Abstract : The success of any fracture treatment depends on the anatomical reduction of the displaced fracture fragments. Achieving anatomical reduction and stabilization of the displaced anterior segment before miniplate fixation is difficult in bilateral parasymphysis fracture of the mandible. We propose a new, simple technique for the reduction and stabilization of displaced anterior segment in the bilateral parasymphysis fracture by using screw wire traction. We have employed a screw-wire traction technique to aid in anatomic reduction of displaced anterior segment in bilateral parasymphysis fracture. The Screw-wire traction unit can be prepared with basic equipment available in all maxillofacial units. We have used screw-wire traction technique in all the displaced fractures in the body and anterior segment of mandible for the past 4 years and found it to be a more effective aid. The screw-wire traction technique facilitates precise reduction of the displaced fracture segment and control and aids stability before conventional miniplate fixation..
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Abstract : The COVID-19 pandemic has had huge effect on the daily lives of most individuals. Widespread lockdown and preventative measures have isolated individuals, affected the world economy, and limited access to physical and mental healthcare. Geriatric population’s quality of life (QoL) is facing huge challenges during the COVID-19 pandemic, mainly whose who were suffered from this disease. The normal lifestyle behaviours, including getting adequate physical activity, consuming sufficient fruits and vegetables and enacting individual preventive behaviours (frequent hand washing, facemask wearing, and social distancing) effect their daily life, which encounter their quality of life. This study aimed to investigate the QoL of the geriatric population suffered from COVID-19 disease in West Bengal. An observational, monocentric cross-sectional study was conducted 6 months after discharge of COVID-19 positive hospitalised geriatric patients between May,2021 to June 2021. Quality of life of the geriatric population assessed by WHOOQoL-BREF questionnaire. Responses to questions are assessed by Likert scale. A total of 40 geriatric people residing in rural area participated in this study. The age range of the respondents was 60 to 81 years. The mean age was 67.97 years. According to the score obtained 40% of the geriatrics population was found to have poor quality of life. QOL is significantly poor in persons whose family members had comorbidities (chi square= 8.75; p=0.03; df =1). When adjusted with other factors by multiple logistic regression it was found that presence of co morbidity of family members increased the chance of having poor QOL 16.72 times (CI=1.78-95.87; p=0.028)..
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Abstract : T h e current s t u d y aims to as s e s s the s e r u m h s- C R P l e v e l s a n d c l i n i c a l p r o f i l e of p a t i e n t s a d m i t t e d w i t h h yp e r t e n s i v e c r i s i s. Patients with blood pressure more than 180/120mm Hg and fulfilled the inclusion criteria were selected in each arm (30 patient) of study group from our hospital. The parameters such as serum hs-CRP, type of organ damage, and relevant parameters were collected for statistical analysis. Clinical features, s e r u m h s-C R P (higher levels) and end organ damage w a s found to be s i g n i f i c a n t in h yp e r t e n s i v e emer g e n c y g r o u p when c o m p a r e d to h yp e r t e n s i v e u r g e n c y g r o u p but other demographic data were not significant. Hence, the study concluded that hypertensive emergency is significantly associated with higher hs-CRP levels, higher admitting blood pressure non compliance of medication..
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Abstract : Hypertension, a global health problem with around 7. 5 million deaths attributed to it. This amounts to 12. 8% of annual deaths worldwide. 9 The graph is expected to rise, covering 1.56 billion adults with hypertension in 2025. 10 The prevalence is significantly higher in geriatric population. This accounts for 57 million DALY (disability adjusted l ife years) or 3 .7 % of total DALYs. To assess hypertensive patients presenting to the ER and OPD for non-specific ST- T wave changes in ECG. To document their presentation BP, symptomology, medical co- morbidities (diabetes) along with age and gender. To do 3 month follow up to assess the persistence of the NSSTTWC and the BP control of these patients and progression of symptomology. Present study is a prospective study carried among hypertensive patients aged greater than 18 years presenting to the ER and OPD. Sample size is 248. Baseline characteristics are recorded and they are followed for 3 months. Again all the symptoms and ECG are recorded. Among 248 patients only 12% had non- specific ST-T wave variations in ECG. As per Minnesota code classification system, 10% belonged to C 1 category, 17% belonged to C 2 category and 73% belonged to C 3 category. Those who are diabetic are at more risk of having abnormal ECG changes compared to non -diabetics. The association is statistically significant (P=0.009). There is statistically significant association between uncontrolled systolic blood pressure and Non-specific ST -T wave changes (NSSTTWC) among study participants on presentation and after 3 months (P=0 .0001). Symptomatically palpitation is the most statistically significant (P=0.0001) complaint on presentation and follow-up patients with associated NSSTTWC. The study demonstrates a substantial link between the NSSTTWC and uncontrolled blood pressure. This in turn increases the risk of cardiovascular events as elucidated in previous studies. Diabetics are more prone to developing NSSTTWC due to uncontrolled blood pressure. Palpitation is the most statistically significant complaint in association with NSSTTWC..
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Abstract : In day to day outpatient as well as inpatient admissions in our hospital, majority present with uncontrolled type 2 diabetes mellitus and its related microvascular and macrovascular complications. The main pathogenic mechanism behind the development of prediabetes, diabetes mellitus and its associated complications is insulin resistance. Up-to-date many methods to detect this insulin resistance has been studied, but none is being used widely because of many underlying difficulties. So the main aim of this study is to test the efficiency of Triglyceride Glucose Index to detect insulin resistance so that it can be applied clinically to all individuals who attend the hospital and appropriate timely management can protect the lives of many individuals..
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