iosr-JDMS   Volume-20 ~ Issue-7 ~ July 2021

Abstract: Introduction: Open fracture of tibia is a common occurrence in the orthopedic treatment arena. Open fractures of tibia are classified into Type I, II, IIIA, IIIB and IIIC. Open tibial fractures result in high rates of complications. Objective: The aim of this study was to evaluate the Complications of Open Tibial Fracture Management. Methods: This was an observational prospective study. In total 51 patients with tibial fractures were selected as the study population. The total cases were randomly selected for the study, it was conducted in the Department of Orthopedics of Khulna Medical College Hospital, Khulna, Bangladesh. Clinical examination and evaluation were done from July 2018 to June 2019. Statistical analysis of the results was obtained by using window-based computer software devised with Statistical Packages for Social Sciences..........

Key Words: open tibial fractures; infection; complications; antimicrobial

[1]. Tornetta P, Bergman M, Watnik N, Berkowitz G, Steuer J. Treatment of grade-IIIb open tibial fractures. A prospective randomised comparison of external fixation and non-reamed locked nailing. J Bone Joint Surg Br. 1994; 76: 13-9.
[2]. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am. 1976; 58: 453-8.
[3]. Gustilo RB, Mendoza RM, Williams DN. Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma. 1984; 24: 742-6.
[4]. Gustilo RB, Gruninger RP, Davis T. Classification of type III (severe) open fractures relative to treatment and results. Orthopedics. 1987; 10: 1781-8.
[5]. Tscherne H, Oestern HJ. A new classification of soft-tissue damage in open and closed fractures. Unfallheilkunde. 1982; 65: 111-5.

Abstract: COVID 19 infection is known to cause vascular thrombosis in all the systemic vasculature. Ischemic stroke and cerebral venous thrombosis have been reported in the medical literature. Existing medical database does tell us that these events take occur in a predictive manner with the incidence of venous thrombosis, pulmonary embolism and cerebral venous thrombosis being higher in critically ill patients that are already admitted in the intensive care unit and also occur after a lag period from the date of infection. However, this novel virus is relentless in surprising us. We report a COVID 19 case where seizure, as a clinical manifestation of cerebral venous thrombosis was the first and the only presenting complain. Though nasopharyngeal swab test was negative, computed tomography of chest showed features of COVID.........

Key words : CVT in COVID 19, CVT at presentation, venous thrombosis in COVID-19, sinus thrombosis, transverse sinus thrombosis

[1]. Zaim S, Chong JH, Sankaranarayanan V, et al. COVID-19 and Multiorgan Response. Curr Probl Cardiol. 2020;45(8):100618. doi:10.1016/j.cpcardiol.2020.100618.
[2]. Speeckaert MM, Speeckaert R, Delanghe JR. Potential underlying mechanisms of cerebral venous thrombosis associated with COVID-19. J Neuroradiol 2020;47:473–4.
[3]. Zhou B, She J, Wang Y, et al. Venous thrombosis and arteriosclerosis obliterans of lower extremities in a very severe patient with 2019 novel coronavirus disease: a case report. J Thromb Thrombolysis 2020;50:229–32.
[4]. de Barry O, Mekki A, Diffre C, et al. Arterial and venous abdominal thrombosis in a 79-year-old woman with COVID-19 pneumonia. Radiol Case Rep 2020;15:1054–7.
[5]. Di Minno A, Ambrosino P, Calcaterra I, et al. COVID-19 and Venous Thromboembolism: A Meta-analysis of Literature Studies. Semin Thromb Hemost. 2020 Oct;46(7):763-771. doi: 10.1055/s-0040-1715456. Epub 2020 Sep 3.

Abstract: Patients with diabetes mellitus are reported to be up to five times more likely to develop cataract. Through phacoemulsification, most of the patients are able to achieve excellent visual outcome. A retrospective cohort was conducted at the Department of Ophthalmology, of 20 Aout 1953 Teaching Hospital, in Casablanca, Morocco to compare the incidence of post-operative corneal edema and the corneal thickness changes between diabetic and non-diabetic patients after phacoemulsification. Patients with corneal affections prior to surgery, with intraoperative or postoperative complications besides corneal edema were excluded. The follow up duration was 3 months. 376 eyes of 376 patients fulfilled the inclusion criteria and were enrolled in the study. The non-diabetic group had 293 eyes and the diabetics group had 83 eyes. Early post-operative corneal edema was more frequent in the diabetic group.......

