front line of the COVID-19 outbreak response and as such are exposed to hazards that put them at risk of infection. Hazards include pathogen exposure, long working hours, psychological distress, fatigue, occupational burnout, stigma, and physical and psychological violence.

    Infections with COVID-19, insufficient measures for infection prevention and control, occupational safety and health, mental health and psychosocial support for health workers result in high rates of absenteeism and deplete the health workforce – the most precision resources for stopping the COVID outbreak. 

    Key Messages and Facts

    COVID-19 infections among health workers:

    • As of 21 April 2020 countries reported to WHO that over 35, 000 health workers were infected with COVID19. This number is significantly higher because of underreporting.
    • The major occupational risks for COVID19 infection among health workers are: late recognition or suspicion of COVID-19 in patients, working in a higher-risk department, longer duty hours, sub-optimal adherence to infection prevention and control measures, such as hand hygiene practices, and lack of or improper use of personal protective equipment (PPE). Other factors have also been documented, such as inadequate or insufficient IPC training for respiratory pathogens, including the COVID-19 virus, as well as long exposure in areas in healthcare facilities where large numbers of COVID-19 patients were being cared for.
    • The prevention of infections requires the use of appropriate infection prevention and control measures by all health workers, with a special focus on the adherence to hand hygiene and personal protective equipment when caring for COVID-19 patients, as well as a combination of environmental and administrative controls
    • Health workers infected with COVID-19 following exposure in the workplace should have the right to employment injury benefits for occupational disease, including compensation, rehabilitation, and curative services.

    Violence and stigma against health workers:

    • Health workers are at high risk of violence all over the world. Between 8% and 38% of health workers suffer physical violence at some point in their careers. Many more are threatened or exposed to verbal aggression and social stigma because of their work.
    • In the COVID19 crisis, shortage of staff and resources and increasing social tensions result in increased level of violence against health workers and even attacks against health care facilities. Doctors, nurses, security personnel and those who are assisting in testing, tracing contacts and enforcing physical distancing measures to stop COVID-19 experience threats and aggression.
    • WHO calls upon governments, employers and workers organizations to institute measures for zero-tolerance to violence against health workers at the workplace and at the way to and from their workplace, and for intensifying social support and respect for health workers and their families.

    Long working hours and psychosocial hazards for health workers:

    • Many health workers have to work longer or irregular hours because of the increasing demand for health services. In addition, many countries experience shortage of health workers, or junior staff are working in demanding new roles.
    • Health workers face psychosocial hazards, which are exacerbated during emergencies where demands increase and they have to experience risk of infection witness higher suffering or mortality.
    • Long working hours, shift work, high workload and other psychosocial hazards can lead to fatigue, occupational burnout, increased psychological distress or declining mental health – affecting the health of health workers, and the quality and safety of care delivered.
    • WHO calls for adequate staffing levels and clinical rotation in healthcare facilities, measures to minimize psychosocial hazards, and provision of access to mental health and psychosocial support for health workers.

    The annual World Day for Safety and Health at Work on 28 April promotes the prevention of occupational accidents and diseases globally. It is an awareness-raising campaign intended to focus international attention on the magnitude of the problem and on how promoting and creating a safety and health culture can help reduce the number of work-related deaths and injuries.

     

    WHO calls for healthy, safe and decent working conditions for all health workers, amidst COVID-19 pandemic
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    https://www.who.int/news-room/detail/28-04-2020-who-calls-for-healthy-safe-and-decent-working-conditions-for-all-health-workers-amidst-covid-19-pandemic

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  • Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem

    Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem

    Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem 1

    Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem 2


    A lot of legal issues are bound to arise as an aftermath of the outbreak of Coronavirus otherwise referred to as COVID-19.  There is therefore a need to shed light on some of the issues that may arise and how to navigate them. This article will x-ray the rights of patients, the rights of health workers and the basic minimum obligations of the government.

