A PROSPECTIVE STUDY OF A MODIFIED PIN-IN-PLASTER METHOD FOR THE TREATMENT OF FRACTURES OF THE DISTAL RADIUS

2021 ◽  
pp. 18-19
Author(s):  
Vineet Kumar Ranjan ◽  
Indrajeet Kumar

Introduction:- The motive of this study is to introduce a modied technique of 'pin in plaster.' that is a favourable treatment option for unstable fractures of the distal radius. This study was shown to narrated a modied technique using 'pin in plaster' that is a favorable treatment option for unstable fractures of the distal radius. A fracture of the distal radius is one of the most customary types of fracture, in the pediatric population fracture was 24% and up to 20% in the elderly, male-to-female ratio of one to four in older age groups. Methods:- 54 patients with fractures of the distal radius were followed for one year postoperatively. Patients were debarred if they had type B fractures according to AO classication, multiple injuries, or pathological fractures and were treated more than seven days after injury. Radiographic parameters, tilt and height including radial inclination, were measured pre-and postoperatively. Results:- The radial height was 10.2 mm at the sixth month postoperatively, and the average radial tilt was 10.6° of volar. Three patients of pin tract infection were recorded. There were no cases of pin loosening. Total 73 patients underwent surgery, and three cases of radial nerve irritation were recorded at the time of cast removal. All radial nerve palsies resolved at the six-month follow-up. Conclusion:- Our modied technique is successfully restoring anatomic congruity and maintaining the reduction in fractures of the distal radius.

1998 ◽  
Vol 43 (8) ◽  
pp. 829-836 ◽  
Author(s):  
M Oluwafemi Agbayewa ◽  
Stephen A Marion ◽  
Sandi Wiggins

Objective: The effects of socioeconomic factors on suicide rates in the general population are widely documented. Few of these reports have specifically studied the effects of socioeconomic variables on suicide rates in the elderly population. Elderly persons have the highest suicide rates of any age-group. This group is different from the rest of the population insofar as suicide is concerned. For example, since most elderly persons are no longer in the labour force, it would be expected that they would be affected differently by economic factors such as unemployment. We report the findings of an ecological study of old-age suicide in British Columbia over an 11-year period. Methods: We obtained information on all suicide counts (International Classification of Diseases [ICD-9] codes E590–959) recorded in the 21 health units of British Columbia over the 11-year period from October 1, 1981, to September 30, 1991, from the Division of Vital Statistics of the Province of British Columbia and Statistics Canada. Social, economic, and demographic information for the health units was obtained from census data and included the number of persons per household, proportion of the population that lived in 1-person households, immigration and migration rates for each region, proportion of the population with less than grade 9 education, proportion with less than grade 12 certification, marital status rates, unemployment rates by gender, average household income, average census family income, and labour-force participation rate by gender. We calculated overall and gender-specific suicide rates for elderly persons (65 years and older) and younger populations. Using Poisson regression analyses, we determined the cross-sectional and longitudinal relative risks associated with the socioeconomic variables for the units, and we also examined trends in suicide rates. Results: There were 4630 suicides in the 11-year period. The mean suicide rate (per 100 000 population) for those over age 9 years was 18.6 (between health unit SD 5.2, 95% confidence interval [CI] = 17.0–20.2). The elderly have a higher suicide rate in every region. The male suicide rates (mean = 26.9, SD 6.4, 95% CI = 24.0–30.0) are higher than female rates (mean = 7.5, SD 1.7, 95% CI = 6.8–8.3) in every region. The factors influencing suicides were different for elderly males and elderly females. In all analyses, suicide rates in elderly females remained essentially stable across age-groups and units and over the years. Elderly male suicide rates varied across units and age-groups and over the years. Conclusions: Suicide rates are highest in males over age 74 years. There are regional differences in elderly suicide rates and the factors that influence them. Longitudinal and cross-sectional risk factors differ, and there are gender differences in the risk factors. For both elderly males and females, suicide rates appear to be influenced by social factors in the population as a whole, not just in the elderly population. Male and female employment patterns are associated with elderly male suicide rates, even though the latter are not in the labour force. For suicide in elderly women the important factors are population education, income, and migration levels.


