Abstract : The available operative treatment for proximal tibia fractures are plate internal fixation, intra medullary nailing and external fixators for open tibia fractures. To improve the applicability of an intramedullary nailing system particularly to metaphyseal fractures, the Expert Tibia Nail is designed as an adaptation of an original prototype previously shown to have high biomechanical stability when compared with conventional nails and different plate osteosynthesis techniques. A prospective comparative cohort study was carried out in tertiary care hospital. First group 33 patients with proximal tibia fracture operated with Expert tibia nail. In second group 33 patients with proximal tibia fracture operated with Minimally invasive percutaneous plate osteosynthesis technique. There was no significant difference in two groups as far as union time, pain at 6 months, range of motion at 6 months, muscle atrophy at 6 months and alignment at 6 months are concerned. There was significant difference in two groups as far as operative time, length of incision, Modified KLEMM and Borner scores, satisfaction to procedure, alignment and union time. Expert tibia nail is a better treatment modality for management of upper 1/3rd tibial fractures..
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Abstract : Poisoning deaths is not an uncommon occurrence in India. Most frequent substance used for poisoning are agricultural poisons however use of corrosives for suicidal purpose was more frequent earlier. One of the most commonly used household and industrial corrosives is phenol. Atleast half of the phenol poisoning cases terminate fatally. The toxicological hazards of phenol and its derivatives must never be underestimated and mishandling of these substances can easily result in serious consequences. Phenol (carbolic acid) is one of the oldest and widely used antiseptic agents and being used in many commercially available products. We present here a case which demonstrates the potentially severe toxicity of suicidal ingestion of household phenol..
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Abstract : Musculoskeletal disorders (MSD) are injuries or disorders of the muscles, nerves, tendons, joints, cartilage, and spinal discs. This study aimed to determine the prevalence of musculoskeletal disorders among university students in Ajman UAE and to assess the factors associated with such disorders. A cross-sectional study was conducted among medical university students using an online self-administered Nordic questionnaire. SPSS version 27 was used for analysis. The association between dependent and independent variables was assessed using the Chi-square test. Statistical significance was set at p<=0.05. The sample size of this research was a total of 1008 students. Of these, 978 students responded with issues with one of the listed sites. Most students had an issue with their neck-978 (97%) while the least had issues with ankle/feet-342(33.9%). The research concluded that the overall prevalence rate of MSDs among university students is high. Females have a greater rate due to their smaller body size and lower muscular tone as compared to males. The most common factors significantly associated with MSDs were found to be female gender, age >-24 years, from EMRO countries, students at the college of pharmacy and health sciences, being physically inactive, having irregular physical exercise, positive history of MSK problems, history of trauma and accident, and chronic diseases, in the study..
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Abstract : Quality of life is a broader term than Health-Related Quality of Life(HRQoL), as it involves the evaluation of components that extend beyond physical and mental health such as educational, spiritual, financial, social and environmental. In this study, we have focused on assessing the quality of life among parents of children with malignancy. A descriptive cross-sectional study was conducted among 110 parents whose child was diagnosed and undergoing treatment in tertiary medical care hospital. Purposive sampling was used to select the sample size. Data was collected using the WHOQOL-BREF questionnaire and data analysis was done using SPSS software. The mean scores obtained by the parents in different domains along with perceived overall QoL and perceived health status. On assessing the quality of life using the WHOQOL-BREF questionnaire, the study participants obtained the highest mean score of 58.51±15.51 in the Physical domain. Certain factors like education, working status, type of family, Socioeconomic status, treatment covered under insurance, support from Government /NGOs, support from family/ friends are modifiable and help in improving the quality of life..
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Abstract : This in vivo study aimed to investigate the effect of matrix metalloproteinase MMPs inhibitors (2%chlorhexidine digluconate (CHX), and ethylene diaminetetra acetic acid (EDTA) on microtensile bond strength to dentin using etch and rise adhesive. Nine adult mongrel dogs of age range (12 -18 months) were included in the study. A total of 90 standardized class I cavity were prepared in upper and lower (canine - first and second molar). The teeth were divided into three main groups (n = 30) according to the type of MMP inhibitors were used: the control group (no MMPs inhibitors were applied), the CHX group, and the EDTA group. Each group were divided into three subgroups (n=15) according to the testing periods 6 and 12 months. At the end of each testing period, animals were sacrificed, teeth were separated from the jaws, mounted on cutting machine, and sectioned into a series of 1mm thick slabs. Micro-tensile bond strength was measured for each sample by using universal testing machine. Data were tabulated and statistically analyzed. Results of micro-tensile bond strength showed that after 6 months, there was a significant difference between MMPs inhibitors, while after 12 months the difference was not statistically significant. The control and CHX groups showed a significant higher values than EDTA. This study concluded that MMP inhibitors did not interfere with micro-tensile bond strength of composite to dentin, with slightly significantly increased in CHX. Micro-tensile bond strength decreased by aging time and the best results were in 6 months of aging periods..
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