scholarly journals DEMOGRAPHIC AND CLINICAL PROFILE OF ADULT PATIENTS WITH SCAPHOID FRACTURES IN POPULATION OF DISTRICT D.I.KHAN, PAKISTAN

2020 ◽  
Vol 18 (2) ◽  
pp. 75-80
Author(s):  
Muhammad Shafiq Khan` ◽  
Nusrat Rasheed ◽  
Khadim Hussain ◽  
Muhammad Zubair Farooq
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Adult Patients ◽  
Management Options ◽  
Cross Sectional ◽  
Medical College ◽  
Scaphoid Fractures ◽  
Right Hand

Background: Scaphoid fractures are common and account for 60-70 % of all carpal fractures. The objectives of this study were to determine the demographic and clinical profiles of adult patients with scaphoid fractures in population of District D.I.Khan, Pakistan. Materials & Methods: This cross-sectional study was conducted in Department of Orthopedics, Gomal Medical College, D.I.Khan, Pakistan from January 2015 to December 2019. Sample size was 40. Demographic variables were sex, age groups and time to presentation in weeks. Research variables were; cause, laterality, site, management options, time to union in months and presence of infection. All variables were categorical and analyzed by count and percentages for sample and as CI at 80% CL for proportion for population using Wilson score for binomial distribution. Results: Forty patients included 34 (85%) men & 16 (15%) women, 24 (60%) in 17-30 and 16 (40%) in age group 31-50 years. Time to presentation was ≤1 week of injury in 19 (47.5%) patients and 21 (52.5%) presented later. Cause was fall on out-stretched hand in 27 (67.5%) and RTA in 13 (32.5%) patients. Right hand was involved in 29 (72.5%), left in 9 (22.5%) while bilateral in 2 (5%) patients. Site of fracture was waist in 24 (60%), proximal pole 11 (27.5%) and distal pole 5 (12.5%) cases. Conservative treatment was done in 7 (17.50%) patients, percutaneous screw fixation 7 (17.50%), open reduction and internal fixation through palmar in 11 (27.50%) and though dorsal 15 (37.50%) cases. Time to union was ≤3 in 7 (17.50%), >3-6 months 29 (72.5%), while >6 months in 4 (10%) patients. Presence of infection was 1/40 (2.38%). Conclusion: Scaphoid fractures are more common in men and younger adults and most are presented within a week of injury. These are caused mostly by fall on outstretched hand, involving right hand and involving waist. Substantial number of cases requires open reduction with internal fixation. Mostly unite in 3-6 months.

scholarly journals Incidence of Presence & Variation in Anatomical Position of Isthmus of Thyroid Gland in Bangladeshi Cadaver

1970 ◽  
Vol 9 (1) ◽  
pp. 26-29
Author(s):  
Seheli Zannat Sultana ◽  
Mohsin Khalil ◽  
Manjurul Karim Khan ◽  
Laila Anjuman Banu ◽  
Zubaida Gulshan Ara ◽  
...  
Keyword(s):  
Thyroid Gland ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Human Thyroid ◽  
Cross Sectional ◽  
Anatomical Position ◽  
Medical College ◽  
Adjacent Part ◽  
Group B ◽  
Normal Standard

Context: The thyroid gland is the first endocrine organ to evolve in the vertebrates. It has right and left lobes and connected by narrow median isthmus which lies over the second, third and fourth tracheal rings. A conical pyramidal lobe often ascends towards the hyoid bone from isthmus or the adjacent part of either lobe. It measures about 1.25 cm transversely and vertically. Its size and site vary greatly. Isthmus is topographically related with some important anatomical structures. So this study was carried out to determine the incidence of presence & variation in anatomical position of isthmus of thyroid gland of Bangladeshi people of different age groups to establish a normal standard. Study type: Descriptive cross-sectional study. Place and period of study: Department of Anatomy, Mymensingh Medical College. from October’2004 to February’2005. Materials: The study was carried out on 60 cadavers of different age groups age ranging from 11 to 70 years. Thyroid glands were collected from unclaimed dead bodies autopsied in Forensic Medicine Department of Mymensingh Medical College. Methods: The collected specimens were divided into age group A (upto 18 years), group B (18 to 45 years), group C (above45 years). All specimens were examined morphologically by fine dissection method. Result: In the present study isthmus was present in 41 (68.33%) cases. In those thyroids which were devoid of isthmus, lobes were found to be merged with each other in the midline but in one case two lobes were found completely separated from each other. It was evident that the posterior relations of isthmus were widely variable. In only 18% cases it was found at its usual position- against the 2nd, 3rd and 4th tracheal rings. In the present study more frequent location of isthmus was found at 1st, 2nd, 3rd and 2nd, 3rd, 4th tracheal rings. In both cases their incidences were 18.3%. Conclusion: The present study will help to increase the information pool on the anatomy of thyroid gland of Bangladeshi people. To establish a normal standard for Bangladeshi people, further studies with large samples from different zones of the country are suggested. Key Word- Isthmus; Human Thyroid gland; Incidence; Posterior relation; Bangladesh DOI: http://dx.doi.org/ 10.3329/bja.v9i1.8144 Bangladesh Journal of Anatomy January 2011, Vol. 9 No. 1 pp 26-29

