{"title":"The Efficacy of Epidural Steroid In Management of Chronic Low Back Ache","authors":"J. Ipe, V. Almeida, J. Eapen","doi":"10.9790/0853-1607011416","DOIUrl":"https://doi.org/10.9790/0853-1607011416","url":null,"abstract":"","PeriodicalId":14489,"journal":{"name":"IOSR Journal of Dental and Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87541499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: To study various clinical and histopathological features of ocular surface squamous neoplasia. Ocular surface squamous neoplasia (OSSN) represents a rare spectrum of disease ranging from mild dysplasia to carcinoma in situ to invasive squamous cell carcinoma of the ocular surface involving the conjunctiva and the cornea, occurring usually in the interpalpebral area, mostly at the limbus. Methods And Materials: This study is conducted on 14 patients who underwent surgical excision for histopathologically proven cases of ocular surface squamous neoplasia (OSSN) in deptt of ophthalmology of MLB medical college Jhansi over a period of 6 months. In each case a complete medical and surgical taken, ocular examination including location, extent and clinical history was appearance of the lesion was done. The lesions were surgically excised keeping a safe margin of 2-3 mm of normal appearing conjunctiva and histopathological studies were performed. Results: The commonest age group involved in our series was 51-60 years accounting for 83.3%.The mean age being 54.91 years. Male and female were affected in equal ratio. Mean duration of symptoms was 7.79 months. Mean follow up was 20.8 months. All patients had unilateral tumor with equal involvement of right and left eyes. Interpalpebral involvement was seen in all patients. Temporal quadrant was most commonly affected (66%). In 7 patients (50%). Lesions were confined to conjunctiva and in rest 7 patients (50%) growth extended to cornea. Morphologically (41.6%) patients were leucoplakic, (33.3%) patients were papilomatous,2 (16.6%) patients were gelatinous and 1(8.3%) patients were cystic. Impression cytology was done in 8 patients (75%) and was co-related with histopathology. Systemic predisposing factors like xeroderma pigmentosa was seen in 1(4.16%) patients and AIDS in 2(8.33%) patients. Recurrence of lesions was seen in 2 patients (8.33%), out of which one underwent resurgery and other was treated with topical mytomycin.
{"title":"Clinical & Histopathological Features of Ocular Surface Squamous Neoplasia","authors":"R. Sahay, J. Kumar, Arti Kushwaha","doi":"10.9790/0853-1606115760","DOIUrl":"https://doi.org/10.9790/0853-1606115760","url":null,"abstract":"Purpose: To study various clinical and histopathological features of ocular surface squamous neoplasia. Ocular surface squamous neoplasia (OSSN) represents a rare spectrum of disease ranging from mild dysplasia to carcinoma in situ to invasive squamous cell carcinoma of the ocular surface involving the conjunctiva and the cornea, occurring usually in the interpalpebral area, mostly at the limbus. Methods And Materials: This study is conducted on 14 patients who underwent surgical excision for histopathologically proven cases of ocular surface squamous neoplasia (OSSN) in deptt of ophthalmology of MLB medical college Jhansi over a period of 6 months. In each case a complete medical and surgical taken, ocular examination including location, extent and clinical history was appearance of the lesion was done. The lesions were surgically excised keeping a safe margin of 2-3 mm of normal appearing conjunctiva and histopathological studies were performed. Results: The commonest age group involved in our series was 51-60 years accounting for 83.3%.The mean age being 54.91 years. Male and female were affected in equal ratio. Mean duration of symptoms was 7.79 months. Mean follow up was 20.8 months. All patients had unilateral tumor with equal involvement of right and left eyes. Interpalpebral involvement was seen in all patients. Temporal quadrant was most commonly affected (66%). In 7 patients (50%). Lesions were confined to conjunctiva and in rest 7 patients (50%) growth extended to cornea. Morphologically (41.6%) patients were leucoplakic, (33.3%) patients were papilomatous,2 (16.6%) patients were gelatinous and 1(8.3%) patients were cystic. Impression cytology was done in 8 patients (75%) and was co-related with histopathology. Systemic predisposing factors like xeroderma pigmentosa was seen in 1(4.16%) patients and AIDS in 2(8.33%) patients. Recurrence of lesions was seen in 2 patients (8.33%), out of which one underwent resurgery and other was treated with topical mytomycin.","PeriodicalId":14489,"journal":{"name":"IOSR Journal of Dental and Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88313293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Brunner organ hamartoma, otherwise called brunneroma, is a rare benign tumor of the duodenum. These benign tumors can be asymptomatic or can present with obstructive manifestations as well as gastrointestinal bleeding. Intussusception is an uncommon introduction for a brunneroma. ). The distribution of Brunner’s gland hamartomas is duodenal bulb (57%), the second (27%) and third (5%) portions of the duodenum, the pyloric channel (5%), jejunum (2%), and proximal ileum (2%). Case Report: A 55 year old female came to the gastrointestinal surgery division with complain of epigastric pain intermittent, and aggravated by eating food and associated with nonbilious, non-projectile. There was no history of hematemesis, melena, jaundice, weight loss, or anorexia. Radiological investigations were suggestive of gastric outlet obstruction. The patient underwent a distal gastrectomy . A diagnosis of Brunner’s gland adenoma was made on histopathological examination. Conclusion: Our case was unique as an uncommon tumor Brunner's organ hamartoma, rare location: pyloric, around 8 cm, and rare clinical presentation of Gastroduodenal intussusception. In spite of the fact that brunneroma is an uncommon element, it ought to continuously be considered as a differential conclusion of duodenal polypoidal disease. Larger disease can cause Gastroduodenal intussusceptions and can display with obstructive indications. Keyword: Brunner gland hamartoma, Brunneroma, intussusception, obstruction.
