scholarly journals Profile of Paediatric Traumatic Cataract and its Surgical Outcome

2015 ◽  
Vol 3 (4) ◽  
pp. 26-29
Author(s):  
Paras Panjiyar ◽  
Lila Raj Puri
Keyword(s):  
Prospective Study ◽  
Surgical Outcome ◽  
Ocular Trauma ◽  
Specific Pattern ◽  
Age Group ◽  
Traumatic Cataract ◽  
Common Cause ◽  
Wooden Stick ◽  
Ocular Injuries ◽  
A Prospective Study

INTRODUCTION: Ocular injuries are the most common cause of acquired monocular blindness in children. Ocular trauma in children is mainly accidental and has an age-specific pattern. MATERIAL AND METHODS: This was a prospective study conducted at Sagarmatha Choudhary Eye Hospital, Lahan, Nepal. All children upto 15 years of age, who were diagnosed and managed for traumatic cataract between October 2012 and March 2014 (18 months period), were included in the study. Altogether 189 cases were enrolled for the study. RESULTS: Out of total 189 cases, 138(73%) were male, 51(27%) were female. 85% of the children were in the age group of 5 to 15 years while only less than 15% of the children were from the age group of 0 to 5 years. The most common cause of injury was wooden stick(34.4%) while 14.5% of the cases did not know the mode of trauma. CONCLUSION: Taking measures for prevention of ocular trauma among children is strategically important to reduce the stubborn prevalence of blindness in children.

Profile of Occupational Ocular Injury in a Tertiary Health Care Centre of Western Odisha - A Prospective Study

2021 ◽  
Vol 8 (15) ◽  
pp. 972-976
Author(s):  
Jayashree Dora ◽  
Sasmita Sahu ◽  
Madhumita Naik ◽  
Deepak Jyot Mohanty ◽  
Rupasri Sethi
Keyword(s):  
Prospective Study ◽  
Ocular Trauma ◽  
Health Concern ◽  
Ocular Injury ◽  
Ophthalmological Examination ◽  
Protective Devices ◽  
Eye Trauma ◽  
Open Globe ◽  
Ocular Injuries ◽  
A Prospective Study

BACKGROUND Occupational ocular injuries are very common in industrial and agricultural workers. These are important and preventable causes of ocular morbidity. Objective of the study was to profile occupational ocular trauma clinicoepidemiologically. METHODS A prospective study was done by collecting data from a standardised questionnaire and complete ophthalmological examination of patients with occupational eye trauma attending VSSIMSAR, Burla, between January 2019 and October 2020. RESULTS Out of 128 cases of work related injuries, males were 85 %. 48 % of the cases were between 21 - 40 years. Out of all cases 66 % injuries were related to industrial work followed by 29 % in agricultural sector and farming. 3 % of cases were due to blast injury. Also there were 3 % cases of chemical conjunctivitis. Most injuries were closed globe (85 %), mostly involving zone 1 (91 %). Open globe injuries were 15 %, majority of them involved zone 2 (47 %). Ocular superficial foreign bodies were the most common clinical entity (60 %), majority of them being metallic in nature (37.5 %). In 4 % cases IOFBs were found. Cornea was the most common ocular structure to get injured (69 %). Out of all cases, 50 % had ocular trauma score (OTS) of 4, and 4 % cases had OTS 2. 48 % of patients presented within 6 hours of injury. 42 % patients were not aware of any eye protective gear at work and 30 % patients were aware but did not use any eye protection. CONCLUSIONS Eye trauma in workplace is an important public health concern in economically productive population. Significant proportion of these injuries is avoidable by using standardised eye protective devices. Attention need to be given for instruction, enforcement of protective eye wear use, and frequent prevention campaigns. KEYWORDS Ocular Trauma, Occupational Ocular Injuries, Eye Protective Devices, Western Odisha

scholarly journals Clinical and aetiological spectrum of spontaneous pneumothorax in adults in Sub-Himalayan: a prospective study at tertiary care institute