    The Code of Medical Ethics in Nigeria 2008 lists acts that constitute professional negligence. Rule 29.4 of the Code outlines some of these acts as follows:-

    a)      Failure to attend promptly to a patient requiring urgent attention when the practitioner was in a position to do so;

    b)     Manifesting incompetence in the assessment of a patient;

    c)      Making an incorrect diagnosis particularly when the clinical features were so glaring that no reasonable skillful practitioner could have failed to notice them; 

    d)     Failure to advise, or proffering wrong advice to  a patient on the risk involved in a particular operation or course of treatment, especially if such an operation or course of treatment is likely to result in serious side effects like deformity or loss of organ, or function;

    e)      Failure to obtain the informed consent of the patient before proceeding on any surgical procedure or course of treatment when such consent was necessary; 

    f)       Making a mistake in treatment e.g. amputation of the wrong limb, carelessness that results in the termination of a pregnancy, prescribing the wrong drug, or dosage in error for a correctly diagnosed ailment, etc;

    g)     Failure to refer, or transfer a patient in good time, when such a referral or transfer was necessary;

    h)     Failure to do anything that ought reasonably to have been done under any circumstance for the good of the patient;

    i)       Failure to see a patient as often as his medical condition warrants or to make appropriate comments in the case notes of the practitioner’s observations and prescribed treatment during such visits. It also includes failure to communicate with the patient or with his relatives as may be necessary with regards to any developments, progress or prognosis in the patient’s condition.

     

    Rule 11.2 of the 2008 Code of Medical Ethics in Nigeria provides that, “A physician shall preserve absolute confidentiality on all he knows about his patient even after the patient has died.”

                 Rule 44 of the Code of Medical Ethics has extensive provisions on Confidentiality and when disclosure of information can be made. The Rule provides in part that:

    “Disclosure of information on the patient by the doctor can only be made following an informed consent of the patient in writing. It is clear that the ethic covers even such information as induced abortion, venereal disease, attempted suicide, concealed birth and drug dependence but would exclude situations in which a discretionary breach of confidentiality is necessary to protect the patient or the community from danger and this must be made clear to the patient at the time of the confidential disclosure. Where statutory notification of disease is involved, the consent of the patient is not required.”            

                Confidentiality: To Disclose Identity Of Covid-19 Patients Or Not To Disclose?

    COVID-19 is an infectious disease caused by a newly discovered coronavirus. Most people infected with the COVID-19 will experience mild to moderate respiratory illness and recover without requiring special treatment.  Older people, and those with underlying medical problems like cardiovascular disease, diabetes, chronic respiratory disease, and cancer are more likely to develop serious illness.[1]

    The Federal Ministry of Health confirmed the first case of COVID-19 in Nigeria on the 27th of February 2020. It is the case of an Italian citizen who works in Nigeria and returned from Milan, Italy to Lagos, Nigeria on the 25th of February 2020. In reaction to the report, the social was divided between those who want the name of the Italian disclosed and those that preferred it remains confidential. The outcry was even more when the Chief of Staff to the President tested positive according to reports from various media houses[2], but the Minister of Health decided to keep mute on the identity of the President’s aide who contacted the virus, citing confidentiality.

    It will ordinarily be wrong to disclose the medical status of someone infected with COVID-19, for instancethe case of the Italian who was the index case. However in view of the proviso to Rule 44 of the Code of Medical Ethics 2008 which provides that a discretionary breach of confidentiality is necessary in order to protect the community from danger, I am of the view that the test results of popular figures who hold strategic offices like the Chief of Staff to the President or a Governor must be disclosed to guaranty public safety. This is necessary in view of the countless number of people from all works of life they come in contact with on a daily basis.  It will be correct to have made their status public in the overriding interest of the public, since it will enable those who have come in contact with them isolate, just like we have seen in the cases of the British Prime Minister, the Bauchi State Govenor, Prince Charles, the First Lady of Canada and many more. We must commend those who announced their status in public themselves-it is the best thing to do in the interest of humanity

    The World Health Organization (WHO) provides additional guidelines for the management of coronavirus patients specifically.[3]

    Health workers should:

    •follow established occupational safety and health procedures, avoid exposing others to health and safety risks and participate in employer-provided occupational safety and health training; 

    •use provided protocols to assess, triage and treat patients; 

    •treat patients with respect, compassion and dignity; 

