iosr-JDMS   Volume-19 ~ Issue-11 ~ November 2020

Abstract: Background: MECHANISM: Fractures of the tibia plateau occur as a result of strong valgus or varus forces during axial loading of the respective femoral condyle producing both a shearing and a compressive force on the underlying tibial plateau.Both the collateral ligament act like a hinge as valgus or varus forces drive the lateral and medial femoral condyle into the tibial plateau. The articular surface of the medial condyle is prolonged anteriorly, and as the knee comes into fully extended position, the femur internally rotates until the remaining......

Key Word: Fine wireRing fixator,Ilizarov, SCHATZKER'S, Tibial plateau.

[1]. George A, Brown and Sprague. Cast brace treatment for plateau and bicondylar fractures of the tibia. Clin Orthop 1976; 119: 184.
[2]. Schatzker J, Mc Broom, R and Bruce D. The tibial plateau fractures – Toronto experience. Clin Orthop, 1979; 138: 94.
[3]. Dalamarter R, Hohl M and Hopp E Jr.Ligament injuries associated with tibial plateau fractures. Clin Orthop 1990; 250: 226. And Bennett WF and Browner B. Tibial plateau fractures- a study of associated soft tissue injury. J. Ortho. Trauma 1992; 6: 78.
[4]. Kumar A, Whittle AP. Treatment of complex (Schatzker Type VI) fractures of the tibial plateau with circular wire external fixation. Retrospective case review. J Orthop Trauma 2000; 14:339-44.
[5]. Segal D, Mallik AR, Wetzler MJ, Franchi AV, Whitelaw GP. Early weight bearing of lateral tibial plateau fractures. Clin OrthopRelat Res 1993;232-7

Abstract: Snake bite is a common occupational hazard in developing countries like India which is a land of exotic snakes1.Most snake bites occur in temperate and tropical climates in which majority of population depend on agriculture and fishing2.About 1.2-5.5 million snake bites occur worldwide each.....

[1]. Gupta YK, Peshin SS. Snake bite in India: current scenario of an old problem. J Clin Toxicol. 2014;4(1):182.
[2]. Boyd JJ, AgazziG,Svajda D et al. Venomous Snakebite in mounainous terrain: Prevention and management. Wilderness Environ Med 2007;18:190-202.
[3]. Brunda G, Sashidhar RB. Epidemiological profile of snake-bite cases from Andhra Pradesh using immunoanalytical approach. Indian J Med Res. 2007 May;125(5):661-8. PMID: 17642502.
[4]. Warrell DA. Snake bite. Lancet 2010;375:77-88.
[5]. Sharma N, Chauhan S,FaruqiS,et al. Snake envenomation in a north indian hospital. Emerg Med J India 1998;11:264.

Abstract: Background: There are numerous adjunctive measures described to reduce the recurrence rates after pterygium excision. Sutureless glueless conjunctival autografting in pterygium surgery is gaining popularity due to short surgical time, no recurrence and good cosmetic outcome. The main objective to study the efficacy and complications of sutureless and glue free limbal conjunctival autograft for the management of primary pterygium. Materials and methods: A prospective interventional case series was carried out in 50 consecutive eyes with primary nasal pterygium requiring surgical excision. Pterygium excision with limbal conjunctival autografting without using glue or sutures was...

Key words: Pterygium, conjunctiva, limbal-conjunctival autograft, fibrin glue, pterygium surgery

[1]. Gerstenblith, Adam T and Rabinowitz, Michael P. The Wills eye manual: office and emergency room diagnosis and treatment of eye disease. 6th edition, Wolters Kluwer Health/Lippincott Williams & Wilkins, Philadelphia, 2012.
[2]. Kunimoto, Derek Y, Kanitkar, Kunal D and Makar, Mary. The Wills eye manual: office and emergency room diagnosis and treatment of eye disease. 4th edition, Philadelphia: Lippincott Williams & Wilkins, 2004.
[3]. Kenyon KR, Wagoner MD, Hettinger ME. Conjunctival autograft transplantation for advanced and recurrent pterygium. Ophthalmology 1985; 92:1461-1470.
[4]. Ayala M. Results of pterygium surgery using a biologic adhesive. Cornea 2008; 27:663-667.
[5]. Kim HH, Mun HJ, Park YJ, Lee KW, Shin JP. Conjunctivolimbal autograft using a fibrin adhesive in pterygium surgery. Korean J Ophthalmol 2008; 22:147-154..

