Frontal plane tibio-femoral alignment and its association with knee pain among patients with early osteoarthritis of the knee in a population presenting to a tertiary hospital in South India

Background: Frontal plane knee malalignment may increase the progression of knee osteoarthritis (OA) and worsen functional capacity.Methods: In our study, the aim was to find the correlation of frontal plane tibiofemoral alignment with knee pain in early OA knee patients. After meeting the inclusion and exclusion criteria, 195 patients with 314 knees (104 females, 91 males) were studied. Clinical and radiological measurements of frontal plane tibiofemoral alignment, using landmark of hip, knee, and ankle, compared with knee pain.Results: The accepted Statistical significance was p<0.05. Patients with 130 knees (41%) were normal alignment, and 184 knees (59%) were abnormal alignment. The mean±SD age in our study was 54.6±8.9 years. The mean±SD BMI in our study to be 25.86±1.96. Mean±SD Q-angle in patients with normal and abnormal alignment was 14.76±1.54 and 14.63±1.9 respectively. There is statistically no significant correlation between BMI and VAS score (r=0.054, p=0.344). Means±SD of mLDFA, mMPTA, mTFA, aTFA, and JOA were 88.86±2.73, 84.96±3.00, 5.96±4.01, 4.55±3.67, and 2.37±1.88 respectively. JOA and mTFA had statistically significant weak positive correlation with VAS (knee pain) score, (r=0.281) (p=0.000) and (r=0.236) (p=0.000) respectively. The rest of the angles were not had statistically significant correlation with VAS score. The mTFA had statistically significant weak positive correlation with all the angles. We found that Frontal plane tibiofemoral alignment correlates with knee pain in patients with early OA. Conclusions: The mTFA may be considered one important criterion in designing treatment and planning surgery for patients with primary osteoarthritis. The Q angle acts as a good alternative clinical tool in assessing frontal plane alignment. BMI was not correlating with knee pain (VAS score).

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Evaluation of volume change in oral cavity proper before and after mandibular advancement:

The Angle Orthodontist ◽

10.2319/052420-474.1 ◽

2020 ◽

Vol 91 (1) ◽

pp. 81-87

Author(s):

Balaji Rajkumar ◽

Ratna Parameswaran ◽

Anantanarayanan Parameswaran ◽

Devaki Vijayalakshmi

Keyword(s):

Oral Cavity ◽

Statistical Significance ◽

Mean Difference ◽

Mandibular Advancement ◽

Strong Positive Correlation ◽

Positive Correlation ◽

High Statistical Significance ◽

Proper Volume ◽

The Mean ◽

Tongue Volume

ABSTRACT Objectives To evaluate the tongue and oral cavity proper volume in pre- and post-bilateral sagittal split osteotomy (BSSO) patients, and to establish whether there was a correlation between them. Materials and Methods A retrospective study that evaluated 12 patients' pre- and post-surgical computed tomography records satisfying the inclusion criteria. Borders were defined for measurement of tongue and oral cavity proper volume. The volume assessment was carried out using 3D slice software. Results The mean difference of tongue volume was 5.7 ± 1.7 cm3, which showed high statistical significance. The mean difference of oral cavity proper volume (OCVP) was 6.9 ± 3.4 cm3 and indicated high statistical significance. A very strong positive correlation existed between pre- and post-surgical tongue volume. Positive correlation was also evident between pre and post - surgical OCVP. Medium positive correlation was noted when the difference between pre- and post-surgical tongue and OCVP were assessed. Conclusions There was a significant change in volume of tongue and oral cavity proper after BSSO advancement surgery. The space around the tongue, position of tongue, and maxillary and mandibular relationship influence the volume of tongue and oral cavity proper.

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Is there a role for music in reducing anxiety in plastic surgery minor operations?

Annals of The Royal College of Surgeons of England ◽

10.1308/003588412x13171221501861 ◽

2012 ◽

Vol 94 (3) ◽

pp. 152-154 ◽

Cited By ~ 11

Author(s):

H Sadideen ◽

A Parikh ◽

T Dobbs ◽

A Pay ◽

PS Critchley

Keyword(s):