Keywords: endothelium, edema, phacoemulsification, diabetes mellitus.

[1]. Ederer F, Hiller R, Taylor HR. Senile lens changes and diabetes in two population studies. Am J Ophthalmol. 1981 Mar; 91(3):381–95.
[2]. Klein BE, Klein R, Moss SE. Incidence of cataract surgery in the Wisconsin Epidemiologic Study of Diabetic Retinopathy. Am J Ophthalmol. 1995 Mar; 119(3):295–300.
[3]. Becker C, Schneider C, Aballéa S, Bailey C, Bourne R, Jick S, et al. Cataract in patients with diabetes mellitus—incidence rates in the UK and risk factors. Eye. 2018 Jun; 32(6):1028–35.
[4]. PARIHAR J, SAHOO P, DASH R, KAMATH A. AN ADVANCED CATARACT SURGERY BY PHACOEMULSIFICATION: AN INITIAL EXPERIENCE. Med J Armed Forces India. 1998 Jul; 54(3):229–31.
[5]. Haddad NMN, Sun JK, Abujaber S, Schlossman DK, Silva PS. Cataract Surgery and its Complications in Diabetic Patients. Semin Ophthalmol. 2014 Sep 1;29(5–6):329–37.

Abstract: Background: In contemporary health care service delivery, patient satisfaction is utmost in regulating the policies that are reflected in the everyday activity of the hospital. Radiology department has a nexus with virtually every other Departments in the hospital and the role it plays in molding the level of patient satisfaction of services is quite significant due to the accompanying influx. The aim of this study is to evaluate patient satisfaction with the Radiological services provided in University of Calabar Teaching Hospital, Calabar, Nigeria...........

Keywords: Patient satisfaction, Radiology, Quality, Health care services

[1]. Mulisa T, Tessema F, Merga H. Patients' satisfaction towards radiological service and associated factors in Hawassa University Teaching and referral hospital, Southern Ethiopia. BMC Health Serv Res. 2017;17(1):441. Published 2017 Jun 26. doi:10.1186/s12913-017-2384-z
[2]. Gana LA, Barde M, Nwobi CI, Zira JD, Lalai MG, Sidi MI. Survey of Patient Satisfaction with Radiological Services in Public and Private Health Facilities in Kano. J Applied Health Sci [Internet]. 2020 [ 17.05.2021.];6(1):25-32. https://doi.org/10.24141/1/6/1/3
[3]. Wahed WFA, Mabrook SE. Assessment of patient satisfaction at Radiological Department of Fayoum University Hospitals. IJMDC. 2017; 1(3): 126-131. doi:10.24911/IJMDC.1.3.2
[4]. Kyei KA, Antwi WK, Brobbey PK. Patients' satisfaction with diagnostic radiology services in two major public and private hospitals in Ghana. Int J Radiol Radiat Ther. 2016;1(1):16-20. DOI: 10.15406/ijrrt.2016.01.00004
[5]. Okafor CH, Ugwu AC, Okon IE. Effects of Patient Safety Culture on Patient Satisfaction With Radiological Services in Nigerian Radiodiagnostic Practice. J Patient Experience. 2018:267-271. doi:10.1177/2374373518755500

Abstract: Choroidal melanoma is a relatively rare tumour with a poor prognosis, though it is the most common primary malignancy of the eye among adults. Choroidal melanoma has been reported to present as acute angle closure glaucoma, secondary glaucoma, chronic uveitis, cataract, and staphyloma. We report a case of a 58-year-old male presenting with features of neovascular glaucoma in the right eye and having initially been treated with anti-glaucoma medications. However,B-scan ultrasonography revealed a mushroom-shaped, elevated, solid lesion with low internal reflectivity suggestive of choroidal melanoma. The patient underwent an enucleation of the eye, and the Histopathological examination along with the immunohistochemistry studies of the lesion following enucleation of confirmed the diagnosis of malignant choroidal melanoma.........