Abstract: Introduction: Mortality of children is the prime indicator of country's health status and its development.This study is therefore aimed at evaluating the mortality pattern in children in tertiary care hospital. Material and method: This retrospective study included all the children from 29 days to 12 years of age, who were hospitalized to the Paediatric Department. for a period of 18 months. Neonatal deaths (<28days) were excluded from this study since most of the time cause is multifactorial. Paediatric surgical and trauma cases, which were treated by the surgical department, were excluded.......

Keywords: Pediatric, mortality, PICU

[1]. Park K. Park K.Park's Textbook of Preventive and Social Medicine. 21st ed. M/S Banarsidas Bhanot Publishers; 2011. 24-27 p.
[2]. Roy RN, Nandy S, Shrivastava P, Chakraborty A, Dasgupta M, Kundu TK. Mortality Pattern of Hospitalized Children in a Tertiary Care Hospital of Kolkata. Indian J Community Med Off Publ Indian Assoc Prev Soc Med. 2008 Jul;33(3):187–9
[3]. Garros D, Rosychuk RJ, Cox PN (2003) Circumstances surrounding end of life in a paediatric intensive care unit. Pediatrics 112: e371-e379.
[4]. Sands R, Manning JC (2009) Characteristics of deaths in paediatric intensive care: a 10-year study. Nurs Crit Care 14: 235-240.
[5]. Mink RB, Pollack MM (1992) Resuscitation and withdrawal of therapy in paediatric intensive care. Paediatrics 89: 961-963

Abstract: Un traumatisme contusif du globe oculaire peut se compliquer de rupture de la membrane de Bruch ou de la choroïde. Cette complication est observée dans 5 à 10% des cas avec une nette prédominance masculine. L'objectif de cette étude est de décrire la présentation clinique et l'évolution des cas de rupture de la membrane de Bruch chez les patients victimes de traumatisme contusif sévère du globe oculaire. Une étude rétrospective, incluant 7 patients présentant une rupture de la membrane de Bruch post-traumatique et consultant aux urgences d'ophtalmologie du CHU Avicenne de Rabat, était réalisée d'octobre 2016 à avril 2020. La principale cause de traumatisme était les agressions. Tous nos cas ont présenté une atteinte unilatérale (soit 07 yeux). Les sept yeux présentaient une baisse d'acuité importante<5/10e. Quatre de nos sujets ont pu constater une amélioration de leur acuité visuelle,........

[1]. Saleh M. Contusions oculaires à globe fermé J frophthalmol. 2012;35(6):445–453.
[2]. Eagling EM. Ocular damage afterblunt trauma to the eye:itsrelation-ship to the nature of the injury. Br J Ophthalmol. 1974 Feb;58(2):126–140.
[3]. Malvitte L, Creuzot-Garcher C, Bron A. Images en Ophtalmologie. 2007. Décembre
[4]. Secretan M, Sickenberg M, Zographos L, Piguet B. Morphometriccharacteristics of traumaticchoroidal ruptures associatedwithneovascularization. Retina. 1998;18(1):62–6.
[5]. Wood CM, Richardson J. Chorioretinalneovascular membranes complicatingcontusionaleye injuries with indirect choroidal ruptures. Br J Ophthalmol. 1990 Feb;74(2):93–6..

Abstract: Currently, we are experiencing an epidemic growth in the number of people with diabetes worldwide.1 An estimated 366 million people, corresponding to 8.3% of the world's adult population, have diabetes today, but the prevalence is expected to grow to 552 million by 2030, corresponding to 9.9% of the adult population.2 This increase goes hand in hand with ―westernization‖ of lifestyle, with consumption of more energy-dense food and decreasing physical activity.2 Driven by this development, diabetes affects more and more young people. These changes have driven a huge increase in T2DM —the most common form of diabetes, particularly in young people, especially in their.....