{"title":"Brunneroma: Unusual Case of Gastroduodenal Intussusception","authors":"H. Kumar, A. Heroor, Arul Vanan","doi":"10.9790/0853-1606123638","DOIUrl":"https://doi.org/10.9790/0853-1606123638","url":null,"abstract":"Introduction: Brunner organ hamartoma, otherwise called brunneroma, is a rare benign tumor of the duodenum. These benign tumors can be asymptomatic or can present with obstructive manifestations as well as gastrointestinal bleeding. Intussusception is an uncommon introduction for a brunneroma. ). The distribution of Brunner’s gland hamartomas is duodenal bulb (57%), the second (27%) and third (5%) portions of the duodenum, the pyloric channel (5%), jejunum (2%), and proximal ileum (2%). Case Report: A 55 year old female came to the gastrointestinal surgery division with complain of epigastric pain intermittent, and aggravated by eating food and associated with nonbilious, non-projectile. There was no history of hematemesis, melena, jaundice, weight loss, or anorexia. Radiological investigations were suggestive of gastric outlet obstruction. The patient underwent a distal gastrectomy . A diagnosis of Brunner’s gland adenoma was made on histopathological examination. Conclusion: Our case was unique as an uncommon tumor Brunner's organ hamartoma, rare location: pyloric, around 8 cm, and rare clinical presentation of Gastroduodenal intussusception. In spite of the fact that brunneroma is an uncommon element, it ought to continuously be considered as a differential conclusion of duodenal polypoidal disease. Larger disease can cause Gastroduodenal intussusceptions and can display with obstructive indications. Keyword: Brunner gland hamartoma, Brunneroma, intussusception, obstruction.","PeriodicalId":14489,"journal":{"name":"IOSR Journal of Dental and Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87078601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rajesh, S. Raghavan, T. Sreelal, Digesh Balachandran
Aim: To evaluate and compare the porcelain bond strength of Nickel-Chromium and Cobalt-Chromium alloys. Materials and Methods: The alloy systems used in the study were one proprietary brand each of nickelchromium and cobalt-chromium alloy typeCommendand Lithecast respectively. For the porcelain bond strength study, five test specimens were made each with Commend and Lithecast. The Vintage porcelain system was employed for the porcelain application. The specimens were tested on Instron testing machine. Results: Student‘t’ test revealed no significant difference in the porcelain bond strength between nickelchromium and cobalt-chromium alloysCommend and Lithecast respectively. Conclusion: Within the limitations of the study, no significant difference was noted between nickelchromium and cobalt-chromium alloy with respect to the bond strength with porcelain. Hence taking into consideration the economic effectiveness of nickel-chromium alloys, they can be used as the core material for metal-ceramic restorations in place of cobalt-chromium alloys except in nickel-allergic patients.
