Features of Radiologic Diagnostics in the Determination of Femoral Stump Defects in Primary Prosthetics
Khasanov Rustamzhon Solievich,
Shokirov Mahmutali Hotamovich,
Turgunboev Farrukh Yusubjonovich,
Ruziboev Dilmurod Ruzimetovich
Issue:
Volume 8, Issue 1, March 2022
Pages:
1-5
Received:
9 January 2022
Accepted:
4 February 2022
Published:
16 February 2022
Abstract: This work is based on a clinical and laboratory study of 43 patients and persons with disabilities who underwent primary prosthetics of the hip stump. Observations were carried out in the period after surgery from 1 month to 6 months in the period from 2014 to 2019 at the clinic of the National Center for Rehabilitation and Prosthetics of Persons with Disabilities. Post-traumatic amputation of limb segment most often occur in patients of young working age, which determines the great socio-economic significance and relevance of reconstructive operations. After amputation of the limb, the processes of restructuring of the tissues of the stump occur under new conditions of blood circulation. Changes in the circulatory system are associated with narrowing of blood flow and thickening of the walls of large arterial and venous vessels, as well as an increase in the number and caliber of capillaries. The defects of the stump are very diverse, these are short and excessively long stumps, the high location of truncated muscle to the skin scar, etc. Diseases of the stump (osteonecrosis, osteophytes, osteomyelitis, phantom pain, ligature fistulas and long-term non-healing wounds) and the result of technical errors in surgical interventions, wound infection and irrational prosthetics. Based on this, it is advisable to use early Doppler ultrasound and X-ray diagnostics in determining malformations and diseases of the stump in order to carry out primary prosthetics. Express prosthetics of the amputation stump in post-traumatic amputations gives a high rehabilitation effect compared to other pathologies: both vascular and other systemic pathologies. The results of complex studies are presented: clinical (orthopedic, neurological), psychological, X-ray, ultrasound, Doppler ultrasonography.
Abstract: This work is based on a clinical and laboratory study of 43 patients and persons with disabilities who underwent primary prosthetics of the hip stump. Observations were carried out in the period after surgery from 1 month to 6 months in the period from 2014 to 2019 at the clinic of the National Center for Rehabilitation and Prosthetics of Persons w...
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Magnetide and Associated Factors of Gender Based Violence Among Female Students of High School and Preparatory in Mikewa Town, Oromia, Ethiopia in 2019
Duguma Gebru,
Adugnaw Berhane,
Wondwossen Assegidew,
Habtamu Asrat
Issue:
Volume 8, Issue 1, March 2022
Pages:
6-20
Received:
30 December 2021
Accepted:
11 February 2022
Published:
25 February 2022
Abstract: Background: Gender Based Violence refers to acts of sexual or physical violence inflicted on children in and around schools because of their sex or gendere identity. It results in fatal and non-fatal injuries, unintended pregnancies, induced abortions, STIs and mental health problems. Schools are not isolated from traditions, culture, norms, customary laws and governmental policies that exist in the country and the community, nor from individual experiences of students and staff both outside and inside schools and educational institutions. If not addressed properly, schools can normalize a violent environment both in the classroom and outside it. Objective: To assess magnetude and factors related to Gender Based Violence among female students of high school and preparatory students in Mikewa town, Oromia, Ethiopia in 2019. Methods: Institutional based cross sectional study was conducted on female students of mikewa high school and preparatory. Cluster sampling was used and Data was collected using structured self administered questionnaire and entered into Epi info version 7 and SPSS version 16 for was used for data analysis. Both descriptive and inferential statistics was used to present data. Biviriate and multivariate logistic regression was computed to assess statistical association between the outcome variable and independent variable. The result was then displayed by using text, graphs and tables. Content analysis was implemented manually for the qualitative part. Result: The magnetude of GBV among study participants was 187 (46.6%). Students who are from extended family OR=0.42; (95%CI: 0.27, 0.66), students having drunken friend OR=2.44; (95%CI: 1.47, 4.04), having history of sexual intercourse OR=0.16 (95%CI: 0.03, 0.95), place near school where girls fear to go alone OR=2.09; (95%CI: 1.29, 3.41) history of discrimination or marginalization OR=0.29; (95%CI: 0.14-0.62) were the identified associated factor with GBV. Conclusion: The current study showed the magnitude of GBV is unacceptable. Variables like being being female students from extended family, having drunken female friend or boy friend, having history of sexual intercourse, place near school where girls fear togo alone, history of discrimination or marginalization were the identified associated factors. Recommendation: Identified factors associated with GBV of this study finding needs attention and corrective action from policy makers, school officials, community, parents, students, and other concerned bodies including programs aimed at preventing GBV.