    •maintain patient confidentiality; 

    •swiftly follow established public health reporting procedures of suspect and confirmed cases; 

    •provide or reinforce accurate infection prevention and control and public health information, including to concerned people who have neither symptoms nor risk;

    •put on, use, take off and dispose of personal protective equipment properly;

    •self-monitor for signs of illness and self-isolate or report illness to managers, if it occurs; 

    •advise management if they are experiencing signs of undue stress or mental health challenges that require support interventions; and 

    •report  to  their  immediate  supervisor  any  situation  which  they  have  reasonable  justification  to  believe presents an imminent and serious danger to life or health.

     

    Doctors and health workers in Nigeria must endeavor to digest the guidelines in the Code of Medical Ethics as well as the WHO Guidelines for management of Coronavirus victims and ensure they work strictly by their provisions. A breach of these duties have dire consequences. 

    Options Available To Covid-19 Patients Who Are Victims Of Medical Negligence

    A Coronavirus patient who has suffered medical negligence has a number of options:

    1. He could file a complaint with the regulatory body (e.g. the Medical and Dental Council of Nigeria, in the cases involving a Doctor). The Doctor will in the first instance be investigated by the Medical and Dental Practitioners Investigation Panel, after which he will be tried by the Medical and Dental Practitioners Disciplinary Tribunal. If found culpable,  the Doctor may be warned, suspended from practicing for a period not exceeding 6 months or in very serious cases, have his name can be removed from the Register of Medical Practitioners. The Medical and Dental Practitioners’ Disciplinary Tribunal does not award monetary damages.

    2. A suit can be filed against the Medical Doctor, the Hospital, Agency or Government in the High Court for Medical Negligence and monetary damages will be awarded if the Defendant(s) are found culpable.

          3.  If there is an element of Crime, a report could be made to the Police who would conduct Criminal Investigation and where the investigation reveals gross negligence, recklessness or wanton disregard for life of the victim, the police can prosecute or forward the case file to the office of the Attorney General of the State for possible prosecution in deserving cases.  

    A Need To Do More For Doctors And Other Professionals In The Health Sector

    Health workers are at the front line of any outbreak response and as such are exposed to hazards that put them at risk of infection with an outbreak pathogen (in this case COVID-19). Hazards include pathogen exposure, long working  hours,  psychological  distress,  fatigue,  occupational  burnout,  stigma,  and  physical  and  psychological violence. 

    During the outbreak of Ebola more than 500 health care workers died in Guinea, Liberia and Sierra-Leone alone. We also lost some of our finest doctors and health workers to the disease in Nigeria, the most prominent being Dr. Stella Adadevoh, who is credited with having curbed a wider spread of the Ebola virus in Nigeria by placing the index patient, Patrick Sawyer, in quarantine despite pressures from the Liberian  government. As we speak, The coronavirus is waging a war of attrition against health care workers throughout the world, but nowhere is it winning more battles at the moment than in Italy and in Spain, where protective equipment and tests have been in severely short supply for weeks. In Spain 13.6% (6500) of those affected with the coronavirus are health workers and in Italy 10% (7400) of those affected with the virus are health workers. [4] In New York dozens of health workers have been affected with the virus, while hundreds are in quarantine.[5] According to reports filtering in as the time of concluding this article, three health workers have been infected with COVID-19 in Abuja, Nigeria.[6]

    Human Rights Watch research into health system collapse in Hungary and Venezuela suggests the nations’ mismanaged, underfunded, and understaffed public healthcare system is poorly equipped to handle a COVID-19 outbreak. Patients and medical experts described a lack of basic hygiene protocol, lack of isolation rooms, and a shortage of health professionals, doctors and nurses, and medical supplies in general.