{"title":"Comparative Evaluation of the Bond Strength of Different Base Metal Alloys With Porcelain-An Invitro Study","authors":"Rajesh, S. Raghavan, T. Sreelal, Digesh Balachandran","doi":"10.9790/0853-1607010713","DOIUrl":"https://doi.org/10.9790/0853-1607010713","url":null,"abstract":"Aim: To evaluate and compare the porcelain bond strength of Nickel-Chromium and Cobalt-Chromium alloys. Materials and Methods: The alloy systems used in the study were one proprietary brand each of nickelchromium and cobalt-chromium alloy typeCommendand Lithecast respectively. For the porcelain bond strength study, five test specimens were made each with Commend and Lithecast. The Vintage porcelain system was employed for the porcelain application. The specimens were tested on Instron testing machine. Results: Student‘t’ test revealed no significant difference in the porcelain bond strength between nickelchromium and cobalt-chromium alloysCommend and Lithecast respectively. Conclusion: Within the limitations of the study, no significant difference was noted between nickelchromium and cobalt-chromium alloy with respect to the bond strength with porcelain. Hence taking into consideration the economic effectiveness of nickel-chromium alloys, they can be used as the core material for metal-ceramic restorations in place of cobalt-chromium alloys except in nickel-allergic patients.","PeriodicalId":14489,"journal":{"name":"IOSR Journal of Dental and Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82114341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Finger and partial finger amputations can be the result of a congenital anomaly, trauma, tumour surgery or malformations. Surgical reconstruction may not be possible, owing to size or location of the defect. The patient's medical condition or personal desires may also preclude reconstructive surgery. In such cases, prosthetic rehabilitation is indicated. A case report has been presented where a custom made glove type prosthesis was fabricated using silicone elastomer.
{"title":"Fabrication of Glove Type Silicone Finger Prosthesis: A Case Report","authors":"S. Nazir, Bisma Amin","doi":"10.9790/0853-1606036972","DOIUrl":"https://doi.org/10.9790/0853-1606036972","url":null,"abstract":"Finger and partial finger amputations can be the result of a congenital anomaly, trauma, tumour surgery or malformations. Surgical reconstruction may not be possible, owing to size or location of the defect. The patient's medical condition or personal desires may also preclude reconstructive surgery. In such cases, prosthetic rehabilitation is indicated. A case report has been presented where a custom made glove type prosthesis was fabricated using silicone elastomer.","PeriodicalId":14489,"journal":{"name":"IOSR Journal of Dental and Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83712065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: It is uncertain if exercise could influence the occurrence of T2DM in offspring of diabetic parents. Therefore this study was designed to assess the effect of exercise on fasting blood glucose and oral Glucose Tolerance Test on offspring of T2DM parents compared with offspring of non-diabetic parents. Design: This study involved selection of 10 offspring of T2DM parents attending University College Hospital, Ibadan and 10 offspring of non-diabetic parents who are undergraduate students of the University of Ibadan, Nigeria. Participants were randomly assigned into four groups: 5 Normal-weight Offspring of Non-Diabetic Parents (NONDP), 5 Normal-weight Offspring of Diabetic Parents (NODP), 5 Overweight Offspring of NonDiabetic Parents (OONDP) and 5 Overweight Offspring of Diabetic Parents (OODP). Each participant followed a protocol of graded exercise using the tummy trimmer everyday spending 30-45 minutes daily for 24 weeks. Blood samples were obtained after an overnight fasting for determination of fasting blood glucose using standard methods at baseline, six week, 12 week, 18 week and 24 week, respectively. Data were analyzed using descriptive statistic and repeated ANOVA with significant at P<0.05. Results: At baseline, Oral GTT were also carried out before the beginning of exercise and repeated at the end of 24 weeks of exercise. There were reductions though not significant in fasting blood glucose (mg/dL) viz in NONDP: 91.00±3.71to 84.50±3.34, NODP: 100.67±3.75to88.17±0.75, OONDP:93.67±5.82 to87.17±4.98 and OODP 90.83±5.25to82.83±2.37 at 24weeks. Conclusions: Graded exercise reduced fasting blood glucose in all the groups. The clinical importance of graded exercise in prevention of diabetes mellitus among offspring of diabetic parents is a useful intervention.
