scholarly journals Surgical Management of Supracondylar Fractures of the Humerus in Children by Closed Reduction and Percutaneous Pinning with Kirschnner Wires-A Cross-sectional Study

Author(s):  
Chavan Pramod Babu ◽  
K Shankara ◽  
T Lakshmeesha

Introduction: Supracondylar Humerus Fracture (SCHF) is frequently encountered in paediatric age group and constitutes nearly three fourth of all upper extremity fractures. Most commonly used technique for surgical treatment in the displaced SCHF in children is closed reduction and stabilisation with percutaneous pins. Aim: To find out the outcome and safety of percutaneous pinning techniques in terms of functional and radiological outcome and to note the associated complications with this method of fixation. Materials and Methods: This was a cross-sectional study, conducted on patients admitted to Department of Orthopaedics, Hassan Institute of Medical Sciences, Hassan, between January 2017 to December 2019. Thirty paediatric cases were retrospectively reviewed. These were admitted with a supracondylar fracture and had reported to the hospital over a three-year period. All fractures were treated with closed reduction and fixation with percutaneus K-wire followed by immobilisation in above elbow slab for three weeks. K-wires were removed at three weeks and mobilisation with physiotherapy was advised. Outcome was measured by Flynn’s Criteria. The results were analyzed as per appropriate descriptive statistical tests. Results: The mean age of the patients was 7.4 years (range 3-15years). Males outnumbered females. Total 22 (73.3%) patients had left-sided fracture and 8 (26.6%) had fracture on right side. Fracture union was seen in all the patients at a mean interval of 4.2 weeks (range 3-5 weeks), in a follow up of 12 weeks. Most (90%) of the injuries were the result of trauma, including fall. 70% of the fractures were Gartland Type III supracondylar fracture. Cross K- wire fixation was done in 21 patients and lateral-only pin in 9 patients. Among the 21 patients, who had type III fracture, 4 of them were fixed with 2 Lateral K- wire pinning and 17 of them with crossed K-wire pinning configuration. The commonest post-operative complication observed was a superficial pin tract infection, seen in 4 (13.3%) patients. Outcome according to the Flynn’s criteria 25 patients (83.3%) had excellent result, 3 (10%) patients had good result, 1 (3.3%) had fair result and 1 (3.3%) patient had poor functional result. Conclusion: The present study concludes that close reduction and percutaneous k-wire pinning techniques give a favorable outcome in displaced supracondylar fractures of the humerus in children, without any serious complications.

2021 ◽  
Vol 59 (233) ◽  
Author(s):  
Pramod Joshi ◽  
Pravakar Dawadi ◽  
Krishna Rana ◽  
Navindra Raj Bista ◽  
Rishi Bisht ◽  
...  

Introduction: Supracondylar fractures of humerus are the most common elbow fractures in children consisting of about 15% of all pediatric fractures and more than half of all elbow fractures. A high incidence of nerve injures, and vascular injuries make this fracture a serious injury. Our study aims to study on the clinical and demographic pattern of pediatric supracondylar fracture cases presenting in the hospital retrospectively.Methods: We conducted a descriptive cross-sectional study in Seti Provincial Hospital in the month of December. The data from the medical record section was retrospectively collected. A whole sampling technique was used. The descriptive statistical analysis was done.Results: Seven hundred cases were studied, among which the most common age group was found to be 5-10 410 (58.57%). Most of the cases presented in the emergency department 513 (73.28%), and the most common time of presentation was from 3 AM to 6 AM 170 (24.28%).Conclusions: Supracondylar fracture cases presented as a common injury among pediatric population. It was presented as an emergency more than general cases.


