scholarly journals Anatomical study of dorsalis pedis artery

2020 ◽  
Vol 10 (1) ◽  
pp. 24-26
Author(s):  
Ajeevan Gautam ◽  
Chandan Sintakala
Keyword(s):  
Anatomical Variation ◽  
Anatomical Study ◽  
Cross Sectional Study ◽  
Lower Limbs ◽  
Cross Sectional ◽  
Medical College ◽  
Dorsalis Pedis Artery ◽  
Distal Branch ◽  
Arcuate Artery ◽  
Important Branch

Background: The dorsalis pedis artery is the dorsal artery of the foot. The knowledge of any variation in the course and distribution of the artery is clinically important and it is used to record peripheral pulsation. The aim of this study was to study origin, course, relation and branches of the artery. The length and diameter of surgically important branch were recorded. Methods: An observational cross-sectional study was conducted at dissection hall of anatomy department at Chitwan medical college. Thirty lower limbs from fifteen cadavers were dissected for the study. Photographs were taken at different site of dissection and on finding anomalies. Newborn specimens and Conical enlargements if present were excluded. Results: The diameter of the artery ranged from 3.0 to 4.6mm and its length ranged between 5.6cm to 8.4cm.The length of deep plantar artery was between 5.6cm to 8.4cm. Double lateral tarsal artery was found in (24)80% of the studied specimen and (6)20% were with single lateral tarsal artery. In 90% of the specimen medial tarsal artery originated as proximal and distal branch form medial aspect of dorsalis pedis. The arcuate artery emerged directly from dorsalis pedis artery in (100%) all studied specimen. The 2nd ,3rd and 4th metatarsal artery were placed on their corresponding intermetatarsal space. Conclusions: Awareness of anatomical variation of vasculature of foot is important for the vascular surgeons, angiographers and reconstruction surgeons. Dorsalis pedis artery is excellent for the revascularization since it is the largest artery below the ankle joint.

scholarly journals Pattern and cost of physical injury treatment in a rural community

2020 ◽  
Vol 32 (3) ◽  
pp. 594-597
Author(s):  
Ankeeta Menona Jacob
Keyword(s):  
Rural Areas ◽  
Injury Rate ◽  
Cross Sectional Study ◽  
Lower Limbs ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Physical Injuries ◽  
Icd 10 ◽  
Chi Square Test

The global burden of injuries in 2017 showed that 57.2 million people were affected. The study aimed to assess the patterns of injuries and costs related to the treatment of injuries. Injury in rural areas tends to be under-reported, which hinders estimation of the true prevalence of physical injuries for implementing injury prevention strategies at the community level. A community-based, cross-sectional study was conducted in the field practice area of a private medical college from May to August 2019. Physical injuries sustained by 1723 individuals over three months were collected and were classified based on ICD-10. Descriptive data were expressed using frequencies and percentages and median (Interquartile Range). Independent T-test, Mann Whitney U test, Chi-square test was used to determine statistical differences between the variables. The total number of injuries recorded was 105(6.9%) among 1723 individuals. The most common injuries were superficial injuries in 77 (70.0%), of which 98(89.1%), of which the upper 55(50.0%) limb was more affected than lower limbs 43(39.1%). The overall 3-month injury rate was 60.94(49.6-72.23) per 1000 persons. The median amount of money spent on the treatment of injuries was INR 225.0(50.0-1000.0).

scholarly journals Morphometric Study of Dorsalis Pedis Artery and Variation in its Branching Pattern: A Cadaveric Study

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Chandni Gupta ◽  
Rakesh Kumar ◽  
Vikram Palimar ◽  
Sneha Guruprasad Kalthur
Keyword(s):  
Average Length ◽  
Lateral Malleolus ◽  
Lower Limbs ◽  
Morphometric Study ◽  
Medial Malleolus ◽  
Branching Pattern ◽  
Peripheral Vascular ◽  
Medical College ◽  
Dorsalis Pedis Artery ◽  
Arcuate Artery

Introduction: Dorsalis pedis artery (DPA) is the chief artery that supplies the dorsum of the foot. Palpation of DPA at the dorsum of the foot is important in case of atherosclerotic disease. A sound knowledge of DPA like its branching pattern is essential for the ankle surgeries as well as its presence or absence in case of peripheral vascular disease. Material and methods: 30 Lower limbs of unknown age and sex were dissected in the department of Anatomy, Kasturba Medical College, Manipal. The skin and fascia were removed.The measurement of Dorsalis pedis artery till its termination, Length from medial malleolus, Length from lateral malleolus and branching pattern of Dorsalis pedis artery was studied. Results: In this study, the average length of dorsalis pedis artery was found 7.8cm, average length from medial malleolus was 3.9cm and average length from lateral malleolus was 4.5cm.The normal branching pattern of medial tarsal artery was noticed in 53% and lateral tarsal artery in 63% cases. The arcuate artery was absent in 3% of cases. Conclusion: The knowledge of the variation of DPA is helpful during various foot surgeries. Knowledge of the variation will be useful in deciding whether the absence of the pulse in DPA is due to thrombosis of the vessel or its abnormal course or absence. DPA does not always lie at mid -malleolar point.