{"title":"Effect of Exercise on Fasting Blood Glucose and Oral Glucose Tolerance Tests In Offspring of Type 2 Diabetic and Non-Diabetic Parents","authors":"E. Taiwo.","doi":"10.9790/0853-1607022226","DOIUrl":"https://doi.org/10.9790/0853-1607022226","url":null,"abstract":"Objectives: It is uncertain if exercise could influence the occurrence of T2DM in offspring of diabetic parents. Therefore this study was designed to assess the effect of exercise on fasting blood glucose and oral Glucose Tolerance Test on offspring of T2DM parents compared with offspring of non-diabetic parents. Design: This study involved selection of 10 offspring of T2DM parents attending University College Hospital, Ibadan and 10 offspring of non-diabetic parents who are undergraduate students of the University of Ibadan, Nigeria. Participants were randomly assigned into four groups: 5 Normal-weight Offspring of Non-Diabetic Parents (NONDP), 5 Normal-weight Offspring of Diabetic Parents (NODP), 5 Overweight Offspring of NonDiabetic Parents (OONDP) and 5 Overweight Offspring of Diabetic Parents (OODP). Each participant followed a protocol of graded exercise using the tummy trimmer everyday spending 30-45 minutes daily for 24 weeks. Blood samples were obtained after an overnight fasting for determination of fasting blood glucose using standard methods at baseline, six week, 12 week, 18 week and 24 week, respectively. Data were analyzed using descriptive statistic and repeated ANOVA with significant at P<0.05. Results: At baseline, Oral GTT were also carried out before the beginning of exercise and repeated at the end of 24 weeks of exercise. There were reductions though not significant in fasting blood glucose (mg/dL) viz in NONDP: 91.00±3.71to 84.50±3.34, NODP: 100.67±3.75to88.17±0.75, OONDP:93.67±5.82 to87.17±4.98 and OODP 90.83±5.25to82.83±2.37 at 24weeks. Conclusions: Graded exercise reduced fasting blood glucose in all the groups. The clinical importance of graded exercise in prevention of diabetes mellitus among offspring of diabetic parents is a useful intervention.","PeriodicalId":14489,"journal":{"name":"IOSR Journal of Dental and Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81128126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Mukhopadhyay, Dr. Krishnendumaitidr, Tapankumarmondal, T. Majhi, Dr. Shashankadhanuka, Dr. Ankit Koyal
Aim: To study the role of the age old Denis Browne (buried strip) principle in the present era of hypospadias surgery and urethrocutaneous fistula repair along with the Tunica Vaginalis flap (TVF) to wrap the buried strip with a perurethral catheter(PUC ) over it. Material And Methods: Over a period of 9 months in 7 patients with primary hypospadias and 4 patients with urethrocutaneous fistula, developed following hypospadias surgery, i.e. total 11 patients; “buried strip” urethroplasty ( i.e. without tubularization of the urethral plate ) and wrapping with TV flap was done. PUC was kept for 11-21 days, still the wound is dry, for urinary diversion. Period of follow up was 3-9 months. It is an ongoing prospective study we are reporting our interim results. Results: Amongst the 7 hypospadias patients superficial ventral skin necrosis occurred in one patient, One patient developed sutural separation ventrally followed by wound dehiscence for <4mm in size on 4 th postoperative day, that was closed primarily with a single suture with 4-0 PDS and subsequently healed well. None of them developed urine leak, UCF, meatal stenosis, testis tethering, penile torque or secondary chordee . Amongst the 4 patients with UCF repair one patient had partial dehiscence of the suture line with exposed TV flap. Overall complication in this series was about 27.2%, that is comparable with other series ( 10-12) ranging from 20-35.75%. But all of those complications were managed conservatively without any further surgical intervention. A complication requiring further surgical intervention that is considered as failure, is still nil; though follow up period of our study is short. Conclusion: The „buried strip‟ along with additional coverage with TV flap was found to be simple and effective with comparable results even in the present era of hypospadias surgery and repair of urethrocutaneous fistula repair. But a randomised controlled trial with adequate sample size and follow up for a longer duration is required to corroborate with our results.