2021 ◽  
Author(s):  
Nurul Asikin

The onset of menarche is part of physical and sexual maturity process. Previous studies have shown that the nutritional status of an adolescenst girl have important influence on the menarche age. The study was designed to determine the age of menarche and its relation to nutritional status of adolescent girls in SMP Negeri 10 Bulukumba. This was an analytical survey with a Cross Sectional Study approach. The sample in this study consisted of 74 people (total sampling), namely all students who had experienced menarche. The result of this study indicate that of the 74 respondents studied, there were 48 respondents had a good nutritional status, 43.75% had experienced normal menarche and 56.25% had experienced abnormal menarche. There were 26 respondents had a malnutrition, 15.38% had experienced normal menarche and 84.62% had experienced abnormal menarche. The results of statistical tests showed that there was an association between the nutritional status and the age at menarche of adolescent girls in SMP Negeri 10 Bulukumba (Pv=0,020; OR= 4,28). It is concluded that nutritional status is significantly associated with the age at menarche in adolesence. A good nutritional status in adolescent girls will experience puberty normally, resulting in normal and uninterrupted menstruation.


Biomarkers ◽  
2019 ◽  
Vol 24 (4) ◽  
pp. 373-378 ◽  
Author(s):  
Pernille Juhl ◽  
Line Vinderslev Iversen ◽  
Tonny Karlsmark ◽  
Morten Asser Karsdal ◽  
Anne-Christine Bay-Jensen ◽  
...  

2018 ◽  
Vol 1 (1) ◽  
pp. 1-3
Author(s):  
Bhogendra Bahadur KC ◽  
Norman Lamichhane ◽  
Chandra Bahadur Mishra ◽  
Bharat Bahadur Khatri ◽  
Sabita Dhakal

Background: Supracondylar fracture of the distal humerus is one of the commonest fracture in pediatric age group. Though there is consensus of treating type III fracture operatively, no study has compared the outcome between Closed Reduction and Percutaneous Pinning (CRPP) and Open Reduction and Internal Fixation (ORIF) with k-wire in our setup. Materials and Methods: Retrospective comparison study was done on eighty seven cases of Type III supracondylar fracture of distal humerus underwent operative procedure. Fifty four (54) cases underwent CRPP and 33 cases were managed with ORIF with k-wire, and they were followed up till 6 months post-operatively. Results : The mean time for radiological union in patient who underwent CRPP was 4.37±0.94 weeks and that for the patient who underwent ORIF was 4.45±0.13 weeks, the difference of which was statistically insignificant (p-value >0.05). 83.3% of CRPP group and 78.8% in ORIF group had excellent functional outcome and only 3% in ORIF group had poor functional outcome. Conclusion: Though both the group don’t have significant advantage of functional outcome among each other CRPP with limited attempt should be preferred to ORIF with k-wire for the advantage of avoiding surgical scar and reducing surgery time and exposure to anaesthetic agents.


2021 ◽  
Vol 8 (9) ◽  
pp. 491-496
Author(s):  
Chirayu N. Pandya ◽  
Donald S. Christian ◽  
Mansi M. Patel

BACKGROUND Smartphone use has gone tremendously up throughout the world during the past decade and addiction potential is well documented among the users. Smartphone addiction among adolescents and young adults should be seen with caution as they lay the foundations not only for their healthy lives but also of the country’s future and its economy, they live in. METHODS Both school and college students aged between 15 - 24 years were enrolled in this cross sectional study, using systematic random sampling technique to determine smartphone addiction potential through Smartphone Addiction Scale (SAS). The possible factors contributing to SAS scores were also determined through statistical tests (Chi-square test, Kruskal-Wallis H test and Mann Whitney U test). RESULTS Among a total of 239 respondents of age 15 to 24 years (mean age 18.5 ± 2.35 years), there were 124 (51.9 %) females and 231 (96.7 %) belonged to the urban area. Most of the participants were studying in high school (40.6 %) followed by medical field (40.2 %). A total of 110 (46 %), students had used their smartphone commonly for social media purpose, followed by entertainment purpose (29.3 %), education (36 %), web surfing (20 %). The median daily usage of smartphone was found to be 4 hours among participants. The mean score of SAS was found to be 103.59 ± 25.08. There was statistically significant difference in SAS score according to age group, according to their smartphone usage per day, according to common purpose of usage of smartphone and also according to their streams, and monthly expenses the student spends to recharge their smartphone. CONCLUSIONS Smartphone addiction potential was determined according to various social and demographic characteristics. Factors causing smartphone addiction should be tackled by multiple stakeholders to reduce the chances of addiction due to smartphone and to protect them from future health consequences. KEYWORDS Adolescent, Smartphone Addiction, Smartphone Addiction Scale, Young Adults