2018 ◽  
Vol 4 (2) ◽  
pp. 22
Author(s):  
Ajay Sharma ◽  
Ashok Sharma ◽  
Pramod Jaret ◽  
Malay Sarkar ◽  
Sanjeev Sharma
Keyword(s):  
Pulmonary Tuberculosis ◽  
Prospective Study ◽  
Spontaneous Pneumothorax ◽  
Tertiary Care ◽  
Primary Spontaneous Pneumothorax ◽  
Age Group ◽  
Outcome Indicators ◽  
Secondary Spontaneous Pneumothorax ◽  
A Prospective Study ◽  
Aetiological Spectrum

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">The spontaneous pneumothorax has been classified as major cause of morbidity and mortality among respiratory diseases. The objectives of the study were to determine the incidence and aetiology of spontaneous pneumothorax and to assess the clinical profile of affected patients admitted in our institute</span>.</p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">A hospital based prospective study was conducted in year 2011-12 in the Department of Medicine, IGMC Shimla (H.P.) India. During study period the total admissions were 7335 out of which 30 patients were diagnosed as spontaneous pneumothorax and treated as cases under study. The data was collected on proforma includes demographic profile, probable cause, clinical and outcome indicators of Spontaneous Pneumothorax, master chart framed and analysed into frequency percentage. </span><span lang="EN-IN"> </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Incidence of spontaneous pneumothorax was found to be 408.99/yr/100000 admissions in the department of medicine. Incidence of primary spontaneous pneumothorax was 81.79/yr/100000 admissions. Incidence of secondary spontaneous pneumothorax was 327.19/yr/100000 admissions. Majority of the patients of primary spontaneous pneumothorax were of the 20-29yrs age group. Higher proportions of cases were from male gender (93.33%). Secondary pneumothorax patients were mostly of 50 to 59 years age group. The predominant aetiology for secondary spontaneous pneumothorax was COPD (36.66%) followed by Pulmonary tuberculosis (33.33%)</span>.</p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Spontaneous pneumothorax was more common in men. The predominant aetiology for secondary spontaneous pneumothorax was COPD (36.66%) followed by pulmonary tuberculosis (33.33%). </span></p><p class="abstract"> </p>

scholarly journals A Prospective Study of Spectrum of Depressed Fractures of Skull and its Surgical Outcome

2015 ◽  
Vol 6 (4) ◽  
pp. 134-138
Author(s):  
Vishwanath Sidram ◽  
PC Chandra Kumar ◽  
Bellara Raghavendra
Keyword(s):  
Prospective Study ◽  
Neurological Deficit ◽  
Surgical Outcome ◽  
Skull Fracture ◽  
Clinical Profile ◽  
Care Hospital ◽  
Associated Injuries ◽  
Depressed Fracture ◽  
Case Series Study ◽  
A Prospective Study

ABSTRACT Background Depressed skull fracture is a very serious type of trauma occurring in 11% of severe head injuries, and there is a consistent association between the presence of cranial fracture and higher incidence of intracranial lesions, neurological deficit, and poor outcome. Depressed cranial fractures have to be treated aggressively because of their association with infection and late epilepsy. Objectives To study the clinical profile and surgical outcome of patients with depressed cranial fractures. Materials and methods A case series study of 44 patients with depressed fracture was conducted in a tertiary care hospital setting at the Department of Neurosurgery, Vijayanagara Institute of Medical Sciences, Bellary, Karnataka, during the period from June 2013 to January 2015. Among the selected patients, the clinical profile, radiological profile, and surgical interventions were undertaken and the outcomes were noted. Appropriate descriptive statistics were used to analyze the findings and to draw inferences. Results There were 30 males and 14 females. The mean age of the patients was 26.95 ± 14.87 years (6–65 years). The common cause of depressed fracture was road traffic accident (45%) and assault (40.9%); 63% of them had compound type and half of the fractures were located in the frontal region. Common associated injuries were extradural hematoma (50%) followed by dural tear (27.3%). Common complications were wound infection (9.1%) and cerebrospinal fluid leak (9.1%). Conclusion The management of depressed fractures should be individualized depending on factors like the degree of depression, communication with the exterior, neurological deficit and presence of associated injuries. How to cite this article Sidram V, Kumar PCC, Raghavendra B. A Prospective Study of Spectrum of Depressed Fractures