{"title":"Non-Tubularised Urethroplasty In Hypospadias And Urethrocutaneous Fistula Repair--- Buried Strip Principle Revisited","authors":"B. Mukhopadhyay, Dr. Krishnendumaitidr, Tapankumarmondal, T. Majhi, Dr. Shashankadhanuka, Dr. Ankit Koyal","doi":"10.9790/0853-1607027580","DOIUrl":"https://doi.org/10.9790/0853-1607027580","url":null,"abstract":"Aim: To study the role of the age old Denis Browne (buried strip) principle in the present era of hypospadias surgery and urethrocutaneous fistula repair along with the Tunica Vaginalis flap (TVF) to wrap the buried strip with a perurethral catheter(PUC ) over it. Material And Methods: Over a period of 9 months in 7 patients with primary hypospadias and 4 patients with urethrocutaneous fistula, developed following hypospadias surgery, i.e. total 11 patients; “buried strip” urethroplasty ( i.e. without tubularization of the urethral plate ) and wrapping with TV flap was done. PUC was kept for 11-21 days, still the wound is dry, for urinary diversion. Period of follow up was 3-9 months. It is an ongoing prospective study we are reporting our interim results. Results: Amongst the 7 hypospadias patients superficial ventral skin necrosis occurred in one patient, One patient developed sutural separation ventrally followed by wound dehiscence for <4mm in size on 4 th postoperative day, that was closed primarily with a single suture with 4-0 PDS and subsequently healed well. None of them developed urine leak, UCF, meatal stenosis, testis tethering, penile torque or secondary chordee . Amongst the 4 patients with UCF repair one patient had partial dehiscence of the suture line with exposed TV flap. Overall complication in this series was about 27.2%, that is comparable with other series ( 10-12) ranging from 20-35.75%. But all of those complications were managed conservatively without any further surgical intervention. A complication requiring further surgical intervention that is considered as failure, is still nil; though follow up period of our study is short. Conclusion: The „buried strip‟ along with additional coverage with TV flap was found to be simple and effective with comparable results even in the present era of hypospadias surgery and repair of urethrocutaneous fistula repair. But a randomised controlled trial with adequate sample size and follow up for a longer duration is required to corroborate with our results.","PeriodicalId":14489,"journal":{"name":"IOSR Journal of Dental and Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76943283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The Metabolic Syndrome (syndrome X, insulin resistance syndrome) consists of a constellation of metabolic abnormalities that confer increased risk of cardiovascular disease and diabetes mellitus. Coronary artery disease is the leading cause of morbidity and mortality worldwide with the heaviest toll in the developing countries. Material and Method: The study was done in 170 subjects. The study subjects were selected randomly from patients, who were visiting the OPDs and indoors of various departments in Rajendra Institute of Medical Sciences, Ranchi Results: It was observed that the total prevalence of metabolic syndrome is 20.6 % Conclusion: The data obtained after the study shows that one out of every five adults in Ranchi is at an increased risk of developing diabetes and/or cardiovascular disease. Women are equally prone as men. Results show a shift toward a sedentary lifestyles, alcoholism and smoking.
{"title":"A study on prevalence of metabolic syndrome in adult population of Ranchi","authors":"P. Prasad, M. Niraj","doi":"10.9790/0853-1607017277","DOIUrl":"https://doi.org/10.9790/0853-1607017277","url":null,"abstract":"Introduction: The Metabolic Syndrome (syndrome X, insulin resistance syndrome) consists of a constellation of metabolic abnormalities that confer increased risk of cardiovascular disease and diabetes mellitus. Coronary artery disease is the leading cause of morbidity and mortality worldwide with the heaviest toll in the developing countries. Material and Method: The study was done in 170 subjects. The study subjects were selected randomly from patients, who were visiting the OPDs and indoors of various departments in Rajendra Institute of Medical Sciences, Ranchi Results: It was observed that the total prevalence of metabolic syndrome is 20.6 % Conclusion: The data obtained after the study shows that one out of every five adults in Ranchi is at an increased risk of developing diabetes and/or cardiovascular disease. Women are equally prone as men. Results show a shift toward a sedentary lifestyles, alcoholism and smoking.","PeriodicalId":14489,"journal":{"name":"IOSR Journal of Dental and Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77573147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Resident Amlan Mohapatra, B. Bhandary, Dr.Kartik Raj K Junior Resident
Introduction: Low back pain is very common worldwide and lumbosacral radiculopathy is an extremely painful condition. In this study we aimed to assess the functional outcome in patients who underwent minimally invasive microdisectomy at our institution. Methodology: A prospective study was conducted in the Department of Orthopedics, AJ Institute of Medical Sciences, Mangalore, Karnataka from August 2014 till August 2016. After taking approval of the institutional ethics committee, all patients aged more than 18 years, who presented to the outpatient clinic of the Department of Orthopedics, AJ Institute of Medical Sciences, Mangalore, Karnataka with complaints of leg or back pain. We assesed pain and functionality using Japanese Orthopedic Association questionnaire (JOA) preoperatively, 1 month, 3 months and 6 months postoperatively. Patients were asked to rate their level of well being after surgery using the Macnab’s criteria. Results:We included 53 patients during the study period, average age was 40.17 ± 8.5 years. 32 patients were males. Using Macnab’s criteria 35% reported good level of well being and no patient reported poor level of well being at the end of 6 months postoperatively. 28.3 % had excellent, 62.3 % had good, 7.5 % had fair and 1.9 % had poor results with JOA score at the end of the study. JOA score improved from a mean of 10.3 preoperatively to 25.45 post-operatively at 6 months (p <0.001). Conclusions: Findings of our study show that minimally invasive lumbar microdiscectomy cause very few postoperative complications, shorter stays in hospital, improve objective functionality scores postoperatively and patients rate well being assesment scores as good to excellent.
