International Medical Journal

Journal ID : IMJ-12-02-2020-238

Total View : 232

Title : Unusual chronic laryngitis caused by Trichophyton violaceum: A rare case report

Abstract : Chronic laryngitis caused by fungal infection is rare. In immunocompromised patients such as severe diabetes mellitus, patients on long term steroid therapy and Human Immunodeficiency Virus (HIV) infection; systemic fungal infections are well known. Candidiasis of the esophagus and larynx are well reported worldwide but very few reports on primary infection of the larynx by dermatophytes genus of Trichophyton. Fungal laryngitis can mimic the presentation of malignancy or tuberculosis of the larynx. In this case report, we described an HIV patient who presented with chronic odynophagia in which the laryngoscopic examination revealed a fungating mass. Tissue biopsy taken and histology showed no malignancy but mycology study successfully cultured Trichophyton violaceum. He responded well to intravenous fluconazole treatment and recovered fully.
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International Medical Journal

Journal ID : IMJ-12-02-2020-237

Total View : 406

Title : Long-term Outcomes of Total Hip Arthroplasty after the Primary Surgery of Ace tabular Fracture

Abstract : With modern fracture management techniques, there is the possibility of anatomic acetabular fracture, the risk of post-traumatic arthritis, and the need for hip arthroplasty. few studies have evaluated outcomes of postponed total hip arthroplasty in acetabular fracture patients. So, the aim of this study was to evaluate the total hip arthroplasty in patients previously treated with internal fixation, to pay more attention to the details of this type of surgery and to minimize surgical complications. In this prospective study 20 patients with secondary degenerative joint disease (DJD) or avascular necrosis (AVN) following Internal Fixation surgery of Acetabular fracture, were enrolled. All subjects underwent a second surgery of Total Hip Arthroplasty during 2010-2013 in Imam Hossein Hospital. The patients were followed up every 6 months. Surgical outcome was measured on the basis of Harris criteria in addition to xray studies aimed to assess loosening and heterotopic ossification. 20 patients were involved in our study who had previously undergone surgery due to acetabular fracture. The mean age at the time of surgery was 28.3 ± 0.97 years. Vehicle accidents were the most common mechanism of injury in these patients and most patients suffered from Pos. Column fracture, on average after 0.25± 4.9 years’ patients became candidate for hip replacement surgery due to severe DJD. The patients were followed for a mean duration of 2.85 ± 0.22 years in which surgical complications occurred in two cases; infection was diagnosed in one while the other experienced hematoma. When evaluating the patients based on Harris criteria, most patients had an excellent outcome while a poor outcome was reported in none of the cases. According to our results, hip arthroplasty is an appropriate approach in the treatment of secondary DJD and AVN. It can even lead to optimal results in young patients.
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International Medical Journal

Journal ID : IMJ-12-02-2020-236

Total View : 166

Title : Comparison proximal femoral nailing (PFN) versus dynamic hip screw (DHS) in intertrochanteric fracture

Abstract : Inter-trochanteric fractures are commonly reported, which are associated with considerable morbidity and mortality. Most of these fractures are unstable and require fixation. Dynamic hip screw (DHS) and Proximal Femur Nailing (PFN) have been widely accepted for this purpose, but they have always had numerous complications. There are conflicting results regarding the advantage of one of these two methods over the other. The aim of this study is to compare PFN with DSH insertion to treat intertrochanteric fracture. This double-blind clinical trial study was performed on 38 patients undergoing intertrochanteric fracture in ValiAsr hospital of Arak. We divided patients in 2 groups including proximal femoral nailing and dynamic hip screw. We check wound healing by clinical observation (2, 5 and 15 hours after surgery) and emboli (3 weeks after surgery). We recorded fracture improvement by Radiological examination after 15 days, 1, 3, 6 and 12 months after surgery. Mortality rate was recorded 6 months after surgery and lower limb movement 5 months after surgery. Data was analyzed by SPSS software 20. Duration of admission, mortality, fracture improvement (1 year after surgery) and lower limb movement were not found to be significantly different among two group (p>0.05). Duration of suture removal was shorter in DHS surgery group (p=0.012). Furthermore, wound healing in second day after surgery were not significantly different in two groups (p=0.348). In the PFN group, wound healing was found to be better (p=0.002). Our findings indicated that wound healing was better on the fifth day after surgery in the PFN group. In addition, the duration of suturing was longer in the DHS surgery group.
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International Medical Journal

Journal ID : IMJ-11-02-2020-235

Total View : 152

Title : Influence of water plant extracts on water sorption and solubility of heat-cured acrylic resin materials

Abstract : Water sorption of a denture base resin can trigger discoloration and halitosis as well as dimensional instability, leading to internal stress and ultimately to cracks or failure of the denture. In other words, a high water sorption rate tends to affect the material properties and consequently reduce the service life of a denture within the oral cavity; therefore, it is crucial to use materials with minimum possible water sorption rates. 60 specimens were fabricated from metal patterns according to ADA specification to evaluate water sorption and solubility of heat cured acrylic resin after immersion in peppermint and pomegranate extracts, at two different periods (2 weeks and 4 week). The highest mean value for water sorption was obtained by control group at the 4-week period (0.6354). Whereas the lowest mean value was recorded by peppermint group at the period of 2 weeks (0.6291), for solubility test, the highest mean solubility value was obtained in control group at the 4-week period (0.0315). Whereas the lowest mean value was obtained in peppermint group at the period of 2 weeks (0.0211). comparing with control group. There was a non-significant difference P˃0.05 in the mean value of water sorption and solubility test for all experimental groups (with each other’s and with control group) after two immersion periods.
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International Medical Journal

Journal ID : IMJ-11-02-2020-233

Total View : 279

Title : Clinical and epidemiological presentation of patients with zygomatic complex fractures: A tertiary care hospital based study

Abstract : Zygomatic region is the most prominent portion of the face after nasal bone and mandible. The zygomatic bone is the principle buttress between the cranium and maxilla. The prominence of zygomatic bone predisposes it to bear the brunt of facial injuries. Considering high incidence of zygomatic complex fractures and its high morbidity complications, this study had been planned to find out the important clinical and epidemiological features in patients with zygomatic complex fracture, presented in PIMS hospital Islamabad. This descriptive cross-sectional study had been carried out in a public sector tertiary care hospital of Islamabad, Pakistan. This study had been granted approval by the Institutional Review Board of PIMS Hospital, Islamabad, Pakistan. In total, of fifty (50) patients with isolated tripod zygoma fracture were included in this study. Clinical and epidemiological features were noted in a structured proforma and were analyzed using SPSS 20.0. The majority of treated patients were drivers (30%) followed by labours (22%) reporting mostly from rural area (54%). Commonly reported with RTA (34%) followed by inter personal violence (32%) with dominance of fracture zygoma type-3 (A&B) of left side (56%). Infra-orbital sensory disturbance was hypoesthesia (24%), having aesthetic concern grade-III (86%) and grade-IV (14%) with limited mouth opening of 25 to 30 mm in 19 patients (38%) followed by 31 to 40 mm (32%). Patients commonly reported with RTA with dominance of fracture zygoma type-3 (A&B) of left side. Common complications include infra-orbital sensory disturbance, hypoesthesia, aesthetic concern and limited mouth opening.
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International Medical Journal

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Submission Deadline ( Vol 30 , Issue 04 )
20 Apr 2023

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Publish On ( Vol 30 , Issue 03 )
31 Mar 2023