2020 ◽  
Vol 8 ◽  
Author(s):  
Reham M. Marei ◽  
Mohamed M. Emara ◽  
Omar M. Elsaied ◽  
Gheyath K. Nasrallah ◽  
Tawanda Chivese ◽  
...  

Background: SARS-CoV-2 continues to claim hundreds of thousands of people's lives. It mostly affects the elderly and those with chronic illness but can also be fatal in younger age groups. This article is the first comprehensive analysis of the epidemiological and clinical outcomes of the travel-associated SARS-CoV-2 cases until April 19, 2020.Methods: Demographic and clinical data of travel-associated SARS-CoV-2 cases were collected for the period between January 16, 2020 and April 19, 2020. More than one hundred and eighty databases were searched, including the World Health Organization (WHO) database, countries' ministries websites, and official media sites. Demographic and clinical data were extracted and analyzed.Results: A total of 1,186 cases from 144 countries meeting the inclusion criteria were reported and included in the analysis. The mean age of the cases was 44 years, with a male to female ratio of 1.6:1. Travel-associated cases originated from more than 40 countries, with China, Italy, and Iran reporting the highest numbers at 208, 225, and 155, respectively. Clinical symptoms varied between patients, with some reporting symptoms during the flights (117 cases; 9.87%). A total of 312 (26.31%) cases were hospitalized, of which 50 cases (4.22%) were fatal.Conclusion: Major gaps exist in the epidemiology and clinical spectrum of the COVID-19 travel-associated cases due to a lack of reporting and sharing data of many counties. The identification and implementation of methodologies for measuring traveler's risk to coronavirus would help in minimizing the spread of the virus, especially in the next waves.


Cells ◽  
2021 ◽  
Vol 10 (10) ◽  
pp. 2684
Author(s):  
Jun Ah Lee ◽  
Jiwon Lim ◽  
Hye Young Jin ◽  
Meerim Park ◽  
Hyeon Jin Park ◽  
...  

The epidemiology of osteosarcoma in adolescents and young adults (AYA) remains unclear. We aimed to assess and compare the clinical features of osteosarcoma between AYA and other age groups. We retrieved osteosarcoma cases diagnosed between 1999 and 2017 from the Korea Central Cancer Registry. We compared survival trends and clinical characteristics between AYA and other age groups. AYA comprised 43.3% (1309/3022) of the osteosarcoma cases. Compared to other age groups, the male-to-female ratio was highest in AYA (1.61:1). The proportion of tumors located in an extremity was 80.3% in AYA, which was lower than in young children (92.5%) or pubertal children (93.8%) but higher than in adults (55.7%) or the elderly (47.5%). As for treatments, 71.2% of AYA received local treatment and systemic chemotherapy, and 28.8% received only local treatment (surgery: 261, radiotherapy: 9, surgery and radiotherapy: 5). The 5-year overall survival (OS) was lower in AYA (68%) than in young children (78%) or pubertal children (73%) but higher than in adults (47%) or the elderly (25%). When AYA were divided into five subgroups by age, patients aged 15–19 years constituted the largest proportion (45.4%, n = 594). Additionally, the proportion of patients with a non-extremity tumor increased in an age-dependent manner, from 10.3% in AYA aged 15–19 years to 35.3% in AYA aged 35–39 years. OS did not significantly differ among the different age subgroups of AYA. The clinical characteristics and OS of the AYA were more similar to those of children than to those of adults. There is a need for cooperation between pediatric and adult oncologists for effective osteosarcoma treatment in AYA.


2011 ◽  
Vol 23 (6) ◽  
pp. 979-985 ◽  
Author(s):  
Yoo-Ra Kim ◽  
Kyoung Ho Choi ◽  
Youngmin Oh ◽  
Hae-Kook Lee ◽  
Yong-Sil Kweon ◽  
...  