Cross-Sectional Study to Assess the Functional Outcome of Neglected Bimalleolar Fracture

2016 ◽  
Vol 10 (6) ◽  
pp. 509-512
Author(s):  
Rajeev Shukla ◽  
Ravi Kant Jain ◽  
Shravan Patidar ◽  
Nikhil Jain ◽  
Pranav Mahajan
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Rating Scale ◽  
Weight Bearing ◽  
Functional Results ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Results Of Treatment ◽  
Trimalleolar Fractures

Introduction. Ankle fracture is the most common intra-articular fracture of a weight-bearing joint and accounts for 9% of all fractures. Ankle fractures are classified into 3 subgroups: unimalleolar, bimalleolar, and trimalleolar fractures. Accurate reduction and stable internal fixation is necessary in bimalleolar fractures; otherwise, it may lead to posttraumatic painful restriction of movements or osteoarthritis. The purpose of this study is to assess the functional outcome and results of treatment of neglected bimalleolar fracture. Materials and Methods. Seventeen neglected bimalleolar fracture patients were treated with open reduction and internal fixation. Patients were followed-up at 1, 2, and 5 years and functional ability was assessed by using the modified Weber Rating Scale. Results. The mean age of patients was 41.4 ± 13.28 years. After 2 year of surgery, 13 out of 17 patients showed excellent results and 4 patients had fair results. Conclusion. Good to excellent functional results were observed after long-term follow-up in neglected bimalleolar fracture treated with open reduction and internal fixation, and we advise surgical intervention in all such patients. Levels of Evidence: Therapeutic, Level III: Retrospective Cohort study

scholarly journals FREQUENCY, DISTRIBUTION AND DETERMINANTS OF HYPERTENSION IN ADULT STROKE POPULATION OF D.I.KHAN DIVISION, PAKISTAN

2020 ◽  
Vol 17 (3) ◽  
pp. 81-89 ◽  
Author(s):  
Nazafatul Ain ◽  
Saira Khan ◽  
Muhammad Marwat ◽  
Nisar Khan ◽  
Iftikhar Ahmad ◽  
...  
Keyword(s):  
Frequency Distribution ◽  
Goodness Of Fit ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Age Group ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Stroke Population ◽  
Chi Square Test

Background: Global Health Estimates 2015 has shown the stroke as second leading global cause of death and 3rd leading global cause for DALYs for year 2015. The objectives of this study were to determine the frequency, distribution and determinants of hypertension in adult stroke population of D.I.Khan Division, Pakistan. Materials & Methods: This cross-sectional study was conducted in Department of Community Medicine, Gomal Medical College, D.I.Khan, Pakistan from February 1, 2017 to April 30, 2017. A sample 217 was selected with margin of error 5.59%, 90%CL and 50% prevalence of hypertension in 200,000 adults at risk of stroke population through consecutive sampling. All indoor adult patients of stroke were eligible. Sex, age groups, and residence and presence of hypertension were variables. Frequency and distribution of hypertension were analyzed by count and percentage. Hypotheses for distribution were substantiated by chi-square goodness-of-fit and of association by chi-square test of association. Results: Out of 217 patients with stroke, 123 (56.7%) were men and 94 (43.3%) were women, 86 (39.6%) were≤60 years and 131 (60.4%) were>60 years, and 105 (48.4%) were urban and 112 (51.6%) were rural. Frequency of hypertension was 132/217 (60.83%). Out of 132 patients with hypertension, men were 74 (34.10%), women 58 (26.73%), age group≤60 years 46 (21.20%), >60 years 86 (39.63%), urban 72 (33.18%) and rural 60 (27.65%). Presence of hypertension was associated to residence (p=.023) but not to sex (p=.817) and age groups (p=.072). Conclusion: Frequency of hypertension in adult stroke population of D.I.Khan Division, Pakistan was found to be similar as expected. Frequency was more in men, in older age group (of>60years) and in urban population. The presence of hypertension in adult stroke population of D.I.Khan Division was associated to residence but not to sex and age groups.