Local Anaesthetic ◽

Clinical Care ◽

Statistical Significance ◽

Patient Anxiety ◽

Vas Score ◽

The Mean ◽

Anxiety Levels ◽

Group 2 ◽

Surgical Setting ◽

Group 1

Introduction It is well documented that music plays a role in reducing anxiety levels. Its role in reducing intra-operative anxiety levels in surgical patients while awake is less well known. We report the effects of music on intra-operative patient anxiety in both the elective and trauma plastic surgical setting. Methods Two groups of patients undergoing local anaesthetic surgical procedures were identified: those where music was played in the operating theatre (Group 1) and those where it was not (Group 2). Ninety-six patients were included. Subjectively anxiety was evaluated by the patient with a visual analogue scale (VAS) and objectively by the respiratory rate (RR), both pre and post-operatively. The unpaired t-test was used to evaluate the statistical significance of differences between the groups. Results The mean pre-operative VAS score was similar in both groups (5.7 in Group 1 and 5.8 in Group 2). The mean preoperative RR was 15 breaths per minute in both groups. Post-operatively, the VAS score and RR were both lower in Group 1 (VAS: 3.5 vs 4.9; p<0.01 and RR: 11 vs 13 breaths per minute; p<0.05). Conclusions In the era of the patient centred approach to clinical care, it is crucial to minimise patient anxiety. Music appears to reduce intra-operative anxiety in awake patients in both the elective and trauma plastic surgical setting. Easy listening music and chart classics appear to be suitable genres according to patients. We believe there is a role for a large, multicentre, randomised control study to examine the benefits of music in all local anaesthetic procedures across different specialties.

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Assessment of Knowledge, Attitude and Practice (KAP) in Tuberculosis patients

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v12i3.4854 ◽

2021 ◽

Vol 12 (3) ◽

pp. 2280-2285

Author(s):

Akash S Wallepure ◽

Salin Sebastian ◽

Sradha S Thomas ◽

Nishant Khatiwada ◽

Divya Mol E C ◽

...

Keyword(s):

Positive Correlation ◽

Adequate Knowledge ◽

Attitude And Practice ◽

Weak Positive Correlation ◽

Awareness Programs ◽

Study Population ◽

The Mean ◽

Knowledge And Attitude ◽

Airborne Disease ◽

Knowledge Attitude And Practice

Tuberculosis (TB) is a highly contagious airborne disease caused by Mycobacterium tuberculosis that primarily affects the lungs. TB is a significant and major public health emergency globally. According to the WHO Global Tuberculosis Report 2020, 10 million people developed TB disease in the year 2019. The main objective of the study was to assess the level of knowledge, attitude and practice in TB patients. The study also reveals the association between KAP and the demographics of the subjects. An observational study was employed to collect data from a total of 71 subjects. Both quantitative and qualitative statistical analysis were adopted. From the findings, the mean age of the study population was 45.5 ± 13.96 years. Over 15.50% of subjects appeared to have adequate knowledge, 87.33% of subjects had a fair attitude, and around 58% of subjects were reported to have good practices towards TB. A weak positive correlation between knowledge and attitude (p = 0.051), weak positive correlation between knowledge and practice (p = 0.138) whereas, a significant and moderately positive correlation between attitude and practice (p = 0.002) was observed. The mean knowledge scores of graduates and post-graduates were higher in comparison with other study subjects. The study findings showed that the majority of subjects had several misconceptions about TB and hence prioritized interventions and more awareness programs at the root levels are needed to aid TB control and eradication.

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EPIDEMIOLOGICAL CHARACTERISTICS OF LEPTOSPIROSIS IN VOJVODINA, SERBIA, 2009-2018, FROM THE ASPECT OF ONE HEALTH

Archives of Veterinary Medicine ◽

10.46784/eavm.v14i1.267 ◽

2021 ◽

Vol 14 (1) ◽

pp. 69-84

Author(s):

Tatjana Pustahija ◽

Vladimir Vuković ◽

Mioljub Ristić ◽

Snežana Medić ◽

Tanja Tomašević ◽

...

Keyword(s):