ABSTRACTBackground: Suicide is a major public health concern. The elderly have the highest rate of suicide and they make more lethal suicide attempts and have fewer psychiatric interventions than young people. Furthermore, they have old-age specific psychosocial difficulties. The present study investigated psychosocial risk factors and characteristics of an index suicide attempt of the elderly suicide attempters.Methods: Subjects included 388 patients who were admitted to the emergency room following self-poisoning. Two age groups were defined: younger patients (aged less than 65 years) and older patients (aged over 65 years). Data including demographic factors, suicidal risk factors and information about the current suicide attempt were obtained from a retrospective chart review.Results: The number of suicide attempters over the age of 65 years old was 57, and their mean age was 73.5 ± 7.5 years. The elderly patients had more underlying medical illnesses than the under-65 group (p < 0.001). Depression was the most common psychiatric diagnosis. Psychotropics were the most commonly ingested drugs in both groups, but the use of pesticides was more notable in the elderly. The elderly suicide attempters had higher risk-rating scores (p < 0.001) and lower rescue-rating scores (p = 0.014) than the under-65 group. Male-to-female ratio of the elderly group was nearly 1:1 unlike the under-65 group (p = 0.004).Conclusion: Elderly suicide attempters had different psychosocial stressors such as physical illness and more lethal suicide attempts. Our study suggests the need for development of specific preventive strategies and management guidelines for the elderly suicide attempters.


Author(s):  
Montaha AL-Iede ◽  
Abdallah Al-Ani ◽  
Baraa Mafrachi ◽  
Dana Al-Khulaifat ◽  
Kamal Hassan ◽  
...  

Background: As the prevalence of allergic diseases is increasing all over the world, it is vital to identify the specific allergens which contribute to the development and persistence of such conditions. Objectives: This study aims to assess the prevalence of aeroallergen sensitization and, to evaluate the profile of skin prick test among atopic Jordanian children who are visiting Jordan University Hospital (JUH). Methods: A retrospective analysis of all Skin Prick Test (SPT) results of atopic children and adolescents aged (1.5-18 years) who were seen at the pediatrics clinics at JUH from January 2018 until December 2019. Results: Over two years, a total of 171 children (male: female ratio of 1.9) with a median age of 6.2 years (1.5-18) were subjected to SPT. One hundred and seven children (62.5%) were found to be sensitized to at least one of the ten aeroallergen extracts tested. The most common sensitizations were to olive pollen (45.6%), Mites Dermatophagoides Petronyssinus (42.0%), and Dog Dander (38.6%). The highest sensitization rate was among the age group 2-4 years (28.1%). The sensitization rates increased in conjunction with an increase in age in the first age groups (preschool and school-age groups). Conclusion: The study’s findings provide an understanding of the locally prevalent aeroallergens, yet a multi-center review would be more useful for creating an optimized SPT panel specific to the Jordanian pediatric population.


2021 ◽  
Vol 20 (1) ◽  
pp. 1-8
Author(s):  
Andreas Hartanto Santoso ◽  
Caesar Rio Julyanto Putra ◽  
Josephine Rasidi ◽  
Hoo Felicia Davina Hadi Gunawan ◽  
Joshua Henrina Sundjaja ◽  
...  

Introduction: Coronary Artery Calcification (CAC) score may give information in cardiovascular risk stratification asymptomatic individuals. Profiles and distribution of CAC scores are still scarce in Indonesia. This study aimed to evaluate the distribution of CAC based on age and gender in asymptomatic patients. Methods: Subjects were asymptomatic Asian above 40 years-old undergoing cardiovascular check-up, including Computed Tomography (CT) CAC at Siloam Heart Institute, from April 2018 to August 2019. Data were obtained retrospectively and analyzed statistically with IBM SPSS version 22. Results: A total of 1640 patients were enrolled, with males slightly more than half. The mean age was 55,6 ± 9,6 years, with age group of 50-59 years as the majority (35,9%). Almost half of the subjects had zero CAC score. Around two-thirds of females, particularly below 50 years old, had zero CAC scores. CAC scores >400 were more prevalent in males across all age groups. The majority of healthy males had a CAC score between 0-99. There was a positive correlation between age and CAC scores in both genders. Females with CAC score >400 were found mostly after 70 years old, ten years older than males. CAC score >1000 was more prevalent in older males compared to females. Conclusion: The distribution of CAC score is remarkably affected by age and gender. Zero CAC score is found predominant in our subjects. CAC scores of ≥400 are common in males across all age groups. CAC score >1000 is more exclusively found in the elderly male


2020 ◽  
pp. 1-3
Author(s):  
Bimla Banjare ◽  
Amit Kumar Bhardwaj ◽  
Riti Sharma