Abstract: Background: Gender Based Violence refers to acts of sexual or physical violence inflicted on children in and around schools because of their sex or gendere identity. It results in fatal and non-fatal injuries, unintended pregnancies, induced abortions, STIs and mental health problems. Schools are not isolated from traditions, culture, norms, custom...
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Prevalence of Hypothyroidism in PCOS in Jharkhand
Geetanjali Kumari,
Ranjit Kaur Arora
Issue:
Volume 8, Issue 1, March 2022
Pages:
21-24
Received:
15 January 2022
Accepted:
14 February 2022
Published:
25 February 2022
Abstract: Polycystic ovarian syndrome and thyroid disorders are common endocrine disorders in females worldwide. These two problems are having many common features but are with very different etiopathogenesis. The increase in ovarian volume and cystic changes in ovaries have been reported in primary hypothyroidism due to disturbed ratio of FSH and LH. It is also seen that thyroid disorders are more common in women with PCOS as compared to the normal population may be due to other associated factors like insulin resistance, increased androgen secretion and obesity. There might be some common factors in individuals predisposing to both disorders but till date not any common pathophysiology is established between these two. The increased ovarian volume and fertility improves by administration of thyroxin apart from that it helps to control obesity and to some extent obesity related disorders. The diagnosis of hypothyroidism during adolescence will be helpful to improve especially fertility and PCOS related clinical conditions. The thyroid function study was done in PCOS patients between 18 to 35 years of age residing in Jharkhand and the results were compared with age matched healthy women. Having no medical problem or on contraceptive steroids females. Serum fasting free t3,free t4 and TSH levels were estimated. PCOS was confirmed by USG. Results of present study shows the prevalence of hypothyroidism in PCOS patient in Jharkhand.
Abstract: Polycystic ovarian syndrome and thyroid disorders are common endocrine disorders in females worldwide. These two problems are having many common features but are with very different etiopathogenesis. The increase in ovarian volume and cystic changes in ovaries have been reported in primary hypothyroidism due to disturbed ratio of FSH and LH. It is ...
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Hypertensive Retinopathy and Risk of Serious Cardiovascular Events: Five Years Prospective Cohort Study in Primary Care
Lapkin Chiang,
Lorna Ventura Ng,
Catherine Xiaorui Chen,
Yimchu Li
Issue:
Volume 8, Issue 1, March 2022
Pages:
25-31
Received:
22 January 2022
Accepted:
8 February 2022
Published:
25 February 2022
Abstract: Introduction: Poorly controlled hypertension causes damage to the retinal microcirculation, which is predictive and associated to risk of stroke. Studies have shown that retinal microvascular changes can be reliably documented by retinal photographs. This study aims at examine the associative risk and incident of hypertensive retinopathy related serious cardiovascular events in primary care. Methodology: This is a prospective cohort study involving hypertensive patients in one regional primary care clinic of Hong Kong. Eligible digital retinal photographs of hypertensive patients done in the period Jan 1, 2011 to Dec 31, 2012 were graded based on Wong & Mitchell criteria. Consecutive subjects with hypertensive retinopathy (HTR) and without HTR (Non-HTR) were allocated to cohort and control group respectively until ceiling of 138. All patients will be followed prospectively for five years to exam the incidence of serious cardiovascular events. The relative risk of hypertensive retinopathy related serious cardiovascular events were investigated. Results: The cohort group patients are younger (mean age 57.3 versus 61.0, P<0.01), and have higher proportion of comorbid hyperlipidaemia (P=0.02). There are no statistical difference in sex, smoking status, duration of hypertension (HT), number of anti-hypertensive medication taking and mean blood pressure. At five year, both groups have no cardiovascular related mortality. Cohort group has 13 events of cardiovascular disease (incidence rate 9.42%), while control group has 5 events (incidence rate 3.62%). The five year realative risk (RR) of HTR for serious cardiovascular events is 2.77 (95% CI: 0.96-7.98, P=0.051), while five year RR of HTR for stroke is 9.56 (95% CI 1.19-76.5, P=0.010). With logistic regression analyasis, HTR is independent risk factor for stroke, with RR 8.55 (p=0.047). Conclusion: Hypertensive retinopathy is the independent predictive risk factor for stroke. The sensitivity and specificity of HT patients with HTR in predicting stroke in 5 years is 90.0% and 51.5% respectively.
Abstract: Introduction: Poorly controlled hypertension causes damage to the retinal microcirculation, which is predictive and associated to risk of stroke. Studies have shown that retinal microvascular changes can be reliably documented by retinal photographs. This study aims at examine the associative risk and incident of hypertensive retinopathy related se...
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