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

Journal ID : IMJ-11-02-2020-232

Total View : 261

Title : Pharmaceutical Control of Pain After Insertion of Temporary Anchorage Device

Abstract : Skeletal anchorage devices were developed for absolute anchorage during orthodontic treatment. Miniscrew anchorage device had been used for this purpose. The aim of this study was to evaluate the degree of pain and discomfort experienced after miniscrew insertion with three different analgesics. Fifty-one orthodontic patients in a university clinic were recruited who required bilateral miniscrews for orthodontic anchorage. Under local anesthesia, each patientreceived two miniscrews in the maxillary buccal area (one side 1.6x8mm and the other side 1.6x10mm). Each patient was given a questionnaire that included a visual analog scale (VAS) to indicate pain anddiscomfort after implantationfor three days. The patients were split into three groups according to the analgesic used (Paracetomol, Etoricoxib, and Ibuprofen). The maximum intensity was after 2 hour of insertion and decrease gradually to nearly disappear at third day. Pain intensity did not significantly differ between right and lift sides, males and females and between short and long miniscrews. Patients who took paracetamol reported more pain intensity than those who took Ibuprofen and Etoricoxib. While patients who took Ibuprofen reported the least pain intensity during the first two days. Ibuprofen 200mg taken three times daily for two days is effective in reducing pain and discomfort after miniscrew insertion.
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International Medical Journal

Journal ID : IMJ-11-02-2020-231

Total View : 179

Title : Changing of IL-6, IL-8, and IL-10 and it is correlation with A Disintegrin And Metalloprotease 33 soluble levels in Chronic Obstructive Pulmonary Disease

Abstract : Increasing the prevalence of smoking in developing countries and aging populations in highincome countries, is expected to increase the prevalence of Chronic Obstructive Pulmonary Disease (COPD) in the next 40 years. In this research, we will find out the role of A Disintegrin And Metalloprotease (ADAM) 33 gene expression based on the theory of inflammation involving proinflammatory cytokines (IL-6 and IL8) and anti-inflammatory (IL-10). This study is a cross sectional study comparing COPD and non-COPD patients with a comparative study approach. In this study there were 2 groups: a stable group of COPD patients (33 male COPD patients; 4 female COPD patients) and a non-COPD patient group (25 male patients 4 female patients). Univariate analysis to assess the characteristics of research respondents. Whereas bivariate analysis was carried out to compare these parameters between the two groups. Parametric tests were carried out on the normal distribution with Independent sample t test and non-parametric test (Spearmann Correlation) for abnormal sample distribution. This study shows that differences in soluble IL-6 and IL-8 levels are higher in COPD patients than in non-COPD patients, whereas soluble IL-10 levels are lower in COPD patients than in non-COPD patients who are statistically significant. There is a significant linear correlation, soluble cytokine levels of IL-6, IL-8, and IL-10 with levels of soluble ADAM33 in COPD patients through the Spearmann Correlation test (p<0.001). The levels of soluble ADAM33 have a positive relationship with IL-6 and IL-8 and a negative relationship with IL-10 in the inflammatory reaction of COPD patients.
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International Medical Journal

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Submission Deadline ( Vol 30 , Issue 09 )
20 Sep 2023

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Publish On ( Vol 30 , Issue 07 )
31 Jul 2023