scholarly journals Maternal Outcome in Ruptured Uterus: A Review of 72 Cases

2016 ◽  
Vol 5 (1) ◽  
pp. 20-26
Author(s):  
Nibedita Roy ◽  
Kamrun Nahar ◽  
Uttam Kumar Sarker ◽  
Fouzia Akter ◽  
Ayesha Beg ◽  
...  
Keyword(s):  
Age Groups ◽  
Cross Sectional Study ◽  
Study Data ◽  
Maternal Outcome ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Data Collection Sheet ◽  
Death Cases ◽  
Ruptured Uterus

This descriptive type of cross-sectional study of 72 cases of uterine rupture was conducted over 1 year (from September 2006 to August 2007) in the department of Obstetrics and Gynaecology, Mymensingh Medical College Hospital, Bangladesh to evaluate the maternal outcome of different types of surgery, to assess the maternal mortality and maternal morbidity. All cases of ruptured uterus which were received & treated and did not die within 30 minutes of admission are included in the study. Data were collected by preformed data collection sheet. The results showed that the common age groups were between 20-30 years in 31(68.00%) cases. Among all ruptured cases, 6 cases (8.33%) were Primigravida, 52 cases (72.22%) were between gravida 2nd to 4th and 14 cases (19.44%) were gravida 5th or above. Among all cases, 66 cases (91.66%) required blood transfusion; Subtotal hysterectomy was done in 36 cases (50.00%), total hysterectomy in 4 cases (5.56%), and repair of the rent in 32 cases (44.44%). Associated operations were done along with repair or hysterectomy in 13 (18.05%) cases. Postoperative complications were found in 23 (31.94%) cases. The shortest stay was 8 days & the longest stay was 62 days. The hospital staying was about 2 weeks in 48(66.70%) cases. Among 10 death cases (13.90%) maximum patient died within first 5 hours. The causes of maternal death were due to septicemia, renal failure and shock in 20%, 30% and 50% respectfully. CBMJ 2016 January: Vol. 05 No. 01 P: 20-26

scholarly journals Weight of the Human Kidney – A Study on 70 Autopsy Cases

2016 ◽  
Vol 4 (1) ◽  
pp. 31-34
Author(s):  
Fatema Zohora ◽  
Abu Sadat Mohammad Nurunnabi ◽  
Dilruba Siddiqua ◽  
Hasna Hena ◽  
Hosna Ara Perven ◽  
...  
Keyword(s):  
Age Groups ◽  
Human Kidney ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Age Related ◽  
Group A ◽  
Bangladeshi Population ◽  
Group B ◽  
The Right

Background: Variations in weight of the kidney in different populations and in different age groups are evident.Objective: The aim of the present study was to find out age related changes in weight of the kidney in a Bangladeshi population and compare with previous local and foreign studies.Materials and method: This cross-sectional study was done in the Department of Anatomy, Dhaka Medical College, Dhaka, Bangladesh from July 2008 to June 2009, based on collection of 140 post mortem human kidneys collected from 70 unclaimed dead bodies which were in the morgue under examination in the Department of Forensic Medicine of same institute. All the samples were divided into three different age groups - A (10-19 years), B (20-39 years) and C (40-59 years), and the weight of each kidney was measured by using a digital balance and recorded.Results: The weight of the right and left kidneys were found 86.18±0.32 gm and 86.10±0.10 gm in group A, 102.25±7.64 gm and 101.96±7.27 gm in group B, 95.59±0.75 gm and 95.19±1.24 gm in group C respectively. No difference was found between the right and left kidneys in any group. However, statistically significant differences were evident among age groups.Conclusion: The weight of the kidney was found to increase up to 4th decade of life and then declined with further advancing age.Delta Med Col J. Jan 2016 4(1): 31-34

PROSPECTIVE CROSS SECTIONAL STUDY OF INCIDENCE AND CORRELATION OF DYSLIPIDEMIA IN PREDICTING OUTCOME OF PATIENTS DIAGNOSED WITH CEREBROVASCULAR ACCIDENT AT MMCH, MADHUBANI, BIHAR

2021 ◽  
pp. 33-34
Author(s):  
Dilip Kumar Sah ◽  
[Prof.] Ajay Kumar Lal Das ◽  
Debarshi Jana
Keyword(s):  
Cerebrovascular Accident ◽  
Age Groups ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
Case Group ◽  
Cross Sectional ◽  
Lipid Abnormality ◽  
Medical College ◽  
Main Culprit ◽  
And Control