Keywords: choroidal melanoma, iris neovascularisation, neovascular glaucoma

[1]. Othman IS, Assem M, FRCS C, Zaki I. Secondary glaucoma as initial manifestation of uveal melanoma. Saudi J Ophthalmol. 2013;27:203–208
[2]. Vidal JL, Bacin F, Albuisson E, Rozan R, Desjardins L, D'Hermies F, et al. "Melanoma 92". epidemiological study of uveal melanoma in France. J Fr Ophtalmol, 1995;18:520-8.
[3]. M. De Bats J, Gambrelle M, Devouassoux. B. Wolff L, et al. annulaire Ring melanoma revealed by intraocular hypertony. JFO Volume 28, Supplement 1, March 2005.
[4]. Zografos L. Tumeurs Intraoculaires. Rapport de la SFO, 2002:647-53
[5]. Cassoux N, Cayette S, Plancher C, Lumbroso-Le Rouic L, Levy-Gabriel C, Asselain B, et al. Choroidal melanoma: Does endoresection prevent neovascular glaucoma in patient treated with proton beam irradiation? Retina. 2013;33:1441–7.

Abstract: Restoration of worn teeth can be made easier by surgical crown lengthening. It improves appearance and facilitates tooth preparation. Anatomical features can limit the height that can be gained through this surgical procedure. This article will highlight the biologic basis for crown lengthening procedure, the variants of surgical crown lengthening with their indications and contraindications, the orthodontic contribution to crown lengthening in the multidisciplinary approach and margin placement of prosthesis

KEYWORDS: Crown lengthening, orthodontic extrusion

[1]. Contemporary crown-lengthening therapy: A review- Timothy J. Hempton. JADA, Vol. 141, 2010.
[2]. Cohen D.W. lecture, Walter Reed Medical Centre 1962, June 3.
[3]. Tseng SC, Fu JH, Wang HL. Immediate temporization crown lengthening. Compendium of continuing education in dentistry (Jamesburg, NJ: 1995). 2011;32(3):38-43.
[4]. Commonly Used Terms. American Academy of Periodontology's glossary of definitions for common periodontal terms. American Academy of Periodontology Web site Available: http://www.perio.org/consumer/glossary.htm
[5]. American Academy of Periodontology.2003 Practice profile survey: characteristics and trends in private periodontal practice. Chicago: American Academy of periodontology;2004

Abstract: Introduction: Pleurodesis is a time-honored procedure for malignant effusion as one of the palliative procedures to treat recurrent effusions. Various agent have been used in the past such as tetracycline, talc, bleomycin, and povidone-iodine. This paper aims at evaluating safety and efficacy of povidone-iodine for the procedure. Materials and Methods: One hundred and four patients underwent of pleurodesis with povidone-iodine done at our center for malignant effusion between June 2008 and August 2019. The safety and efficacy of the procedure was analyzed.......

KEYWORDS: Malignant pleural effusion, pleurodesis, povidone-iodine

[1]. Echavarría A, Pinzón V, Barés JP, Fernández E. Intracavitary treatment of malignant pleural effusion with iodine-povidone. Rev Med Panama1991;16:69-74.
[2]. Estrada Saló G, Farina Ríos C, FiblaAlfara JJ, Gómez SebastiánG,Unzueta MC, León González C. Spontaneous pneumothorax: Pleurodesiswith an iodo-povidonehydroalcoholic solution. Arch Bronconeumol2003;39:171-4.
[3]. Olivares-Torres CA, Laniado-Laborín R, Chávez-García C, León-Gastelum C, Reyes-Escamilla A, Light RW. Iodopovidonepleurodesis for recurrentpleural effusions. Chest 2002;122:581-3.
[4]. Brissaud O, Desfrere L, Mohsen R, Fayon M, Demarquez JL.Congenital idiopathic chylothorax in neonates: Chemical pleurodesiswith povidone-iodine (Betadine). Arch Dis Child Fetal Neonatal Ed
[5]. 2003;88:F531-3.