One Health ◽

Domestic Animals ◽

Positive Correlation ◽

Human Leptospirosis ◽

Weak Positive Correlation ◽

Topographic Characteristics ◽

The Mean ◽

Autonomous Province ◽

Epidemiological Characteristics ◽

Strength Of Association

This study attempts to summarize epidemiological characteristics of human leptospirosis and to determine the seroprevalence of this disease among domestic animals in the Autonomous Province of Vojvodina, for the period 2009-2018. Chronological, demographic and topographic characteristics of human cases were analyzed. Pearson's correlation was used to explore correlations between different meteorological factors and trends in time-series of human cases. Overall 87 human cases of leptospirosis and five subsequent deaths (CFR: 5.75%) were recorded in the ten-year period. The average annual incidence rate was 0.45/100,000 (range: 0.16-1.50/100,000). The disease was more prevalent in males (M/F=16.40:1), with the majority of cases reported in August (N=23; 26.44%), September (N=20; 23.00%) and October (N=15; 17,24%). A statistically significant weak positive correlation was observed between the mean monthly air temperature and the number of human cases of leptospirosis of the same month (r=0.30, p<0.01) and a statistically significant weak positive correlation was found between the number of human cases and the sum of precipitation in the previous month (r=0.27, p<0.01). The average annual seroprevalence among domestic animals in total was 1.13% (range: 0.23% -3.65%). Seropositivity of tested samples of cats, dogs, cattle, donkeys, horses, sheep, pigs and goats was 25%, 9.50%, 8.55%, 6.25%, 1.59%, 0.25%, 0.18%, 0.00, respectively. Human and animal leptospirosis continuously occurs in Vojvodina, which implies the need for continuous and quality monitoring of the epidemiological and epizootiological situation of this disease. Further, more comprehensive parallel studies in humans and animals are needed, as well as additional studies of living conditions of animals on farms with leptospirosis and the studies that will determine the strength of association between climatic/ environmental factors and leptospirosis in Vojvodina. Key words: Human leptospirosis, animal leptospirosis, zoonosis, epidemiology, seroprevalence, one health.

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Unravelling feeding territoriality in the Little Blue Heron, Egretta caerulea, in Cananéia, Brazil

Brazilian Journal of Biology ◽

10.1590/s1519-69842010005000020 ◽

2010 ◽

Vol 70 (2) ◽

pp. 235-242 ◽

Cited By ~ 1

Author(s):

E Moralez-Silva ◽

FJL Silva ◽

ELA Monteiro-Filho

Keyword(s):

Energy Expenditure ◽

Habitat Use ◽

Lower Energy ◽

Prey Availability ◽

Territorial Behaviour ◽

Success Rates ◽

Positive Correlation ◽

Weak Positive Correlation ◽

The Mean

Habitat use by the Little Blue Heron (Egretta caerulea) and discovery of feeding territoriality are discussed here. The results showed the existence of a territorial individual defending an area (2,564.46 ± 943.56 m²) close to the mangrove, and non-territorial individuals (9.17 ± 2.54) in the rest of a demarcated area (mean area for the non-territorial: 893.25 ± 676.72). A weak positive correlation (r = 0.47, df = 46, p < 0.05) was found between the overlapping of territorial and non-territorial individuals (2.85 ± 3.07 m²) and the mean overlapped area for territorial individuals (171.41 ± 131.40 m²). Higher capture (1.52 ± 1.14 × 1.00 ± 1.37 catches/minutes) and success rates (0.45 ± 0.31 × 0.21 ± 0.27) and lower energy expenditure rates (45.21 ± 14.96 × 51.22 ± 14.37 steps/minutes; and 3.65 ± 2.55 × 4.94 ± 3.28 stabs/minutes) were observed for individuals foraging in areas close to the mangrove. The results suggest that the observed territorial behaviour is more related to a number of food parameters than to intruder pressure, and also that the observed territoriality might be related to defense of areas with higher prey availability.

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Daily distance travelled and foraging areas of Varanus gouldii (Reptilia : Varanidae) in a semi-urban environment

Wildlife Research ◽

10.1071/wr9920743 ◽

1992 ◽

Vol 19 (6) ◽

pp. 743 ◽

Cited By ~ 12

Author(s):

G Thompson

Keyword(s):

Urban Environment ◽

Western Australia ◽

Daily Temperature ◽

Maximum Daily Temperature ◽

Positive Correlation ◽

Foraging Area ◽

Weak Positive Correlation ◽

Daily Sunshine ◽

The Mean ◽

Daily Distance

The foraging areas of Varanus gouldii were monitored by the spool-and-line technique over 51 consecutive days during October and November 1990 in Karrakatta Cemetery, Perth, Western Australia. The daily distance travelled by lizards varied markedly. The mean distance travelled was 111 -6m for days that varanids moved from their burrows. There was a weak positive correlation between the daily distance travelled and the maximum daily temperature and hours of daily sunshine. Some varanids moved their foraging areas from open unshaded sections of the cemetery into a more heavily treed area in November. The size of the daily foraging area for small varanids (<600g) was extremely variable (estimated median 300m*2); areas were greater in November than October. Some varanids moved to different foraging areas every few days.