    The situation is not too different in Nigeria at the moment and except something drastic is done we might be witnessing a devastating effect of the pandemic. Nigeria’s, public health capacity has been diminished by large scale public sector corruption. Medical personnel lack surgical masks and local supplies have been diverted and shipped to other markets partly due to corruption. Many states are ill-prepared to combat the impeding surge in patients. A senior health worker with a government hospital in Abuja, in an interview with Sahara Reporters, lamented the lack of quality Personal Protective Equipment for them, adding that government must invest in the protection of health workers at the frontline of the battle against the virus. He said, “The unfortunate thing is that the government is not providing us with what to work with. It is sad that our PPE are not up to the world standard and can be penetrated by viruses. Some of us (health workers) have to use our personal funds to purchase gloves as we do not trust the ones government supplied. Nigerians should please remember us in their prayers and government should provide us with what we really need to work.” [7]

    There was report that in Bauchi State a Coronavirus patient rejected the isolation centre at the Bauchi Specialist Hospital and went back home while describing it as “too dirty”.[8]  

    It is disappointing to hear that the hazard allowance for doctors and health workers is N5,000 per month in Nigeria. The amount is very paltry compared to the risks and the attendant emotional and psychological stress suffered by the health-care workers (HWCs) particularly during monumental outbreaks like this. Unfortunately, when a patient is mismanaged, these doctors and health workers bear the burden of paying huge compensation and sometimes losing their jobs. More importantly, the brain-drain in the health sector is monumental, almost all my friends who are doctors, work abroad. Unfortunately, there are concerted efforts by the US Government to engage foreign Doctors to further fortify its health work force as COVID-19 ravages. Many young Nigerian doctors are already considering the offers because the Nigerian government has paid little attention to their welfare and the welfare of the general health workforce. To stop the exodus of our doctors, who are already in short supply, the government must act fast by improving their welfare packages in line with acceptable international standards.

    The psychological needs of doctors and health workers are also often ignored. Unsafe working conditions contribute to health worker attrition in many countries due to work-related illness and injury and the resulting fear of health workers of occupational infection, including from HIV and Tuberculosis. The 2006 World Health Report – Working Together for Health reported on a severe health workforce crisis in fifty-seven countries, most of them in Africa and Asia. [9]

    Protecting the occupational health of health workers is critical to having an adequate workforce of trained and healthy health personnel. Governments at the Federal and State levels are urged to do more by complying fully with the World Health Organization’s guidelines regarding the Rights of Health Workers while combating COVID-19. Some of the rights are:

    ·         assume overall responsibility to ensure that all necessary preventive and protective measures are taken to minimize occupational safety and health risks;

    ·         provide information, instruction and training on occupational safety and health, including; Refresher training on infection prevention and control(IPC); and Use, putting on, taking off and disposal of personal protective equipment(PPE);

    ·         provide adequate IPC and PPE supplies (masks, gloves, goggles, gowns, hand sanitizer, soap and water, cleaning supplies) in sufficient quantity to healthcare or other staff caring for suspected or confirmed COVID-19 patients, such that workers do not incur expenses for occupational safety and health requirements;

    ·         not be required to return to a work situation where there is continuing orserious danger to life or health, until the employer has taken any necessary remedial action;

    ·         allow workers to exercise the right to remove themselves from a work situation that they have reasonable justification to believe presents an imminent and serious danger to their life or health. When a health worker exercises this right, they shall be protected from any undue consequences; 

    ·         honour the right to compensation, rehabilitation and curative services if infected with COVID-19 following exposure in the workplace. This would be considered occupational exposure and resulting illness would be considered an occupational disease,

    ·         provide access to mental health and counselling resources; and 

    ·         enable co-operation between management and workers and/or their representatives. Etc.

    In conclusion, professional care givers for COVID-19 patients should uphold four basic principles formulated by Beauchamp and Childress in their book ‘Principles of Biomedical Ethics’ in order to protect themselves from liability for negligence. The four basic principles are autonomy, beneficence, non-maleficence and justice.

    Autonomy: People have the right to control what happens to their bodies. This principle simply means that an informed, competent adult patient can refuse or accept treatments, drugs, and surgeries according to their wishes. People have the right to control what happens to their bodies because they are free and rational. And these decisions must be respected by everyone, even if those decisions aren’t in the best interest of the patient.

    Beneficence: All healthcare providers must strive to improve their patient’s health, to do the most good for the patient in every situation. But what is good for one patient may not be good for another, so each situation should be considered individually. And other values that might conflict with beneficence may need to be considered.

