Factors Associated With Osteoarthritis Of The Knee In Former Professional Male Footballers In Bangladesh

Background:: Osteoarthritis is one of the commonest disabilities that affect human life. Knee joint is most commonly affected by osteoarthritis. The professional footballers are exposed to heavy and prolonged physical activities that often exceed normal health capacities during both training and competition and are at risk of developing knee osteoarthritis of the knee (KOA). Objective: To evaluate the factors related to KOA in former professional male footballers in Bangladesh. Materials and Methods: This was a multicenter cross-sectional study. Purposively Selected footballers subsequently underwent knee radiographs at Bangabandhu Sheikh Mujib Medical University (BSMMU) and Kurmitola General Hospital (KGH). Patients were examined at Sports Medicine Clinic of KGH and Department of Physical Medicine and Rehabilitation of BSMMU from January 2019 to December 2019. Results: The mean age of ex footballers was 59.49±9.19 years. We found 46.55% prevalence of KOA among footballers. Among 174 footballers 37.63% had history of familial OA and 8.62% had gout. An average matches played by a footballer was 497 and average training in career was 3924 hours. We found knee injury, BMI, family history of OA, gout and total matches played were significant risk factors for KOA. Other did not proved significant. Conclusion: Knee injury was the prime factor here for causing KOA later. So we need to give more attention in preventing knee injuries beside other strategies to reduce risk of developing KOA, moreover early diagnosis of KOA, modification of activities of daily living and exercise is needed. KYAMC Journal Vol. 11, No.-3, October 2020, Page 141-144

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An Investigation of Knee Injury Profiles among Iranian Elite Karatekas: Observations from a Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18136888 ◽

2021 ◽

Vol 18 (13) ◽

pp. 6888

Author(s):

Hamidreza Naserpour ◽

Julien S. Baker ◽

Amir Letafatkar ◽

Giacomo Rossettini ◽

Frédéric Dutheil

Keyword(s):

Knee Injury ◽

Cruciate Ligament ◽

Knee Injuries ◽

Cross Sectional Study ◽

Lower Extremity Injury ◽

Sectional Study ◽

Positive Health ◽

Sports Activity ◽

Cross Sectional ◽

National Team

Karate training, despite the many positive health benefits, carries a risk of injury for participants. The current cross-sectional study aimed to investigate knee injury profiles among Iranian elite karatekas. Participants who attended the national team qualifiers, which included 390 male Kumite karatekas (age 24 ± 3 years old and weight 63 ± 12 kg), participated in this study. Information on knee injuries (injury history, type of injury mechanisms, and effects of knee symptoms on the ability to perform daily activities and recreational activities) were obtained using the Knee Outcome Survey (KOS). Using Pearson’s correlation coefficient, the study examined the relationships between different variables, including KOS subscales and levels of self-reported knee joint function. Our findings indicated that 287 karatekas (73.6%) experienced knee injuries. The anterior cruciate ligament (ACL) rupture (6.9%), articular cartilage (5.4%), and meniscus damage (3.8%) were the main typology of injury. In addition, there were no differences in knee injuries between the non-dominant and dominant legs. Most injuries occurred during the preparatory period (n = 162, 50%), especially during training periods. The KOS subscales scores (Mean ± Sd) for activities of daily living (ADL) and sports activity (SAS) were, respectively, 89 ± 11 and 91 ± 9. The self-reported scores for both the ADL and SAS subscales were, respectively, 89 ± 11 and 90 ± 10. Pearson coefficients of ADL and SAS subscales with their self-reported score were r = 0.761 (p < 0.0001) and r = 0.782 and (p < 0.0001), respectively. The profile of knee injuries in the current investigation is similar to previous surveys that reported lower extremity injury patterns. The findings of this study could be adopted to inform practice aimed at planning interventions for the reduction and prevention of knee injuries among karatekas.