scholarly journals Determining the angle of femoral torsion and association with shaft length and mid circumference

2020 ◽  
Vol 11 (3) ◽  
pp. 58-61
Author(s):  
Subodh Kumar Yadav ◽  
Sanjenbam Arun Chandra Singh ◽  
Renu Yadav
Keyword(s):  
Anatomical Variation ◽  
Cross Sectional Study ◽  
Anatomical Landmarks ◽  
Shaft Length ◽  
Cross Sectional ◽  
Femoral Torsion ◽  
Medical College ◽  
Measuring Tape ◽  
The Mean ◽  
One Year

Background: Angle of femoral torsion has an anatomical variation based on sex, geography, ethnicity and occupation and concludes various impact factor on determining the angulation as well as the length of the bone. Aims and Objective: Thus, present study is aimed to determine the angle of femoral torsion in Nepalese population. Materials and Methods: This is a cross-sectional study carried out at the Department of Anatomy, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal. Of the total 60, unpaired and unknown gender, dry femora were collected during one year period and separated as right sided (n=30) and left sided (n=30) according to the standard anatomical landmarks. Measurement of angle was done by Kingsley Olmsted method and the length, mid-circumference by measuring tape. Results: The angle of torsion in dry femora (n=60) for right (16.73± 3.095) and left (16.67± 2.963) side were recorded. The mean shaft length, mid circumference for right sided femora were recorded as 39.367±0.9185 and 7.933 ± 0.6661cm respectively. The mean shaft length and mid circumference were 38.917± 0.8914 and 7.933 ± 0.5833cm respectively for left sided femora. Differences (ATF, p=0.932, LF, P=0.059, MCF, P=1) of variables between right and left femora were analyzed and correlation of angle of femoral torsion with shaft length and midshaft circumference (ATF vs MCF, p= 0.571 and LF, p=0.153) was done. Conclusion: Documenting the femoral angle of torsion with shaft length, midshaft circumference in normal dry femora of cadaver is of great importance for Orthopedic surgeons since it provides a knowledge for planning the hip surgeries.

Side Effects of Chemotherapy and Cancer Treatment in Tertiary Care Teaching Hospital

2016 ◽  
Vol 2 (1) ◽  
pp. 62-78
Author(s):  
. Hemraj ◽  
Raj Kumar ◽  
Sourabh Kosey ◽  
Amit Sharma ◽  
Nalini Negi
Keyword(s):  
Side Effects ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Informational Needs ◽  
Cross Sectional ◽  
Clinical Pharmacists ◽  
Medical College ◽  
Related Information ◽  
The Common ◽  
Chemotherapy Patients

To determine the most common physical side effects experienced by local chemotherapy patients. Their perceptions of these side effects and informational needs from clinical pharmacists were also evaluated. This was a single center, observational cross-sectional study conducted at department of General Surgery, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab. A face to face interview was conducted. Information collected included chemotherapy related side effects after last chemotherapy experience, the most worrisome side effects, overlooked by healthcare professionals and the preferred method, amount and source of receiving related information. In this study, hundred patients were enrolled out of them 48 were male and 52 were female. When differential calculations was done, common side effects or adverse effects of chemotherapy in the patients of breast, lung cancer, Ovarian Cancer, Colon cancer, Prostate cancer, Lymphoma Cancer, Cervix cancer where there is much irregular medicine intake 57.4% may be due to common problem of joint pain reported by all the patients under study, with the consecutive problem of nausea and vomiting. The high prevalence of chemotherapy related side effects among local patients is a major concern and findings of their perceptions and informational needs may serve as a valuable guide for clinical pharmacists and physicians to help in side effect management. This study shows the common problems reported by the patients when they are suffering from cancer condition, according to their incidence perceptions as experienced by the patient, this will allow the physician and clinical pharmacist to effectively counsel and manage the common symptoms as reported prior to its occurrence in the patient, so that withdrawal can be checked.