    Non-maleficence: “First, do no harm” is the bedrock of medical ethics. In every situation, healthcare providers should avoid causing harm to their patients. You should also be aware of the doctrine of double effect, where a treatment intended for good unintentionally causes harm. This doctrine helps you make difficult decisions about whether actions with double effects can be undertaken.

    Justice: The fourth principle demands that you should try to be as fair as possible when offering treatments to patients and allocating scarce medical resources. You should be able to justify your actions in every situation. For instance, it will amount to a professional misconduct for a Health-care Worker to remove a poor man from the ventilator because a Senator was rushed in. 

    Ahmed Adetola-Kazeem is a partner in Adetola-Kazeem Legal Practice and specializes in Medical and Health Law

    Email: aadetolakazeem@gmail.com;aadetolakazeem@gaklp.com

    [1] https://www.who.int/health-topics/coronavirus#tab=tab_1(Accessed on the 28th of March 2020)

    [2] https://businessday.ng/coronavirus/article/abba-kyari-tests-positive-for-coronavirus-buhari-negative/

    https://www.channelstv.com/2020/03/24/buharis-chief-of-staff-abba-kyari-reportedly-tests-positive-for-coronavirus/ (Accessed on the 28th of March 2020)

    [3] Coronavirus Disease (Covid-19) Outbreak: Rights, Roles and Responsibilities Of Health workers, Including Key Considerations For Occupational Safety And Health”. https://www.who.int/docs/default-source/coronaviruse/who-rights-roles-respon-hw-covid-19.pdf?sfvrsn=bcabd401_0   (Accessed on the 26th of March 2020)

    [4] https://abcnews.go.com/Health/wireStory/collapsing-virus-pummels-medics-spain-italy-69789413 (Accessed on 26th March 2020)

    [5] https://www.washingtonpost.com/health/covid-19-hits-doctors-nurses-emts-threatening-health-system/2020/03/17/f21147e8-67aa-11ea-b313-df458622c2cc_story.html (Accessed on 28th of March 2020)

    [6] http://saharareporters.com/2020/03/28/exclusive-two-nurses-one-doctor-infected-coronavirus-abuja-hospital

    [7] Supra

    [8] https://www.dailytrust.com.ng/coronavirus-patient-rejects-bauchi-isolation-centre-returns-home.html (Accessed on 28th March 2020)

    [9] https://www.who.int/occupational_health/topics/hcworkers/en/(Accessed on 26th March 2020)

     

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    Legal Issues Arising From Management Of Covid-19 Patients By Ahmed Adetola-Kazeem
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    http://saharareporters.com/2020/04/01/legal-issues-arising-management-covid-19-patients-ahmed-adetola-kazeem

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  • Why isn’t the UK taking more drastic action to tackle the coronavirus?

    Why isn’t the UK taking more drastic action to tackle the coronavirus?

    Psychologists say that closing schools and restricting movement too early could lead to “crisis fatigue”, meaning people begin ignoring rules designed to stop the coronavirus spreading
    Why isn't the UK taking more drastic action to tackle the coronavirus?
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    https://www.newscientist.com/article/2237123-why-isnt-the-uk-taking-more-drastic-action-to-tackle-the-coronavirus/?utm_campaign=RSS%7CNSNS&utm_source=NSNS&utm_medium=RSS&utm_content=home

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  • Ancient Medicinal Wisdom: Vedic Healing With Coriander

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    In Ayurveda, the rasa or taste of coriander is initially sharp or astringent. Digestion mellows this to sweetness.

    What is Ayurveda?

    This is the ancient medical system of India. Ayurveda postulates that there are three basic types of energy or doshas: Vata dosha or wind energy, Pitta dosha or fire energy, and Kapha dosha or water energy. Every individual, (indeed, all matter), is made up of different degrees and combinations of these doshas. This is called the prakriti or constitution of the individual.

    Ayurvedic belief is that coriander, seeds as well as the plant, is beneficial to all body types or doshas as it does not arouse pitta like most other spices.