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Oral Hygiene status among patients treated with fixed orthodontic appliance in the Department of Orthodontics in BSMMU

Bangladesh Journal of Orthodontics and Dentofacial Orthopedics ◽

10.3329/bjodfo.v7i1.43690 ◽

2019 ◽

pp. 16-19

Author(s):

Md Ali Kawsar ◽

Marina Akhtar ◽

Md Ahsan Habib ◽

Zafrina Islam ◽

Md Nurul Islam

Keyword(s):

Oral Hygiene ◽

Cross Sectional Study ◽

Mean Value ◽

Orthodontic Appliances ◽

Cross Sectional ◽

Dental Floss ◽

Fixed Orthodontic Appliances ◽

History Of ◽

Mouth Wash ◽

Medical University

Background: Oral hygiene maintenance is difficult for patients who are receiving fixed orthodontic treatment. Objective: The aim of the study was to find out deterioration of oral hygiene status during treatment of fixed orthodontic appliances in the Department of Orthodontics in BSMMU. Methodology: This cross sectional study was carried out in the Department of Orthodontics at Bang- abandhu Sheikh Mujib Medical University, Dhaka from July 2013 to July 2014. All the patients taking treatment with fixed orthodontic appliances for more than 6 months were included as study population. During treatment in the OPD all the information of the patients’ oral hygiene maintenance like brush- ing, dental floss use, use of mouthwash, and history of sugar consumption, taking sticky food were recorded. The Orthodontic Plaque Index (OPI) was calculated and recorded. In addition to that frequency of brushing, type of tooth brush, technique of brushing and inter dental brush were also considered. Result: A total number of 100 patients were studied. Mean OPI was 81.78 (22.97). Mean value of OPI was 86.35 (13.27) among patients who brushed their teeth once a day but it was decreased gradually as the patients increased frequency of toothbrush use per day and became 85.74 (±26.12) among the patients who brushed their teeth thrice a day. Mean value of OPI was 81.98 (±23.27) who did not use dental floss and 75.00 (±7.00) who used dental floss once a day. Mean value of OPI was 84.65 (±23.10) who used inter dental brush irregularly but 35.00 (±0.00) who used it thrice a day. Mean value of OPI was 85.70 (±22.43) who did not use mouth wash whereas it reduced to 46.00 (±0.00) among them who used mouth wash thrice a day. Conclusion: All the indexes of oral hygiene are increased in patients treated with fixed orthodontic appliances in the Department of Orthodontics in BSMMU. Ban J Orthod & Dentofac Orthop, April 2017; Vol-7 (1-2), P.16-19

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Etiological patterns of polyneuropathy in a tertiary level hospital of Bangladesh

Bangladesh Medical Journal ◽

10.3329/bmj.v43i1.21371 ◽

2014 ◽

Vol 43 (1) ◽

pp. 17-20

Author(s):

Makhan Lal Paul ◽

Monoj Sinha ◽

Ahsan Habib ◽

Lubna Khondker ◽

Md Mahabubur Rahman ◽

...

Keyword(s):

Chronic Inflammatory Demyelinating Polyneuropathy ◽

Common Factor ◽

Cross Sectional Study ◽

Muscle Cramp ◽

Controlled Study ◽

Unknown Etiology ◽

Cross Sectional ◽

Etiological Factors ◽

History Of ◽

Medical University

The causes of polyneuropathy are many and it is important to identify them, as some of them, especially the inflammatory types are treatable. To explore the different etiological factors of polyneuropathy, this cross sectional study was carried out in the department of Neurology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka. Data were collected by taking medical history and clinical examination and subsequent laboratory investigations. A total of 60 subjects were included in this study and mean age of the entire patient was 42.25 year. Out of all respondents, 83.3% had muscle weakness, similar number had problems with object handling, 66.3% had muscle cramp, 63.3% had impaired standing or gait, 55.0% had distal paraesthesia, 41.7% had burning feet, 8.3% had restless legs and 5.0% had stiffness. Out of all patients of polyneuropathy, 33.3% had diabetic neuropathy, 11.7% had Guillain-Barré syndrome, 10.0% had chronic inflammatory demyelinating polyneuropathy, similar number had unknown etiology, 6.7% had charcot-marry-tooth disease disease, 6.7% had renal failure, 5.0% had leprosy, Vitamin B 12 deficiency and chronic liver disease of each, 3.3% had history of isoniazide drug intake and similar had systemic lupus erythromatosus. We conclude that, polyneuropathy has wide variety of etiological factors. Among them, diabetes is the most common factor. Further large controlled study is needed to establish the etiological pattern in the context of Bangladesh. DOI: http://dx.doi.org/10.3329/bmj.v43i1.21371 Bangladesh Med J. 2014 January; 43 (1): 17-20

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Nutritional status and childhood wheezing in rural Bangladesh

Public Health Nutrition ◽

10.1017/s1368980013001262 ◽

2013 ◽

Vol 17 (7) ◽

pp. 1570-1577 ◽

Cited By ~ 5

Author(s):

Mohammad Delwer Hossain Hawlader ◽

Emiko Noguchi ◽

Shams El Arifeen ◽

Lars Åke Persson ◽

Sophie E Moore ◽

...