{"title":"Functional Outcome of Patients with Lumbar Intervertebral Disc Herniation after Minimally Invasive Microdiscectomy","authors":"Resident Amlan Mohapatra, B. Bhandary, Dr.Kartik Raj K Junior Resident","doi":"10.9790/0853-1607023539","DOIUrl":"https://doi.org/10.9790/0853-1607023539","url":null,"abstract":"Introduction: Low back pain is very common worldwide and lumbosacral radiculopathy is an extremely painful condition. In this study we aimed to assess the functional outcome in patients who underwent minimally invasive microdisectomy at our institution. Methodology: A prospective study was conducted in the Department of Orthopedics, AJ Institute of Medical Sciences, Mangalore, Karnataka from August 2014 till August 2016. After taking approval of the institutional ethics committee, all patients aged more than 18 years, who presented to the outpatient clinic of the Department of Orthopedics, AJ Institute of Medical Sciences, Mangalore, Karnataka with complaints of leg or back pain. We assesed pain and functionality using Japanese Orthopedic Association questionnaire (JOA) preoperatively, 1 month, 3 months and 6 months postoperatively. Patients were asked to rate their level of well being after surgery using the Macnab’s criteria. Results:We included 53 patients during the study period, average age was 40.17 ± 8.5 years. 32 patients were males. Using Macnab’s criteria 35% reported good level of well being and no patient reported poor level of well being at the end of 6 months postoperatively. 28.3 % had excellent, 62.3 % had good, 7.5 % had fair and 1.9 % had poor results with JOA score at the end of the study. JOA score improved from a mean of 10.3 preoperatively to 25.45 post-operatively at 6 months (p <0.001). Conclusions: Findings of our study show that minimally invasive lumbar microdiscectomy cause very few postoperative complications, shorter stays in hospital, improve objective functionality scores postoperatively and patients rate well being assesment scores as good to excellent.","PeriodicalId":14489,"journal":{"name":"IOSR Journal of Dental and Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74104455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: To study the age, sex, clinical presentation and management of diabetic foot ulcer cases attending referral hospital-GMC and ESI Hospital. Coimbatore. Analysing whether regular treatment and awareness of diabetic mellitus help in preventing complications. Methods: A prospective study during a period of 6 months from NOVEMBER 2016-APRIL 2017 done in patients attending surgical department of GOVERNMENT MEDICAL COLLEGE AND ESI HOSPITAL, COIMBATORE. Results: On evaluating the diabetic foot ulcer patients even with regular treatment there is no change in occurance of foot ulcer as the cause is mainly hyperglycemia along with infection in the normal as well as atheromatous changes in the vascular system. Conclusion: Diabetic foot ulcer may be prevented by educating the patient on foot care as well asgoodglycemic control.
{"title":"Analysis of Clinical Presentation And Management of Diabetic Foot Ulcer Cases with Preventive Measures in A Tertiary Care Hospital. Government Medical College And Esi Hospital. Coimbatore","authors":"V. Ms, D. Geetha","doi":"10.9790/0853-1606136067","DOIUrl":"https://doi.org/10.9790/0853-1606136067","url":null,"abstract":"Aim: To study the age, sex, clinical presentation and management of diabetic foot ulcer cases attending referral hospital-GMC and ESI Hospital. Coimbatore. Analysing whether regular treatment and awareness of diabetic mellitus help in preventing complications. Methods: A prospective study during a period of 6 months from NOVEMBER 2016-APRIL 2017 done in patients attending surgical department of GOVERNMENT MEDICAL COLLEGE AND ESI HOSPITAL, COIMBATORE. Results: On evaluating the diabetic foot ulcer patients even with regular treatment there is no change in occurance of foot ulcer as the cause is mainly hyperglycemia along with infection in the normal as well as atheromatous changes in the vascular system. Conclusion: Diabetic foot ulcer may be prevented by educating the patient on foot care as well asgoodglycemic control.","PeriodicalId":14489,"journal":{"name":"IOSR Journal of Dental and Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75770297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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