Abstract : Haglund deformity is a common cause of posterior heel pain and consists of a constellation of soft tissue and osseous abnormalities. The treatment starts with conservative approach and ends with surgical treatment in case conservative treatment fails and the symptoms are bothersome. Different surgical procedures and approaches have been used for this deformity. In this study we evaluated the clinical and functional outcome of osteotomy of the calcaneal tuberosity with debridement of the retrocalcaneal bursa and the Achilles tendon using a lateral approach at our institute. This prospective study consists of 30heels (10 men, 15 women) with mean age of 40 years who were operated at Meenakshi Medical College from March 2016 tonov 2017, with posterior heel pain, who did not respond to conservative treatment and underwent surgical decompression of the retrocalcaneal bursae and excision of bony spurs. The functional outcome was evaluated by comparing the pre and postoperative American Orthopedic Foot and Ankle Society (AOFAS) scores and Visual analog scale (VAS) score at 6th month and one year follow up. All patients were followed up for at least 12 months. AOFAS scores showed significant improvement at 6th months & one year follow up.3 out of 30 operated feet had superficial surgical site infection in the postoperative period that responded to antibiotic therapy and regular dressings. Open surgical decompressionis a safe and effective technique. We conclude lateral approach to debridement and calcaneal tuberosity resection is an effective method with good clinical and functional outcome in patients with refractory Haglund deformity..
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Abstract : Vita app is a digital health app that offers to review, understand and analyze the health parameters that ultimately results in enhanced overall health via proper guidance. The app already has over 10k users whose feedback is helping its developers to constantly improve app features. The app is currently offering predictive markers for some common diseases in accordance with the Framingham study (2008). The next important step in the growth of the app is to include more diseases and their respective predictive markers and help track disease outcomes by patients and health professionals. This comprehensive review is aimed at bringing together all the available predictive markers of common diseases based on risk factor prediction, clinical parameters and investigations under one platform. Also, newly emerging molecular predictive markers have been mentioned with the foresight of including them to the app in the near future..
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Abstract :

Coronary bifurcation lesion management is challenging even in this modern era of drug eluting stents. A debate always exits as to what mode of treatment is better for management of patients with bifurcation lesions. The aim of this study is to analyse management of coronary bifurcation lesions in tertiary care centre. This retrospective study included 183 patients who underwent non primary PCI of bifurcation lesions at Dr. D.Y.Patil Medical College and Hospital, Pune ,India. Patients were classified into two groups. One stent technique group (Provisional) and two stent technique group (Mini crush technique, V stenting, T stenting, T stenting and protrusion (TAP), Culotte stenting, Simultaneous kissing stenting (SKS). The primary end point was rate of restenosis at 1 year. The secondary end points were periprocedural complications (acute stent thrombosis, periprocedural infarction and death) and MACE at 1 year.

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Abstract : Globally elderly population is rising these days and these similar types of trends can be observed in Asia as well as in Pakistan. Geriatrics is not recognized as well as practiced in Pakistan although it is a specialized area of training in medical. This research is carried out to recognize the place of geriatrics in Pakistan. The aim of this study was to measure the attitudes of physiotherapy students towards geriatric population. All data was collected from physiotherapy students of Institutes of Gujranwala that are offering DPT program, through questionnaire Geriatric Attitude Scale (GAS) that measured their attitudes towards old people. A sample size of 196 students was obtained. 66% students showed positive attitude, 8% showed neutral attitude and 26% showed negative attitude. Majority of participants showed positive attitude towards older people, however negative attitude was also seen in significant population. The causes of negative attitudes towards the geriatric population should be detected and further researches should be conducted for improvement..
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Abstract : This research evaluates the prevalence of PTSD in practicing physicians, and assesses how PTSD influences the work performance of the affected subject. A cross-sectional study was conducted from July 2018 to September 2018 (2 months). The study wear conducted in NKPSIMS &LMH &Research Centre, Nagpur. The prevalence of PTSD in this study is 15.54% (Female 7.4% and Male 8.1%) 15.2% of physicians mentioned that their work performance was being hampered by moderate to severe levels because of the stress they experienced. The findings of this study indicate that Health professionals should be aware of the harmful effects of critical incidents that could cause impairment in social, occupational, or other important areas of functioning..
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