Keyword(s):

Nutritional Status ◽

Economic Status ◽

Significant Risk ◽

International Study ◽

Significant Risk Factor ◽

Cross Sectional Study ◽

Cross Sectional ◽

Rural Bangladesh ◽

History Of ◽

Serum Total Ige

AbstractObjectiveTo investigate the association between current childhood nutritional status and current wheezing among pre-school children in rural Bangladesh.DesignCross-sectional study.SettingMatlab region, rural Bangladesh.SubjectsChildren (n 912) aged 4·5 years. Anthropometric measurements of the mothers and their children were taken during a 1-year period from December 2007 to November 2008. Current wheezing was identified using the International Study of Asthma and Allergies in Childhood questionnaire. Serum total IgE was measured by human IgE quantitative ELISA. IgE specific antibody to dust mites (Dermatophagoides pteronyssinus) was measured by the CAP-FEIA system (Phadia AB, Uppsala, Sweden).ResultsWheezing at 4·5 years old was significantly associated with stunting (OR = 1·58; 95 % CI 1·13, 2·22) and underweight (OR = 1·39; 95 % CI 1·00, 1·94). The association with stunting remained significant after adjustment for sex, birth weight, birth length, gestational age at birth, mother's parity, maternal BMI, family history of asthma, socio-economic status, season of birth and intervention trial arm (OR = 1·74; 95 % CI 1·19, 2·56).ConclusionsStunting was a significant risk factor for wheezing among rural Bangladeshi children. Further studies will be required to confirm the relationship between nutritional status and allergic illnesses in developing countries.

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History of knee injury and MRI-assessed knee structures in middle- and older-aged adults: a cross-sectional study

Clinical Rheumatology ◽

10.1007/s10067-014-2758-0 ◽

2014 ◽

Vol 34 (8) ◽

pp. 1463-1472 ◽

Cited By ~ 3

Author(s):

Hussain Ijaz Khan ◽

Dawn Aitken ◽

Leigh Blizzard ◽

Changhai Ding ◽

Jean-Pierre Pelletier ◽

...

Keyword(s):

Knee Injury ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

History Of

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Incidence and Risk Factors of Post-Operative Delirium in Elderly Patients Who Underwent Spinal Anesthesia in Orotta, Halibet and Sembel Hospitals: A Cross Sectional Study in Eritrea

10.47363/jsar/2021(2)116 ◽

2021 ◽

pp. 1-8

Author(s):

Michael Beraki Mengistu ◽

◽

Yonatan Mehari Andemeske ◽

AriamTsegay Emhatsion ◽

HabtomTareke Wrieta ◽

...

Keyword(s):

Risk Factors ◽

Elderly Patients ◽

Spinal Anesthesia ◽

Significant Risk ◽

Multivariate Logistic Regression Analysis ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

History Of

Background: Delirium is a common but often underdiagnosed set of transient symptoms often seen in elderly patients following surgeries under spinal anesthesia. With early recognition and diagnosis based on the established standard criteria delirium can be improved. Early identification of the possible contributingfactors and the magnitude of the burden will help in the management of the fragile elderly patients. The aim of this study is to determine the incidence of postoperative delirium and associated risk factors in elderly patients who have done surgery under spinal anesthesia. Method: This cross sectional study was conducted in the National Referral Hospitals and Sembel PrivateHospital, in Asmara, Eritrea from February to May, 2019. The study participants were elderly patients (age ≥65 years) having no known history of dementia or delirium or no mental disorder, no history of acute cerebrovascular disease. Basic background and clinical characteristics of the patients was collected. To assess the status of cognitive impairment level, the Mini Mental State Examination and Confusion Assessment Method tools were used. Data was collected through an interview method. After the data was entered into SPSS version 22 software, data was analyzed with frequency, percentage, bivariate and multivariate logistic regression analysis method as appropriate. P value <0.05 was considered as statistically significant. Results: The mean age of the participants was 74 ±6.62 and 102 (79.1%) of the participants were males. POD occurred in 14 (10.9%) of the patients. Adjusting all the potential factors, age was identified as arisk factor for developing POD. Conclusion: Age was determined to be a significant risk factor of delirium. Elderly patients require more attention and care and the findings might help to develop preventive strategies to the occurrence of POD