Abstract: La bulle de filtration est plus vulnérable aux agents pathogènes d'où l'intérêt d'une chirurgie dans des conditions d'asepsie rigoureuse afin de préserver l'oeil opéré de toute infection. Ainsi, il existe un risque rare aussi bien précoce que tardif d'endophtalmie après une chirurgie filtrante.

[1]. Masson E. Endophtalmie tardive compliquant la chirurgie filtrante du glaucome sans adjonction d'antimétabolites [Internet]. EM-Consulte. [cité 30 sept 2020]. [2]. Prasad N, Latina MA. Blebitis and endophthalmitis after glaucoma filtering surgery. Int Ophthalmol Clin. 2007;47(2):85‑97. [3]. Jampel HD, Quigley HA, Kerrigan-Baumrind LA, Melia BM, Friedman D, Barron Y, et al. Risk factors for late-onset infection following glaucoma filtration surgery. Arch Ophthalmol Chic Ill 1960. juill 2001;11. [4]. Poulsen EJ, Allingham RR. Characteristics and risk factors of infections after glaucoma filtering surgery. J Glaucoma. 2000;9(6):438–443.

Abstract: Background: Internet misuse (IM) constitutes a risk behaviour that could result in internet addiction. Protective and risk factors for adolescent risk behaviour include mental health status, family and friend factors and adolescent abuse with gendered and socioeconomic influences. There is need to include internet misuse screening in adolescent health care. Aim and Objectives: to determine the mental health and family correlates of IM and associated gendered and SES influences. Methods: simple random sampling selection of 679 adolescents. Instruments included PIUQ-SF, PHQ-2, GAD-2, Q9 /PHQ-9, family circle and a customized questionnaire. P value was .05 Results: The prevalence of IM was 47.3% significantly related to high SES, late adolescence, high internet use time, social media and music /movies users......

Key Words: Internet misuse, adolescents, risk behaviour, mental health disorder, family functioning parental attachment

[1]. Lin YJ., Hsiao RC., Liu TL., Yen CF. Bidirectional relationships of psychiatric symptoms with internet addiction in college students: A prospective study. Journal of the Formosan Medical Association (2020) 119, 1093e1100.
[2]. Ho RC., Zhang MWB, Tsang TY., Toh AH., Pan F., Lu Y. et al. The Association between Internet addiction and psychiatric co-morbidity: a meta-analysis. BMC Psychiatry 2014, 14:183.
[3]. Singh N., Barmola KC. Internet Addiction, Mental Health and Academic Performance of School Students/Adolescents. The International Journal of Indian Psychology ISSN 2348-5396(e) ISSN: 2349-3429 (p) Vol 2, Issue 3.
[4]. Olowodunoye SA. Olusa AO., Adesina TR. Internet Addiction among Adolescents: The Influence of Gender and Personality. AJPSSI 2017. Vol. 20 No. 2. 1-15
[5]. Priti V., Nidhi A. Understanding the Relationship between Internet Addiction and Emotional Intelligence with Reference to Delhi-NCR Region. Indian Journal of Public Health Research & Development, April 2019, Vol. 10, No. 4 191-196.DOI No. 10.5958/0976-5506.2019.00688.0

Abstract: Background Coronary heart disease (CHD) is a leading cause of hospital deaths in Sri Lanka. Ambulatory care is a main mode of health service provision.Utilization, access and Health System Responsiveness (HSR) are important to management of CHD. Objectives Objective was to describe utilization, perceived-access,HSRrelated to ambulatory services for CHD/risk factors, and correlates among people aged 30-64 in a semi-urban district in Sri Lanka. Methods A community-based cross-sectional study was conducted among 1192 people aged 30-64 years in Gampaha, recruited by cluster sampling.Data were collected using......

Key words: Ischemic heart disease, Non-Communicable Diseases, Outpatient care

[1]. World Health Organization. Cardiovascular diseases. 2021. Available at: Cardiovascular diseases (CVDs) (who.int)
[2]. Ministry of Health. Annual Health Bulletin. 2018. Available at: AHB_2018.pdf (health.gov.lk)
[3]. World Health Organization. Reducing risks, promoting healthy life. The World Health Report 2002. Geneva. Available at: WHO | The world health report 2002 - Reducing Risks, Promoting Healthy Life
[4]. Ebrahim S, Montaner D, Lawlor DA. Clustering of risk factors and social class in childhood and adulthood in British women's heart and health study: cross sectional analysis. Bmj. 2004 Apr 8;328(7444):861. doi: https://doi.org/10.1136/bmj.38034.702836.55
[5]. World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks. World Health Organization; 2009.
[6]. Penchansky R, Thomas JW. The concept of access: definition and relationship to consumer satisfaction. Medical care. 1981 Feb 1:127-40.