Author(s):  
Shatkratu Dwivedi ◽  
Ranjana Tiwari ◽  
Rupesh Sahu ◽  
Manoj Bansal ◽  
Vikash Sharma ◽  
...  

Background: Between 2015 and 2050, the proportion of the world's population over 60 years will nearly double from 12% to 22%. In 2050, 80% of older people will be living in low and middle income countries. All countries face major challenges to ensure that their health and social systems are ready to make the most of this demographic shift.Methods: The present Study was a cross-sectional study done for 1 year in 2016 in which 600 households were selected by simple random sampling in Gwalior city in which the knowledge and awareness of various Government health scheme and policies and their day to day utilization in their life were assessed. A predesigned and pretested interview based structured questionnaire was used for data collection. They were analysed and interpreted by appropriate software and various statistical tests were applied.Results: The maximum no. of participants 112 (54.9%) knew about railways/road transport/air travel concessions provided to Senior citizens, 23.04% knew about telephone and postal services, 13.24% were aware of tax exemptions while 9.8% knew about banking and insurance schemes regarding elderly. Males were generally more aware than females. The maximum utilization (59.82%) was found in railways/road transport/air travel concessions while minimum utilization (25.00%) was in Indira Gandhi National old age pension scheme.Conclusions: The system for comprehensive geriatric care to the community was well in place with regular development and growth but there is dearth of awareness and utilization of these services.


Author(s):  
Vanishree N. ◽  
Rosa R. Narayan ◽  
Naveen N. ◽  
Anushri M. ◽  
Vignesh D. ◽  
...  

Background: Dental caries in young children is commonly untreated representing a public health problem and has also reported to affect their anthropometric outcomes, but the evidence is conflicting. Objectives: The aim of this study was to evaluate the relationship between dental caries and BMI in pre-school children of Bangalore City.Methods: A cross-sectional study was conducted on 208 healthy preschool children with the age range of 3-5 years recruited from nursery schools of Bangalore City. The Anthropometric measurements, weight and height were evaluated by calculating the z-scores using WHO Anthro software to elucidate the subject’s status on the age- and sex-specific growth chart. Every Child who has received two Z-scores under the normal value (<-2) was considered as abnormal (deficient). The data was analyzed using Statistical Package for Social Sciences (SPSS) version 19. The statistical tests used were t-test and correlation analysis.Results: Dental caries prevalence was 65.7% with a mean dental caries score of 2.24±2.57. Among the study participants 32.7% were underweight (WAZ score), 46.6% had height deficiency (HAZ score) and 47.6% had BMI deficiency (BAZ score). There was significant positive correlation found between dental caries experience and children’s WAZ (Weight for age) [r=0.102, p=0.040] and BAZ (BMI for age) [r= 0.761, p= 0.032].Conclusions: This study showed that lesser percentage of the participants had deficient height, weight and BMI. As the weight and BMI increased there was a significant increase in the number of caries and fillings among the participants. 