    Coriander leaves, seeds and powder are used extensively in Indian kitchens because of their appetising aroma. Ancient Ayurvedic practice had recognized the benefits of coriander: the use of these seeds and powder is rooted in this.

    Multiple benefits of Coriander:

    • These seeds contain dietary fibre and this aids in good bowel movements. It also helps in removing intestinal gas and prevents nausea. Coriander seeds can be dry roasted, powdered and added to most dishes; it’s not all about flavor, they are a good digestive aid. Ayurveda tells us so!
    • It will stimulate appetite by helping to produce digestive enzymes and aid in the breakdown of food.
    • It is also good for liver function. This is probably why it is a good appetite stimulant.
    • Coriander powder and seeds do not arouse pitta. In modern scientific terms, coriander is alkaline. Thus, it is good for urinary tract infections. It is also a mild diuretic.
    • These are an age-old cure for menstrual cramps: just boil 1-2 teaspoons of coriander seeds in half a litre of water, add a teaspoon of organic sugar and drink warm. The relief is palpable.
    • Ayurveda has always known it; now modern research shows coriander seeds to inhibit bacterial growth thus making them a good anti-bacterial agent. This inhibitive property makes coriander a good fighter of stomach infections.
    • Anti-bacterial coriander is also a good anti-fungal. Coriander seeds are quite useful in fighting skin problems like eczema, itchy skin, and rashes.
    • It contain linoleic acid which is why they provide pain relief as well as act as an anti-inflammatory. This property also makes them useful in curing mouth ulcers and sores.
    • Ayurvedic cures for chronic conditions like arthritis make liberal use of coriander seeds/powder. A ‘tea’ is made by boiling ground coriander seeds in water and drinking the warm decoction.

    Here are some Ayurvedic recipes for different ailments which make generous use of coriander seeds:

    • That parched feeling that a fever causes can be relieved by boiling 1 teaspoon of coriander powder in 1 cup of water. Drink after cooling, and your thirst will vanish.
    • For fatigue or a burning sensation in the body, soak a teaspoon of coriander seeds in a glass of water. Let it stand overnight. Strain and drink first thing in the morning.
    • Boil 1 tsp of coriander seeds in half a litre of water. Let it stand for 10 minutes. Strain and drink. This relieves any burning sensation while urinating.
    • Do not pop a pill at the first signs of malaise.The harmful effects of unnecessarily medicating yourself can be controlled by these simple home remedies which carry the goodness of Mother Nature. Ayurveda views human beings as an integral part of larger creation and treats human ailments non-aggressively.
    • When medicines should be used with circumspection, what can one say about the harmful chemicals that we ingest every day unknowingly? Food production in the modern day is fraught with dangerous practices. The indiscriminate use of chemical methods of farming is poisoning almost everything we eat. The organic movement aims to reverse this. If you want to enjoy the maximum benefit of any food product, GO ORGANIC. Coriander is no different.
    • Terragreens Organic is a store of the freshest and most natural ingredients, untouched by chemicals. Enjoy the full benefit of this miracle of Mother Nature. Buy your coriander seeds or powder from the best!

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    Source by Karthik Guduru

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  • Herbal Cure For Joint Pain

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    Joint pain can be stressful and it can also limit the activities you can do comfortably. Severe joint ailments might also restrict mobility. The most common joint ailments that cause excruciating pain include arthritis and osteoarthritis. People are always looking for ways by means of which they can cure or at least relieve the discomfort. Herbal cure is probably one of the best that you can choose for pain relief. This is considering that it revolves around natural herbs which do not have any side effects.

    Ayurveda is a natural healing process which offers a holistic approach allowing the patients to attain higher self harmony (atmay), mind (manas) and helps in regaining vital energy from the universe (prana), body and the senses. The Ayurvedic treatment process combines natural herbs and herbal minerals with no side effects. Meditation, yoga and use of massage are also practiced under this treatment to achieve complete wellness besides, getting rid of joint pain.