Hematological Malignancies (HMs) consists of a diverse group of neoplastic diseases involving Bone Marrow, Lymph nodes or other Secondary Immune Organs. Conventionally, HMs represents 2 major group of diseases – Leukemia & Lymphoma. All Hematological Malignancies are on the rise as compared to few decades back worldwide but, it’s major brunt is faced by the under developed countries of the world. A retrospective study in a Government Teaching Hospital was undertaken to characterize Pattern and Distribution of HMs in children in Chhattisgarh state of India. A total number of 65 Bone Marrow Aspiration Cytology cases were evaluated from 1st January 2019 to 31st December 2019 for a period of 1 year. Pediatric Population was categorized into 3 age groups – 0-2 years, 2-12 years and 12-16 years. Male to Female ratio was 2.4:1 in our study with most cases being of Acute Leukemias (95.4%). On further evaluation, ALL had highest numbers with 37 cases (57.0 %) followed by Acute Leukemia and AML with 14 (21.52%) & 10 (15.38%) cases respectively. The highest number of cases were seen in 2-12 years age group (n=49, 75.4%) implying that children of such age group presenting with signs and symptoms of HMs must be thoroughly evaluated for early diagnosis and treatment.


Crisis ◽  
1999 ◽  
Vol 20 (2) ◽  
pp. 64-70 ◽  
Author(s):  
Tamás Zonda

The author examined completed suicides occurring over a period of 25 years in a county of Hungary with a traditionally low (relatively speaking) suicide rate of 25.8. The rates are clearly higher in villages than in the towns. The male/female ratio was close to 4:1, among elderly though only 1.5:1. The high risk groups are the elderly, divorced, and widowed. Violent methods are chosen in 66.4% of the cases. The rates are particularly high in the period April-July. Prior communication of suicidal intention was revealed in 16.3% of all cases. Previous attempts had been undertaken by 17%, which in turn means that 83% of suicides were first attempts. In our material 10% the victims left suicide notes. Psychiatric disorders were present in 60.1% of the cases, and severe, multiple somatic illnesses (including malignomas) were present in 8.8%. The majority of the data resemble those found in the literature.


Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 148-154 ◽  
Author(s):  
Karoly Bozsonyi ◽  
Peter Osvath ◽  
Sandor Fekete ◽  
Lajos Bálint

Abstract. Background: Several studies found a significant relationship between important sport events and suicidal behavior. Aims: We set out to investigate whether there is a significant relationship between the raw suicide rate and the most important international sports events (Olympic Games, FIFA World Cup, UEFA European Championship) in such an achievement-oriented society as the Hungarian one, where these sport events receive great attention. Method: We examined suicide cases occurring over 15,706 days between January 1, 1970, and December 31, 2012 (43 years), separately for each gender. Because of the age-specific characteristics of suicide, the effects of these sport events were analyzed for the middle-aged (30–59 years old) and the elderly (over 60 years old) generations as well as for gender-specific population groups. The role of international sport events was examined with the help of time-series intervention analysis after cyclical and seasonal components were removed. Intervention analysis was based on the ARIMA model. Results: Our results showed that only the Olympic Games had a significant effect in the middle-aged population. Neither in the older male nor in any of the female age groups was a relationship between suicide and Olympic Games detected. Conclusion: The Olympic Games seem to decrease the rate of suicide among middle-aged men, slightly but significantly.


2019 ◽  
pp. 5-34
Author(s):  
Anna L. Lukyanova ◽  
Rostislav I. Kapeliushnikov

The paper analyzes changes in job opportunities of older workers in Russia in the period 2005—2017. The study uses the data from the Russian Labor Force Survey conducted by Rosstat. Changes in the occupational and industrial composition of elderly workers follow the trends pursued by other age groups: employment shifts from low- to high-skilled occupations, from physical to intellectual labor, and from material production to the service sector. We find a stronger polarization among older workers as their occupational structure is biased in favor of, on the one hand, the most and, on the other hand, the least qualified types of jobs. Employment of the elderly has fallen sharply in agriculture and manufacturing with a significant increase in trade, education, and health. Although the employment structure of older workers is generally more “traditionalist”, recent decades have witnessed its transformation in “progressive” directions, similarly to other age groups. These findings suggest that the legislated increase in the state retirement age is not likely to give rise to sizeable unemployment among the elderly. Most of them will be able to work in the occupations and industries previously dominated by young and prime-age workers.


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