Author(s):  
Firdayanti Firdayanti ◽  
Sri Aprilianti Idris

ABSTRAK Pestisida adalah semua zat kimia dan bahan lain serta jasad renik dan virus yang dipergunakan untuk memberantas atau mencegah hama dan penyakit yang merusak tanaman atau hasil pertanian. Sampai saat ini pestisida adalah pilihan utama bagi petani untuk melindungi tanaman dari gangguan Organisme Pengganggu Tanaman (OPT). Terpaparnya tubuh oleh pestisida berdampak negative pada komponen yang ada dalam tubuh manusia, salah satunya adalah darah. Pestisida diperkirakan sebagai salah satu factor lingkungan yang turut mempengaruhi profil darah, salah satunya trombosit. Tujuan penelitian ini adalah untuk mengetahui pengaruh paparan pestisida terhadap jumlah trombosit pada petani sayuran di desa Lawoila. Penelitian ini adalah penelitian deskriptif analitik dengan rancangan cross-sectional study. Penelitian ini dilakukan dengan memeriksa jumlah trombosit petani sayuran di desa Lawoila secara automatik menggunakan alat hematology analyzer. Hasil penelitian ini ditunjukkan berdasarkan uji statistik menggunakan uji regresi sederhana diperoleh hasil yaitu F-hitung 1,784 dan nilai signifikan 0,198. Hasil ini menunjukkan bahwa tidak terdapat pengaruh paparan pestisida terhadap jumlah trombosit pada petani sayuran di desa Lawoila Kecamatan Konda Kabupaten Konawe Selatan. Kata kunci : Pestisida, Petani, Trombosit, Lawoila.ABSTRACT               Pesticides are all chemical substances and other materials as well as microorganisms and viruses that are used to eradicate or prevent pests and diseases that damage crops or agricultural products. Until now, pesticides are the main choice for farmers to protect plants from disorders of Plant Pest Organisms (OPT). Exposure to the body by pesticides has a negative effect on the components in the human body, one of which is blood. Pesticides are thought to be one of the environmental factors that influence blood profiles, one of which is platelets. The purpose of this study was to determine the effect of exposure to pesticide on platelet counts in vegetable farmers in Lawoila village. This study was a descriptive analytic study with a cross-sectional study design. This research was carried out by checking the platelet count of vegetable farmers in Lawoila village automatically using the hematology analyzer. The results of this study are shown based on statistical tests using a simple regression test, the results obtained are F-count 1,784 and a significant value of 0,198. These results indicate that there is no effect of exposure to pesticides on platelet counts in vegetable farmers in the village of Lawoila, Konda District, South Konawe Regency. Keywords: Pesticides, Farmers, Platelets, Lawoila


2021 ◽  
Author(s):  
Steward Mudenda ◽  
Moses Mukosha ◽  
Chiluba Mwila ◽  
Zikria Saleem ◽  
Aubrey Chichoni Kalungia ◽  
...  

AbstractBackgroundThe novel coronavirus disease (COVID-19) is a serious global health problem that has negatively impacted the mental health of students.MethodsWe conducted an online descriptive cross-sectional study among 273 undergraduate pharmacy students at the University of Zambia. A partial proportional odds regression model was used to determine the predictors of anxiety. All statistical tests were set at 95% confidence level (p<0.05).ResultsA response rate of 70% was obtained with the majority of the students being female 51.6%. Of the 273 respondents, 23.8% did not experience anxiety, 34.4% experienced mild anxiety, 24.9% experienced moderate anxiety while 16.9% experienced severe anxiety about COVID-19. It was also found that 61.2% of students reported that their attention to mental health increased during the COVID-19 pandemic whereas 44.3% reported an increased resting time with a significant reduction in relaxation 51.3% and physical activity 45.4% time. Factors that affected mental health included; reduced family care (OR: 2.27; 95% CI: 1.09-4.74), not changing attention to mental health (OR: 0.33; 95% CI: 0.18-0.62), being in the final year of study (OR: 0.33; 95% CI: 0.13-0.84), reduced time of resting (OR: 2.10; 95% CI: 1.26-3.50) and feeling helpless (OR: 0.42; 95% CI:0.23-0.75).ConclusionCOVID-19 negatively impacted the mental health and physical activity of pharmacy students at the University of Zambia. This can have negative health and academic outcomes for students going forward. Higher learning institutions and key stakeholders should implement measures to aid students to recover from the impact of COVID-19 on their mental health and physical activity.


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