Abstract: Background Coronary heart disease (CHD) is a leading cause of hospital deaths in Sri Lanka. Ambulatory care is a main mode of health service provision.Utilization, access and Health System Responsiveness (HSR) are important to management of CHD. Objectives Objective was to describe utilization, perceived-access,HSRrelated to ambulatory services for CHD/risk factors, and correlates among people aged 30-64 in a semi-urban district in Sri Lanka. Methods A community-based cross-sectional study was conducted among 1192 people aged 30-64 years in Gampaha, recruited by cluster sampling.Data were collected using......

Key words: Ischemic heart disease, Non-Communicable Diseases, Outpatient care

[1]. World Health Organization. Cardiovascular diseases. 2021. Available at: Cardiovascular diseases (CVDs) (who.int)
[2]. Ministry of Health. Annual Health Bulletin. 2018. Available at: AHB_2018.pdf (health.gov.lk)
[3]. World Health Organization. Reducing risks, promoting healthy life. The World Health Report 2002. Geneva. Available at: WHO | The world health report 2002 - Reducing Risks, Promoting Healthy Life
[4]. Ebrahim S, Montaner D, Lawlor DA. Clustering of risk factors and social class in childhood and adulthood in British women's heart and health study: cross sectional analysis. Bmj. 2004 Apr 8;328(7444):861. doi: https://doi.org/10.1136/bmj.38034.702836.55
[5]. World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks. World Health Organization; 2009.
[6]. Penchansky R, Thomas JW. The concept of access: definition and relationship to consumer satisfaction. Medical care. 1981 Feb 1:127-40.

Abstract: Background: Endoscopic retrograde cholangiopancreatography (ERCP) is a crucial diagnostic and therapeutic procedure for biliopancreatic disorders. However, it carries a risk of complications, with post-ERCP pancreatitis (PEP) being the most common. This study aimed to evaluate the incidence and risk factors associated with post-ERCP complications in a tertiary care setting in Bangladesh. Methods: This cross-sectional study was conducted at Bangabandhu Sheikh Mujib Medical University, Dhaka, from August 2019 to March 2021.....

Key words: Post-ERCP Pancreatitis, Retrograde cholangiopancreatography, Biliopancreatic disorders

[1]. Devis J, Sreevastava DK, Dwivedi D. Galgi S. Sud S, Dudeja P. A Comparison of Stress Response between Insertion of Gastro-laryngeal Tube and Endotracheal Intubation in Patients Undergoing Upper Gastrointestinal Endoscopic Procedures for Endoscopic Retrograde Cholangiopancreatography Anesth Essays Res. 2019 Jan-Mar; 13 (1) :13-18.
[2]. Halász A, Pécsi D, Farkas N, Izbéki F, Gajdán L, Fejes R, et al. Outcomes and timing of endoscopic retrograde cholangiopancreatography for acute biliary pancreatitis. Digestive and Liver Disease 2019; 51:1281–6.
[3]. Meseeha M, Attia M. Endoscopic retrograde cholangiopancreatography (ERCP). Statpearls [Internet].2020 Apr 27.
[4]. Perdigoto DN, Gomes D, Almeida N, Mendes S, Alves AR, Camacho E, Tome L, Risk Factors for Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis in the Indomethacin Era-A Prospective study. GE-Portuguese Journal of Gastroenterology.2019;26(3):176-83.
[5]. Cheng CL, Sherman S, Watkins JL, Barnett J, Freeman M, Geenen J, Ryan M, Parker H, Frakes JT, Fogel EL, Silverman WB. Risk factors for post-ERCP pancreatitis: a prospective multicentre study. Official journal of the American College of Gastroenterology ACG. 2006 Jan 1;101(1):139-47..