    Arthritis Treatment

    This is the most common joint condition people suffer from. It is a systemic, chronic inflammatory disorder which affects organs and tissues, thus leading to pain and ailing. It is a disease that can start with morning stiffness and fatigue extending to muscle ache, weakness and loss of appetite. Those suffering from this condition might use pharmaceutical drugs to relieve the pain, but it is not always a good option. Ayurvedic treatment for arthritis is probably the most effective herbal way of dealing with the pain.

    This herbal treatment revolves around internal medicines and external therapies which help in dealing with and eliminating the pain of arthritis. It uses traditional Ayurvedic treatment methods together with classical Ayurvedic medicines to help with pain relief. The treatments are made up of:

    Choorna Kizhi:

    This is considered to be the most effective of all Ayurvedic treatments when it comes to rheumatoid arthritis, arthritis and osteoarthritis. The treatment uses a mixture of natural herbs which are applied to the body to an extent that the individual sweats profusely. The treatment requires that the patient is kept in different positions including left lateral, right lateral, supine and sitting positions.

    Abhyangam:

    This treatment uses special massage oil. The oil is applied using a variety of strokes lasting for up to 45 minutes every day for at least two weeks. The treatment is most suitable for osteoarthritis, obesity and body aches among others. The treatment nourishes the body, revitalizes the nervous system, helps overcome stress and fatigue, promotes good sleep, improves physical appearance, and builds self confidence.

    Njavarakizhi:

    This is another Ayurvedic treatment where the patient suffering from joint pain is rubbed with medicated herbal oils. It is applied all over the body and in different postures, including lying and sitting. The treatment uses cooked Njavara rice and a medicinal decoction used by the therapist for at least 14 days for complete joint pain relief to be enjoyed. Regular use of the Ayurvedic pain treatment methods has a way of offering a permanent cure for arthritis. This is because complete well being is promoted during the treatment.

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    Source by Shalini Mittal

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  • 3 Attitudes You Need To Make Marital Conflict Resolution Work

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    One of the biggest contributors to divorce is fatigue and emotional exhaustion. Couples allow things to get so bad that by the time meaningful intervention is sought one or both are unwilling to do what is necessary. You might finally have a solution that works but no longer have the strength or will to act.

    It is very sad when you see a couple get to the point where they lose the will to keep trying. Your attitude will add energy to your relationship or add fuel to the many unresolved conflict causing issues. Trying to do the right thing with the wrong attitude will not bring back the love and passion in your marriage. The 3 attitudes that will help repair, protect and save your marriage are:

    An Attitude of Forgiveness

    As issues are identified they will be directly or indirectly attached to you or your spouse in most instances. If you start seeing yourself or your spouse as ‘The Problem’ this opens doors for resentment. In order to move forward you must have a heart of forgiveness.

    You must be mature enough mentally and emotionally to live out your vows of ‘for better or worse’. We must be able to wake up in the morning knowing that we will have an attitude of forgiveness towards any issue that may arise. Making a proactive decision to forgive prepares you mentally and emotionally to honestly deal with marital issues.

    An Attitude of Friendship

    One of the worst things about constant fights and conflict in marriage is feeling like you lost your best friend. You feel unable to freely express your love and affection. The home becomes a hostile environment that you want to avoid instead of a place of solace, love and passion.

    In marriage you will not always like each other. One of the marriage killers is when a couple stops being friends. Making a proactive decision to remain friends reminds your mind to keep doing nice things for the person you fell in love with, while you are working through an issue. You instinctively want to do nice things for a friend so do not get in the habit of seeing your spouse as the enemy.

    An Attitude of Fidelity

    Divorce happens when one person decides the best option is to leave the marriage. They feel like it is no longer worth it to remain in the relationship. Identification, isolation and improvement have to do with your approach to conflict resolution. Forgiveness, friendship and fidelity have to do with love.

    Marriages are built on love and managed by healthy approaches to everyday living and dealing with issues. It is difficult for a marriage to flourish in love when you have a list of things that will make you seek divorce. Making a proactive decision of fidelity reminds you of your commitment to work through every issue.

    It is impossible for any issue to get the upper hand in your marriage when the attitudes of forgiveness, friendship and fidelity are the foundation of your relationship. Change your attitude and change the course of your marriage.

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    Source by Kerwyn Joseph

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