[1]. Whiting DR, Guariguata L, Weil C. IDF diabetes atlas: global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Res Clin Pract 2011; 94:311–321.
[2]. Zimmet P, Alberti KG, Shaw J: Global and societal implications of the diabetes epidemic. Nature 2011; 414:782–787.
[3]. Meisinger C, Strassburger K, Heier M. Prevalence of undiagnosed diabetes and impaired glucose regulation in 35-59-year-old individuals in Southern Germany: the KORA F4 Study. Diabet Med 2011; 27:360–362.
[4]. Rothe U, Muller G, Schwarz PE, et al: Evaluation of a diabetes management system based on practice guidelines, integrated care, and continuous quality management in a Federal State of Germany: a population-based approach to health care research. Diabetes Care 2008; 31:863–868.
[5]. Keeling A. The UN Summit and beyond: a new era for diabetes, Diabetes Res Clin Pract 2011; 94:163–165..

Abstract: Background: Tibial plateau fractures are complex intra articular fractures which pose a great challenge. The aim of this study compare the clinical and functional outcomes of type V and type VI tibial plateau fractures treated with bicondylar plating and lateral locking plate and to highlight their advantages and disadvantages. Materials and methods: Forty patients in the age group of 18yrs to 65 yrs with complex tibial plateau fractures (Schatzker typeV and VI) were operated between January 2019 to January 2020 either by a single lateral lock plate through an anterolateral incision or through double incision. The fractures were closed or grade I compoundwith no other injury...

Keywords: tibial plateau, lateral lock plate, bicondylar plating, functional outcomes

[1]. D. Schneidmueller, E. Gercek, M. Lehnert, F. Walcher, and I. Marzi "Proximal tibial fractures," The American Journal of Sports Medicine, vol. 31, pp. 404–407, 2011.
[2]. Kennedy JC, Baitey WH. Experimental tibial plateau fractures: studies of the mechanism and the classification. JBJS Am 1968; 50:1522.
[3]. Lansinger O, Bergman B, KornerL. Tibial Condylar fractures, a twenty-year follow up. JBJS 1986; 68:13-19.
[4]. Schatzker J, McBroom R, Bruce D. The tibial plateau fracture, the Toronto experience: 1968-1 975. CIin Orthop. 1979; 138:94-104.
[5]. M. Bhandari, L. Audige, T. Ellis et al., "Operative treatment of extra-articular proximal tibial fractures," Journal of
Orthopaedic Trauma, vol. 17, no. 8, pp. 591–595, 2003.Kennedy JC, Baitey WH. Experimental tibial plateau fractures: studies of the mechanism and the classification. JBJS Am 1968; 50:1522..

Abstract: The COVID-19 pandemic has affected around 50 million people all over the world with profound repercussions on the global healthcare system. Several studies have drawn attention to the potential risk of long term mental health problems in healthcare professionals combating the virus as frontline warriors. We undertook this cross-sectional study to observe the impact of the COVID-19 pandemic on healthcare providers. An electronic questionnaire created using the web survey tool "Google Forms" was distributed among healthcare professionals through social media platforms. From 13th April 2020 to 23rd April 2020, 250 anonymous responses were obtained from healthcare professionals worldwide. On analysis using Google Forms, 84.8% professionals reported anxiety while......

Keywords: COVID-19, Effect, Healthcare professionals

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[2]. COVID-19 Public Health Emergency of International Concern (PHEIC) Global research and innovation forum [Internet]. Available from: https://www.who.int/publications/m/item/covid-19-public-health-emergency-of-international-concern-(pheic)-global-research-and-innovation-forum
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[4]. Covid-19: One in five healthcare workers could quit after pandemic unless urgent government action is taken, IPPR warns [Internet]. 2020. Available from: https://www.ippr.org/news-and-media/press-releases/covid-19-one-in-five-healthcare-workers-could-quit-after-pandemic-unless-urgent-government-action-is-taken-ippr-warns
[5]. Half of UK health workers suffering stress because of Covid-19 [Internet]. 2020. Available from:
https://www.theguardian.com/society/2020/apr/23/half-of-uk-health-workers-suffering-stress-because-of-covid-19