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Is Growth a Valid Outcome Measure of Dialysis Clearance in Children Undergoing Peritoneal Dialysis?

Peritoneal Dialysis International ◽

10.1177/089686080102103s30 ◽

2001 ◽

Vol 21 (3_suppl) ◽

pp. 179-184 ◽

Cited By ~ 46

Author(s):

Vimal Chadha ◽

Douglas L. Blowey ◽

Bradley A. Warady

Keyword(s):

Renal Function ◽

Peritoneal Dialysis ◽

Outcome Measure ◽

Tertiary Care ◽

Standard Deviation Score ◽

Residual Renal Function ◽

Positive Correlation ◽

Weak Positive Correlation ◽

Tertiary Care Medical Center ◽

The Mean

♦ Objective Our study evaluated growth as a clinical outcome measure of peritoneal dialysis (PD) adequacy in children with end-stage renal disease (ESRD). ♦ Design This retrospective single-center study was carried out in our tertiary-care medical center. ♦ Patients The study enrolled 24 patients who initiated dialysis after January 1, 1995, and who had been on dialysis for a minimum of 1 year. ♦ Results The weekly mean total [PD + residual renal function (RRF)] creatinine clearance (CCr) and Kt/Vurea were 70.3 ± 18 L per 1.73 m2 and 3.45 ± 0.73, respectively. Of the 24 patients, 12 (50%) were anuric. The mean height standard deviation score (SDS) changed to –1.78 at the end of 1 year from –1.58 at baseline. Catch-up growth (positive Δ height SDS) was observed in 9 patients (37%), 7 of whom (78%) had residual renal function (RRF). In contrast, only 5 of 15 patients (33%) with a negative ΔSDS for height had RRF ( p < 0.025). The mean height SDS in patients with RRF improved to –1.64 from –1.78; in patients without RRF, it worsened to –1.90 from –1.37 ( p = 0.01). While the weekly total Kt/Vurea in patients with RRF (3.53) was similar to that in patients without RRF (3.37, p = 0.6), only the native Kt/Vurea had a significant (but weak) positive correlation with Δheight SDS ( r 2 = 0.17, p = 0.04). In contrast, the total weekly CCr was significantly higher ( p = 0.001) in patients with RRF (81.1 L/1.73 m2) as compared with those without RRF (59.5 L/1.73 m2). However, only the native CCr—and not the dialysis CCr—had a significant (but weak) positive correlation with Δheight SDS ( r 2 = 0.17, p = 0.04). ♦ Conclusions These preliminary data provide evidence for a correlation between solute clearance and growth, with RRF exerting a significant influence on that outcome. The Kt/Vurea data also appear to contradict the presumed equivalence of PD and native clearance in children with ESRD.

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Clinical profile and outcomes of patients with acute pancreatitis and correlation with severity index from a tertiary care centre in South India-retrospective analysis

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20212105 ◽

2021 ◽

Vol 8 (6) ◽

pp. 814

Author(s):

Sultan Nawahir ◽

Babu Kumar S. ◽

Bala Kasi Naik ◽

Ealai Athmarao Parthasarathy

Keyword(s):

Acute Pancreatitis ◽

Negative Correlation ◽

Clinical Profile ◽

Systemic Hypertension ◽

Serum Lipase ◽

Positive Correlation ◽

Weak Positive Correlation ◽

Study Population ◽

Weak Negative Correlation ◽

The Mean

Background: Acute pancreatitis is an inflammatory condition of the pancreas having a varied clinical presentation. It is one of the commonest causes of abdominal pain requiring hospital admission. This retrospective study aims to describe the clinical profile and outcomes of patients with acute pancreatitis and its correlation with severity index.Methods: All patients admitted with a diagnosis of acute pancreatitis to medical gastroenterology department between January 2018 to December 2020 were included in this retrospective study.Results: A total of 61 subjects were included in the final analysis. The mean age was 41.64, the ranged between 19 to 88 years. Among the study population, 53 (86.89%) were male and 8 (13.11%) were female. Among the people 43 (70.49%) were alcoholics, 22 (36.07%) were smokers, 11(18.03%) had systemic hypertension and 5 (8.20%) participants had type 2 diabetic mellitus. The mean CTSI was 2.15±2.82, the mean Balthazar was 3.43±2.4 and the mean procalcitonin was 2.52±9.28. The mean Lipase was 7822. There was a weak positive correlation between CTSI and CRP (rs value: 0.147, p=0.260). There was a weak negative correlation between Balthazar and CRP (rs value:-0.067, p=0.606).Conclusions: Among the study population, 87% of the patients were males. 70% of the population were alcoholics. Mean serum lipase was 7822. There was a weak positive correlation between CTSI and CRP (rs value: 0.147, p=0.260). There was a weak negative correlation between Balthazar and CRP (rs value:-0.067, p=0.606).