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Prevalence and presentation of chronic venous disease in Pakistan: a multicentre study

Phlebology The Journal of Venous Disease ◽

10.1258/phleb.2012.011122 ◽

2013 ◽

Vol 28 (2) ◽

pp. 74-79 ◽

Cited By ~ 17

Author(s):

A F A Khan ◽

R Chaudhri ◽

M A Ashraf ◽

M S Mazaffar ◽

S Zawar-ul-Imam ◽

...

Keyword(s):

Risk Factors ◽

Primary Care Physicians ◽

Significant Risk ◽

Cross Sectional Study ◽

Chronic Venous Disease ◽

Venous Disease ◽

Cross Sectional ◽

Blood Clots ◽

History Of ◽

Study Population

Our objective was to study the prevalence and clinical pattern of chronic venous disease (CVD) in the Pakistani population. This was a multicentre cross-sectional study in which 100 primary care physicians examined 3000 subjects. The study population was aged 18–95 years (mean ± SD = 39 ± 13.2) comprised 47.4% women and 52.6% men. The prevalence of CVD was 34.8%, being significantly higher ( P < 0.04) among men (36.4%) than women (33.0%). The maximum prevalence was of C3 (36.7%), followed by C2 (15.8%). The most frequent symptom was pain in the legs (59.2%) followed by heavy legs (42.7%) and night cramps (34.4%). The prevalence of symptoms increased with age but was similarly distributed between men and women. Family history of CVD, blood clots in veins and lack of exercise were significant risk factors. The roles of age or gender as risk factors could not be established. In conclusion, the prevalence and presentation of CVD in Pakistan is similar to most other countries.

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Intra-articular Injection Administration in UK Ex-professional Footballers During Their Playing Careers and the Association with Post-career Knee Osteoarthritis

Sports Medicine ◽

10.1007/s40279-019-01255-x ◽

2020 ◽

Vol 50 (5) ◽

pp. 1039-1046 ◽

Cited By ~ 1

Author(s):

Gwen S. Fernandes ◽

Sanjay M. Parekh ◽

Jonathan P. Moses ◽

Colin W. Fuller ◽

Brigitte E. Scammell ◽

...

Keyword(s):

Knee Osteoarthritis ◽

Dose Response ◽

Knee Injury ◽

Knee Injuries ◽

Cross Sectional Study ◽

Postal Questionnaire ◽

Return To Play ◽

Cross Sectional ◽

Professional Career

Abstract Background The long-term risk from knee intra-articular (KIA) injections in professional athletes such as ex-footballers remains unknown. The use of KIA injections is controversial and remains anecdotally prolific as it is perceived as being safe/beneficial. The aim of this study was to determine the number, type and frequency KIA injections administered to retired professional footballers during their playing careers and the associations with post-career knee osteoarthritis (KOA). Methods This is a cross-sectional study involving a postal questionnaire (n = 1207) and subsequent knee radiographs in a random sample of questionnaire responders (n = 470). Footballers self-reported in the questionnaire whether they had received KIA injections and the estimated total number over the course of their playing career. Participant characteristics and football career-related details were also recorded. KOA was measured as self-reported knee pain (KP), total knee replacement (TKR) and radiographic KOA (RKOA). Results 44.5% of footballers had received at least one KIA injection (mean: 7.5; SD ± 11.2) during their professional career. 71% of knee injections were cortisone/corticosteroid based. Multivariate logistic regression, adjusting for age, body mass index (BMI) and significant knee injury identified that footballers with injections were two times more likely to have KP (OR 1.81, 95% CI 1.40–2.34) and TKR (OR 2.21, 95% CI 1.43–3.42) than those without injections. However, there was no association with RKOA (OR 1.30, 95% CI 0.85–2.01). Given, the association with KP and TKR, we found a significant dose–response relationship as the more injections a player received (by dose–response groups), the greater the risk of KP and TKR outcomes after adjustment for knee injury and other confounders (p for trend < 0.01). Conclusion On average, 8 KIA injections were given to the ex-footballers during their professional career. The most commonly administered injections were cortisone based. These injections associated with KP and TKR after they retired. The associations are independent of knee injuries and are dose dependent. The study suggests that there may have been excessive use of KIA injections to expedite return to play and this contributed to detrimental long-term outcomes such as KP and TKR post-retirement from professional football.