Abstract: Background: Gynecological malignancies include the malignancy of uterine cervix, ovary and endometrium. These malignancies are associated with low Quality of life(QOL) due to its involvement of genito-urinary apparatus and the morbidity associated with the cancer therapy, like chemotherapy, radiotherapy and local surgeries. In this study we have assessed the quality of life in patients diagnosed with cancers of cervix, endometrium and ovary, and other factors that influence the quality of life in these patients using a structured pre validated questionnaire. Objectives: To access the quality of life in patients with gynecological malignancies and factors influencing the quality of life. Methods: In this study set in......

[1]. Pignata S, Ballatori E, Favalli G, Scambia G. Quality of life: gynaecological cancers. Annals of Oncology, 2001 Jan 1;12(suppl_3):S37-42.
[2]. Park SY, Bae DS, Nam JH, Park CT, Cho CH et al. Quality of life and sexual problems in disease-free survivors of cervical cancer compared with the general population. Cancer, 2007 Dec 15;110(12):2716-25.
[3]. Rustoen T, Moum T, Wiklund I, Hanestad BR. Quality of life in newly diagnosed cancer patients. Journal of Advanced Nursing, 1999 Feb 1;29:490-8.
[4]. Lutgendorf SK, Anderson B, Ullrich P, Johnsen EL, Buller RE et al. Quality of life and mood in women with gynecologic cancer: a one year prospective study. Cancer, 2002 Jan 1;94(1):131-40.
[5]. Molassiotis A, Chan CW, Yam BM, Chan SJ. Quality of life in Chinese women with gynaecological cancers. Supportive care in cancer, 2000 Aug 1;8(5):414-22.

Abstract: Purpose: To compare the outcomes of PCNL in patients with and without previous renal stone surgery. Materials and methods: A total of 80 patients who underwent PCNL during the period from 1st November, 2017 to 31st October, 2019 at our institution were included in the study. Patients undergoing PCNL were classified into 2 groups. Group l included patients without previous ipsilateral renal stone surgery. Group 2 included patients with previous renal stone surgery (open or percutaneous). Age, sex, Body Mass Index, stone size, stone location and renal stone surgery, number of access tracts made during the operation, tract.......

Keywords: calculi , percutaneous, nephrolithotomy

[1]. Rupel E, Brown R. Nephroscopy with removal of stones following nephrosotomy for obstructive calculous anuria. J Urol 1941;46(2):177-82.
[2]. Fernström I, Johansson B. Percutaneous pyelolithotomy. A new extraction technique. Scand J Urol Nephrol 1976;10(3):257-9.
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[4]. Turk C, Knoll T, Petrik A. Guidelines on Urolithiasis. Chapter 6.4: selection of procedure for active removal of kidney stones. Presented at: 26th European Association of Urology congress; 2011 March 18-22: Vienna, Austria.
[5]. Al-Kohlany KM, Shokeir AA, Mosbah A, Mohsen T, Shoma AM, Eraky I et al. Treatment of complete staghorn stones: a prospective randomized comparison of open surgery versus percutaneous nephrolithotomy. J Urol. 2005;173(2):469-73

Abstract: Background: Stillbirth is the most prevalent adverse outcome in pregnancy and remains a challenge in our clinical practice. The aim of this study is to determine the causes of stillbirth in the last 11 years, in a tertiary hospital. Materials and Methods: Descriptive, retrospective study on fetal deaths that occurred between 2008 and 2018, in a tertiary hospital. Results: In the last 11 years, 84 stillbirths have occurred. The fetal mortality rate was 2.8 ‰. There was an absence of pregnancy surveillance in only 2% of cases and late surveillance in 11% of pregnant women monitored. 88% of the analyzed.......

Key words: Stillbirth; Fetal Death; Pregnancy Outcome; Pregnancy Complications

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