Direct referral hearing aid provision in the over sixties age group

1991 ◽  
Vol 105 (10) ◽  
pp. 825-827 ◽  
Author(s):  
Maurice R. Hawthorne ◽  
Desmond A. Nunez ◽  
Graham P. Clarke ◽  
Desmond Robertshaw
Keyword(s):  
General Practitioner ◽  
Confidence Interval ◽  
Prospective Study ◽  
General Practitioners ◽  
Hearing Aid ◽  
Referral Letter ◽  
Age Group ◽  
Common Criterion ◽  
A Prospective Study ◽  
Direct Referral

AbstractA prospective study was designed in which General Practitioners were issued with a standard referral letter for hearing aid provision. Unknown to the General Practitioner an independent otolaryngologist assessment was obtained at the time of first attendance. Three hundred consecutive patients selected by General Practitioners applying these guidelines were seen in a designated hearing aid clinic staffed by audiological technicians of senior grade or above. Referral pro formata were incomplete in 75 patients who were not assessed. Ninety-four patients (31 per cent) (95 per cent confidence interval 29–36 per cent) were accepted by the audiologist. Obstructing wax was the most common criterion failed. Clinical agreement between audiologist and otolaryngologist was 57 per cent greater than chance. None of the cases of clinical disagreement altered treatment. A direct referral system as proposed could have processed only 31 per cent of 300 referrals. However, experienced technical staff reliably detected otological pathology and with aural toilet facilities 91 per cent of 225 patients (confidence interval 88–94 per cent) were aided.

Incidence of Type I Diabetes in the Liguria Region, Italy: Results of a prospective study in a 0- to 14-year age-group

Diabetes Care ◽  
1994 ◽  
Vol 17 (10) ◽  
pp. 1193-1196 ◽  
Author(s):  
M. Mazzella ◽  
M. Cotellessa ◽  
S. Bonassi ◽  
R. Mulas ◽  
A. Caratozzolo ◽  
...  
Keyword(s):  
Prospective Study ◽  
Type I Diabetes ◽  
Type I ◽  
Age Group ◽  
A Prospective Study

Oropharyngeal trauma during routine ear, nose and throat procedures

1994 ◽  
Vol 108 (5) ◽  
pp. 403-405 ◽  
Author(s):  
A. A. P. Connolly ◽  
J. P. Davis ◽  
N. D. Stafford
Keyword(s):  
High Risk ◽  
Prospective Study ◽  
Sore Throat ◽  
Operative Morbidity ◽  
Laryngeal Masks ◽  
Common Cause ◽  
Discharge From Hospital ◽  
A Prospective Study ◽  
Palatal Surgery ◽  
Nose And Throat

AbstractA prospective study of 122 adults undergoing routine ear, nose and throat (ENT) operations over a three-month period was carried out to determine the cause of oropharyngeal trauma seen in some patients. Those having tonsillar or palatal surgery were excluded from the study. Forty-five (36.9 per cent) patients complained of a mild sore throat post-operatively and six (4.9 per cent) of a severe sore throat. Five of these (4 per cent) had evidence of injury to the uvula and soft palate which delayed their discharge from hospital. No single cause of trauma was identified but possible factors included the use of laryngeal masks (two cases), throat packs (two cases) and blind suctioning with a plastic Yankauer sucker (one case). There is a relatively high risk of oropharyngeal trauma during routine otolaryngological procedures and we recommend that care should be taken to prevent this common cause of significant post-operative morbidity.

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