Introduction: Lipid abnormality has been described as one of the risk factor for ischemic stroke. However, there are limited studies comparing stroke pattern (infarction and hemorrhage) with lipid prole of patients. Study aimed to study incidence and correlation of lipid abnormality in cerebrovascular accident (CVA) patients. Material And Methods: Hundred and twenty seven subjects were studied after dividing in to Cases (n=102, with CVA) and Control (n=25, without CVA) in the Department of Medicine, Madhubani Medical College and Hospital, Madhubani, Bihar between January 2020 to December 2020. Detailed history and lipid prole was recorded for each subject. Stroke pattern was analyzed using brain CT/MRI for each patient. Results: Most of the subjects among Cases and Control belong to the age groups of 61-85 years (45.09%) followed by 41-60 years (44%) respectively. Among Cases, maximum patients were males (61.76%) whereas among Control, maximum patients were females (84%). Most of the cases were smokers (53.92%). Among smokers of Case group, infarction (55%) was more common compared to hemorrhage (51%). Dyslipidemia was more common among cases (56.86%) compared to control (28%) (p=0.009). Majority of patients (63.07%) with infarct had dyslipidemia as compared to patients with hemorrhage (45.94%). Decreased high density lipoprotein (HDL) level (74%) was the main culprit among Cases followed by decreased total cholesterol (64%). Out of 14 expired patients in Cases, 71.42% had dyslipidemia. Conclusion: Decreased level of HDL was most commonly reported among ischemic compared to hemorrhagic stroke. Dyslipidemia was most commonly reported in patients who died because of stroke.

scholarly journals Prevalence of Dental Caries among adolescence of Dhanusha District, Nepal

2016 ◽  
Vol 3 (2) ◽  
pp. 29-37
Author(s):  
K Yadav ◽  
S Prakash ◽  
S Khanal ◽  
JK Singh
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Social Impact ◽  
Age Groups ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Medical College ◽  
High Prevalence ◽  
Mandibular Region

Background  and  Objectives:  In  developing  countries  like  Nepal,  the  oral  health  system  is currently  in  transition  phase  facing  a  high  prevalence  of  dental  caries.  It  has  significant  social impact in important life activities which hinders the achievement and ma intenance of good oral health  due  to  lack  of  dental  awareness  in  all  age  groups.  Streptococcus  mutans  is  the  most predominant  organism  to  cause  dental  caries.  Therefore, the  present  study  was  designed  to determine the prevalence of dental caries and to identify its etiology among adolescence.Material and Methods: This cross-sectional study was carried by following Standard protocols of Bergey’s  Manual  of  Systematic  Bacteriology  to  isolate  and  identify  the  organism.  The  data  was analyzed  using  SPPS  17.0  and  Microsoft  excels  2007  which  was  considered  as  statistically significant at p-value < 0.05.Results: The prevalence of dental caries in adolescent was found to be 33%.  The highest numbers of  patients  having  dental  caries  were  in  the  age  group  of  15-19  in  female  (66.32%)  than  male (39.70%).  Bacterial  growth  was  observed  more  in  female  (75.60%)  than  male  (24.39%)  which was found to be statistically significant (p=0.0001).  S. mutans  was found as the most important cause  of  dental  caries.  Maxillary  region  of  tooth  were  more  vulnerable  to  dental  caries  than mandibular  region  of  tooth.  Most  of  the  respondents  had  once  per  day  brushing  habit  without fluoridated dentrifice containing tooth paste.Conclusion:  The prevalence of dental caries was found one third of total.  S.mutans  was the main causes of dental caries and molars tooth are more affected than others.Janaki Medical College Journal of Medical Sciences (2015) Vol. 3 (2): 29-37

scholarly journals Evaluation of Refractive Errors in Children

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2249-2253
Author(s):  
Krithiga M ◽  
Xavier Jayaseelan C
Keyword(s):  
Refractive Error ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Common Type ◽  
Refractive Errors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Different Types ◽  
Eye Examination

The purpose of this study is to estimate the prevalence of refractive errors in children. Children of selected ages will be identified for visual acuity measurement, and primary eye examination will be performed. A cross-sectional study was conducted to evaluate the refractive errors in children in Saveetha medical college. A comprehensive eye examination was performed, and children with different types of refractive errors were found out. A total of 100 children were taken for the study. The sample size of the study is 100. Eye examination was performed, and refractive error was evaluated. The refractive errors that are most common in the affected age groups can be found out. The most common refractive error was found to be myopia, followed by hypermetropia and then astigmatism. This study helps to identify the most common type of error, and the causes can be found out. This is also helpful in the prevention of these errors. Early diagnosis will lead to proper and effective treatment. When these errors are left untreated, it can cause other severe effects in the eye. Awareness should be created among both the children and the parents about this problem, and the importance of regular eye examination can be stressed through this study.

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