Rapid detection of Rotavirus antigen in stool sample of acute diarrheic children

2012 ◽  
Vol 6 (1) ◽  
pp. 11-13
Author(s):  
Sushmita Roy ◽  
S.M. Shamsuzzaman ◽  
K.Z. Mamun
Keyword(s):  
Stool Sample ◽  
Rapid Detection ◽  
Cross Sectional Study ◽  
Rapid Diagnosis ◽  
Age Group ◽  
College Hospital ◽  
Cross Sectional ◽  
Rotavirus Infection ◽  
Medical College ◽  
Stool Samples

Rotavirus is one of the leading causes of pediatric diarrhea globally. Accurate and rapid diagnosis of Rotavirus diarrhea should reduce unnecessary use of antibiotics and ultimately reduce drug resistance. Study was designed for rapid diagnosis of Rotavirus antigen in stool sample by ICT (Immunochromatographic test) as well as to observe the seasonal variation of rotavirus infection. This cross sectional study was carried out in the department of Microbiology, Dhaka Medical College from January 2011 to December 2011. Eighty stool samples were collected from Dhaka Shishu Hospital and Dhaka Medical College Hospital. All samples were tested for rotavirus antigen by ICT. Among 80 patients, 42 (52.5%) samples were positive for rotavirus antigen. Among these 42 positive samples, 30 (71.43%) were from 0-12 months of age group, 10 (23.81%) from 13 to 24 months of age group and rest 2 (4.76%) from 25 to 36 months of age group. Rotavirus Ag was detected in stool samples from January to April and another peak episode from October to December. Considering the importance of Rotavirus associated diarrhea, rapid detection of Rotavirus infection in human is substantially needed and should be routinely practiced.DOI: http://dx.doi.org/10.3329/bjmm.v6i1.19354 Bangladesh J Med Microbiol 2012; 06(01): 11-13

Suicidal Death Autopsy Analysis at Dhaka Medical College

1970 ◽  
Vol 40 (1) ◽  
pp. 18-21 ◽  
Author(s):  
MN Hossain ◽  
Z Rahman ◽  
S Akhter
Keyword(s):  
Forensic Medicine ◽  
Causes Of Death ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Autopsy Report ◽  
Common Causes ◽  
Suicidal Death

A cross sectional study was carried out at the department of Forensic Medicine in Dhaka Medical College during the period of January 2008 to December 2009. Data were collected from 3rd copy of the post mortem reports which were preserved in the department of Forensic Medicine with the verbal consent of the doctors who performed autopsy report. During this period total 5114 autopsies were conducted. Out of this 970 cases (19%) were suicidal in nature. It was noticed that all suicidal deaths occurred from 10 years to all age group respectively, but top amongst age group of suicidal deaths occurred in between 21 to 30 years of people. Suicidal deaths are more common in female than male. Suicidal deaths due to hanging is highest, next common causes of death due to organophosphorus compund poisoning. Suicidal deaths by hanging is more in female than male but in poisoning cases male are more lvictimised than female. Objectives of our study are to see the occurrence and methods of suicidal death. DOI: http://dx.doi.org/10.3329/bmj.v40i1.9957 BMJ 2011; 40(1): 18-21

Comparison of Heffner Criteria and Light Criteria in Differentiating Exudative and Transudative Pleural Effusion

2020 ◽  
Vol 22 (3) ◽  
pp. 141-145
Author(s):  
Krishna Chandra Devkota ◽  
S Hamal ◽  
PP Panta
Keyword(s):  
Pleural Effusion ◽  
Cross Sectional Study ◽  
Pleural Space ◽  
Sectional Study ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Medical College ◽  
The Common ◽  
The Mean ◽  
Exudative Pleural Effusion

Pleural effusion is present when there is >15ml of fluid is accumulated in the pleural space. It can be divided into two types; exudative and transudative pleural effusion. Tuberculosis and parapneumonic effusion are the common cause of exudative pleural effusion whereas heart failure accounts for most of the cases of transudative pleural effusion. This study was a hospital based cross sectional study performed at Nepal Medical College during the period of January 2016-December 2016. A total of 50 patients who fulfilled the inclusion criteria were enrolled. Pleural effusion was confirmed by clinical examination and radiology. After confirmation of pleural effusion, pleural fluid was aspirated and was analysed for protein, LDH, cholesterol. The Heffner criteria was compared with Light criteria to classify exudative or transudative pleural effusion. Among 50 patients, 30 were male and 20 were female. The mean age of patient was 45.4±21.85 years. The sensitivity and specificity of using Light criteria to detect the two type of pleural effusion was 100% and 90.9%, whereas using Heffner criteria was 94.87%, 100% respectively(P<0.01). There are variety of causes for development of pleural effusion and no one criteria is definite to differentiate between exudative or transudative effusion. In this study Light criteria was more sensitive whereas Heffner criteria was more specific to classify exudative pleural effusion. Hence a combination of criteria might be useful in case where there is difficulty to identify the cause of pleural effusion.