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A Cross-Sectional Study of Risk Factors for Irritable Bowel Syndrome in Children 8–13 Years of Age in Suzhou, China

Gastroenterology Research and Practice ◽

10.1155/2014/198461 ◽

2014 ◽

Vol 2014 ◽

pp. 1-6 ◽

Cited By ~ 7

Author(s):

Xueping Zhu ◽

Weichang Chen ◽

Xiaoli Zhu ◽

Yueping Shen

Keyword(s):

Risk Factors ◽

Significant Risk ◽

Cross Sectional Study ◽

Trend Test ◽

Sectional Study ◽

Cross Sectional ◽

Parental History ◽

History Of ◽

Study Population ◽

Irritable Bowel

To determine the prevalence and risk factors of IBS in children 8–13 years of age in Suzhou city, a cross-sectional study was conducted on children in grades 1 through 6 in public elementary schools in three districts of Suzhou. A multistage stratified random-sampling survey was conducted in a primary investigation using standardized questionnaires. Rome II criteria were used to confirm IBS and their risk factors were analyzed. Of 8,000 questionnaires 7,472 responded satisfactorily for a response rate of 93.4%. IBS was diagnosed in 10.81%. A decrease in the prevalence of IBS was significantly associated with advancing age and grade in school (trend test,P<0.05). The prevalence of IBS in females was higher but not significantly different than males. The significant risk factors for IBS included young age (OR = 0.94), food allergy (OR = 1.53), gastroenteritis during childhood (OR = 1.29), eating fried food (OR = 1.62), anxiety (OR = 1.49), psychological insults in early childhood (OR = 1.47), and parental history of constipation (OR = 1.81; allP<0.05). IBS prevalence of 10.81% in study population warrants preventive measures such as encouraging dietary changes, preventing gastroenteritis and childhood psychological insults.

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Assessment Of Premenstrual Syndrome In Medical Students And Its Association With Progression Of Academic Years

Journal of Bahria University Medical and Dental College ◽

10.51985/jbumdc2018123 ◽

2019 ◽

Vol 09 (03) ◽

pp. 210-213

Author(s):

Sadia Suboohi ◽

Saba Pario ◽

Ghazala Nasim ◽

Sughra Abbasi ◽

Shahanaz Hassan Siddiqui

Keyword(s):

Medical Students ◽

Premenstrual Syndrome ◽

Significant Risk ◽

Cross Sectional Study ◽

Routine Activity ◽

Cross Sectional ◽

History Of ◽

Study Participants ◽

Academic Year

Objectives: The objective was to determine the frequency of Premenstrual Syndrome and its association with progression of academic years among the medical students. Study Design and Setting: A cross sectional study was conducted at United Medical and Dental College Karachi from January to June 2018 among 150 female medical students. Methodology: A structured questionnaire was designed to assess the demographic characteristics and symptoms of PMS if any experienced by the participants included in the study. The severity symptoms of PMS were marked by the participants on the behalf of their impact on their routine activity & performance, ranking from mild, moderate to severe. Data was analyzed using SPSS version 20. Results: The frequency of PMS was reported as 39% in the study participants among them 79.31% showed mild form, 17.24% showed moderate and 3.44% were diagnosed with severe PMS. Increased frequency of PMS in female medical students was observed to be associated with progression of their academic years, with final year students having highest percentage. Academic year of MBBS, type of accommodation, and occupation of mother, menstrual cycle regularity and history of PMS in family were found to be statistically significant risk factors associated with PMS. Conclusion: Premenstrual syndrome is a prevalent health issue in medical students, increasing year to year during their studies, which may unfavorably have affects on their quality of life and overall performance.

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