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P.133 Minimally invasive MetrX microdiskectomy for lumbar disc herniation: review of long-term outcomes

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/cjn.2019.222 ◽

2019 ◽

Vol 46 (s1) ◽

pp. S47

Author(s):

MN Kindrachuk ◽

A Persad ◽

E Noyes ◽

AS Wu ◽

DR Fourney

Keyword(s):

Minimally Invasive ◽

Statistical Significance ◽

Cauda Equina ◽

Open Technique ◽

Long Term Outcomes ◽

Vas Score ◽

Long Term Follow Up ◽

The Mean

Background: Lumbar microdiskectomy is amongst the most common neurosurgical techniques. In Saskatoon, minimally invasive microdiskectomy using the MetrX tubular retractor system has become a routinely performed procedure. While the outcomes of microdiskectomy are known to be similar to open technique, long term outcomes have not been reported. Methods: We performed a retrospective study of 160 minimally invasive microdiskectomies. We excluded subjects with cauda equina syndrome, redo surgery, fusions, and multi-level decompressions. We used one-way ANOVA to compare VAS, ODI, SF36, and EQ5D scores at pre-operative, 6-week postoperative, and long-term timepoints. Results: The mean pre-operative back pain VAS score was 6.23+/−2.63, 6-week post-operative follow-up VAS was 3.21+/−2.49, and long-term follow-up VAS was 2.56+/−2.45. The mean preoperative leg pain VAS score was 7.66+/−1.99, 6-week follow-up VAS was 3.56+/−2.79, final follow-up VAS was 2.20+/−2.57. The mean preoperative ODI score was 60.41+/−13.97; falling to 32.54+/−20.57 at 6-week follow up, and further to 24.50+/−20.97 at long term follow up. The mean baseline EQ5D quality of life score was 46.4+/−18.1, 68.9+/−20.2 at 6-week follow up and 69.3+/−20.3 at final review. Data reached statistical significance. Conclusions: We report good outcomes for minimally invasive microdiskectomy that are as durable as published results using open technique.

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Effects of Hip Exercises on the pain Severity in Patients with Patellofemoral Pain Syndrome

Internal Medicine And Medical Investigation Journal ◽

10.24200/imminv.v2i4.179 ◽

2019 ◽

Vol 4 (1) ◽

Author(s):

Seyed Esmaeil Shafiei ◽

Hamed Jafarpour ◽

Zahra Madani ◽

Hanieh Adib ◽

Siavash Moradi ◽

...

Keyword(s):

Sports Medicine ◽

Statistical Tests ◽

Statistical Significance ◽

Frontal Plane ◽

Pain Syndrome ◽

Adductor Muscle ◽

Patellofemoral Pain Syndrome ◽

Patellofemoral Pain ◽

Pain Severity ◽

The Mean

Introduction: Patellofemoral pain syndrome is associated with a decrease in hip muscles strength, especially abductor and external rotator muscles. Hip abductors with femoral control have an effect on the frontal plane on the knee valgus, and the increased hip abduction capacity helps these patients. The aim of this study was to determine the effect of abductor and adductor exercises in addition to the knee exercises in knee joint pain in patients with Patellofemoral pain syndrome. Method: This is a clinical trial study conducted on patients suffering from patellar-femoral pain syndrome who visited the Sports Medicine department of the Imam Khomeini Hospital Clinic. The NRPS questionnaire was used to evaluate the patients’ pain severity SPSS version 16 was used for statistical analysis of the data. Results: The mean age of the patients in abductor group was 33.4±6.1 and in adductor group was 33.7±7.3, but this difference was not significant (P=0.1). The results of this study showed that in the abductor and adductor group, the results of all of the statistical tests on the change in the Scores of the questionnaires and tests after 6 weeks of training exercises were statistically significant (P<0.05). the comparison of the scores between the two groups showed only the difference between the mean scores of Step down between the two groups of adductor and abductor, which was statistical significance after exercises (P=0.03). Conclusion: Based on the presented study, 6 weeks of abductor and adductor muscle exercises, and specially abductor muscles, helps reduce pain and the improve joint function in patients suffering from patellofemoral pain syndrome.

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