Perceptions of Final Year Medical Students about Family Medicine as A Career Choice in Pakistan

2020 ◽  
Author(s):  
Dur-e- Nishat
Keyword(s):  
Medical Students ◽  
Family Medicine ◽  
Medical Profession ◽  
Healthcare Services ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Chi Square Test

Background: Family medicine is a field in which complete and detailed set of healthcare services are provided to the patients and their families. In developed countries, freshly graduated students choose family medicine as a priority for their career. However, in Pakistan it is not the case. The present study is undertaken to determine the perceptions of final year medical students’ about Family Medicine as a viable career. Methods: A total number of 504 students participated in the study. This was a cross-sectional study. The study participants were in their final year of medical college. Data was collected using a preapproved questionnaire. Data was entered and analyzed via SPSS version 17 and Chi-Square test was used post-stratification. Results: Only 14.3% (n=72) medical students had heard about Family Medicine. Only 18% (n=92) would select family medicine as a profession. The most frequent rationale for choosing the field of Family Medicine was the variety of patients seen in general practice (55.4% n=51). Conclusion: There is a dire need to focus on increasing awareness about the field of family medicine among medical students. The students should be counseled on the advantages along with the disadvantages of choosing this field as a medical profession.

To Study the Clinical Profile and Management of Cellulitis of Lower Limb in Northern India

2021 ◽  
pp. 153473462098667
Author(s):  
Tripta S. Bhagat ◽  
Luv Kumar ◽  
Prakhar Garg ◽  
Apoorv Goel ◽  
Amit Aggarwal ◽  
...  
Keyword(s):  
Bacterial Infection ◽  
Lower Limb ◽  
Surgical Intervention ◽  
Significant Risk ◽  
Cross Sectional Study ◽  
Common Complication ◽  
Cross Sectional ◽  
Medical College ◽  
Northern India ◽  
Working Age

Cellulitis is a bacterial infection of the dermis and subcutaneous tissues occupying a large proportion of hospital beds. This study was conducted for analysis of patients with cellulitis according to their demographics and clinical presentation and to examine their comorbidities, complications, and its management. This observational cross-sectional study was conducted in the Department of Surgery at Santosh Medical College and Hospitals involving a total of 60 cases having cellulitis and other soft tissue infections of lower limb. Analysis of their demographic profile, management, and complications was done. Cellulitis is seen commonly in males, 46 (76.6%). The mean age of patients affected by cellulitis in the study was 36.4 ± 1.23 years. The most common site affected is leg involving more people in field jobs. The most common risk factor was trauma in 46.6%, and other factors were diabetes mellitus and smoking, while abscess formation was the most common complication observed in 36.6% of cases. A total of 56.6% cases were managed conservatively, while 43.3% cases required surgical intervention. Mean hospital stay in this study was 5.02 ± 0.23 days. It was concluded that cellulitis is subcutaneous, spreading bacterial infection is more common in males, and its incidence is highest in working age group population. Lower limb is commonly involved. Trauma, smoking, and diabetes are significant risk factors for development of cellulitis. Abscess is the most common complication. About 50% patients with cellulitis can be managed conservatively and the rest require surgical intervention.

scholarly journals Prevalence of Urinary Incontinence in Women

2020 ◽  
Vol 33 (1) ◽  
pp. 59-62
Author(s):  
Lubna Yasmin ◽  
Ferdousi Begum
Keyword(s):  
Urinary Incontinence ◽  
Stress Incontinence ◽  
Urge Incontinence ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Mixed Incontinence ◽  
Medical College

Objective: The objectives of the study were to find out the prevalence of urinary incontinencein women. Materials and Methods: A cross sectional study was conducted on five hundred one (501)women older than 18 years of age who were admitted in department of obstetrics andgynaecology of Shaheed Suhrawardi Medical College and Hospital from April to December2009, answered a questionnaire about urinary incontinence. They were grouped accordingto presence or absence of urinary incontinence (incontinent and continent) and type ofincontinence present (urge, stress and mixed). Results: Urinary incontinence was found in 104(20.8%) women, out of which 25 (24%)suffered from stress incontinence only, 21 (20.2%) suffered from urge incontinence and58(55.8%) suffered mixed incontinence. Conclusions: One in five women older than 18 years of age suffer from one or other formof urinary Incontinence. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(1) : 59-62

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