Abstract : Excessive time spending on screens has been associated with negative health outcomes which might include children obesity and unhealthy weight gain. The main objective of this study is to find the relationship between screen time and weight status, in school aged children.200 children of both sexes (boys and girls) with age ranged from 8 to 10 years old were selected from governmental schools in Zagazig city, Egypt, assessment of weight status was by body mass index (B.M.I) equation, weight and height were assessed using a height weight measuring scale, while screen time was assessed by using screen questionnaire (screen-Q). The Results showed that There was a significant association between screen time and weight status (p = 0.04) in weekday. (p = 0.03) in weekend days. There was increase in the percentage of screen time more than 4 hrs in weekday of overweight and obese children compared with that in normal and underweight children. There was decrease in the percentage of screen time more than 4 hrs in weekend day of normal children compared with that of other categories. We Concluded that The correlation between screen time (ST) and body mass index (BMI) was weak positive significant correlation at the selected age..
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Abstract : Any surgery carries with it the risk of complications. Complications were defined as any deviation from the normal postoperative course. The post-operative complications are always of concern to surgeons. These complications can result in increased morbidity and mortality. Early identification of risk allows for targeted, anticipatory, appropriate and supportive medical care, which will reduce both the incidence and severity of such complications. The identification of modifiable risk factors gives possibility for early perioperative care, leading to improved outcomes of a surgery. Identification of risk factors can help in improvising the existing ERAS (Enhanced recovery after surgery) protocols. Early identification of postoperative complications and prompt management can reduce the morbidity and mortality. Wound infection (27) was the most common complication among study subjects. Burst abdomen was observed in 7 patients. These complications were mostly associated with emergency abdominal surgeries and in contaminated cases. Hence, care must be taken intraoperatively as well as immediate postoperative period to avoid/minimise such complications. Phlebitis (24) was the second most common complication in our study which in turn is a common cause for postoperative fever. DVT and urinary retention were the least common postoperative complication which occurred in only 2 patients each in our study. Among the risk factors associated with the incidence of postoperative complications, age above 50 years was the major risk factor followed by addictions, which include smoking and alcohol abuse. Hence, it is important to counsel the patient about abstinence of smoking and alcohol consumption for avoiding postoperative complications and early recovery..
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Abstract : Diabetes is a chronic non communicable disease that is currently the leading cause of morbidity and mortality in the world. Diabetes mellitus is expected to be the seventh leading cause of mortality by 2030, according to the world health organization (WHO). This Prospective Comparitive study was conducted to mainly compare the management of diabetic foot ulcers with Superoxidized solution and Povidone Iodine solution at Dr. D. Y. Patil hospital and research center, Pune during the period of September 2019 to August 2021. This prospective study was conducted among 60 patients with diabetic lower limb ulcers. The mean age in group A was 58.33 years where as in group B it was 55.43years. 82% of the patients were males and 18% were females. The mean random blood sugar level was 254.27mg/dl and 254.90mg/dl in group A and group B respectively. The mean HbA1c was 8.0% and 8.22% in group A and group B respectively. The most common organism isolated was staphylococcus aureus followed by pseudomonas. Mean healing time for wound was significantly lower in group A (37.11 days) than group B (52.76 days). The mean time for nil growth on culture for group A was 15.12 days and group B was 15.58 days. The current study shows that superoxidized solution had statistically significant advantages over povidone iodine in healing of diabetic ulcers. In present study, with moistening properties, cost effectiveness, rapid wound healing, non-irritability and reduced hospital stay of superoxidized solution has advantage over the traditional povidone iodine..
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Abstract : Periorbital hyperpigmentation (POH) or melanosis with brown pigmented macules around the eyes is a common condition with limited scientific data on its clinical profile and pathogenesis. It has a multifactorial etiology including deposition of melanin in the dermis, post inflammatory hyperpigmentation (PIH) due to contact or atopic dermatitis, shadow effect due to skin laxity and superficial vascularity. An observational study of one hundred clinically diagnosed cases of POH was carried out and demographic data as well as clinical patterns of involvement were noted. The highest prevalence of 42% was in the 21-30 years age group. Sixty-nine patients were female while 31 were male. Their occupational profile included housewives, students and agriculturists. The most common aggravating factor was sleep deprivation reported by 28% of patients. Family history of POH was noted in 27%. Atopic diathesis was observed in 8%. Symmetrical distribution was observed in 61%. The types of POH included the constitutional type in 34%, the shadow effects type in 22%, the PIH type in 20% and the vascular type in 17%. POH is a common aesthetic facial concern that variably affects those of different ethnicities. The most common type in those of Indian ethnicity is the constitutional type..
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Abstract : Researchers discovered that human peripheral blood stem cells can help with bone regeneration and osseointegration by encouraging the formation of new bone cells. This research is being done to see if stem cells may be successfully implanted in the mouths of people with severe bone deformities, as is currently planned. A total of 15 patients were enrolled and split into three groups, each getting 1x106 or 1x107 stem cell treatment dosages. Patients had computed tomography (CT) scans after therapy to determine their bone mineral density (BMD), which was graded using Hounsfield units (HU) grading. The data was scrutinised. To determine the success of the process, tests were performed prior to treatment as well as four, six, eight, and twelve weeks after dental implantation. A full chemical panel and blood tests were also performed as part of the investigation. During the six-month research period, no significant adverse effects were found. Despite the fact that the patients' anaemia and leukocytosis improved, no link was found between the stem cell transplant and any of the side effects they encountered, such as increased liver function tests. The amount of cytokines and chemokines present in the blood of the subjects was determined using a multiplex immunological assay. The inflammatory markers eotaxin, FGF2, MCP-1, MDC, and IL17a, as well as other inflammatory signs, were all raised in patients treated with stem cells. According to this research, stem cells produce cytokines and chemokines that help injured tissue repair. To ensure that stem cells were effective in dental implantation and that stem cells were not damaging to the patient, CT scanning was used to evaluate bone mineral density (BMD) and maximal stresses in a stress analysis model. When patients with severe bone abnormalities were shifted from the D3 level to the D1 or D2 level of the D3 classification, they all improved significantly. In week 2 of the trial, a rise in the HU score may be seen during guided bone regeneration (GBR) and prior to tooth implantation. The findings of this phase I study show that stem cell treatment for dental implantation is well tolerated and has no severe side effects. In order to expedite osseointegration in dental implant patients who are at high risk of failure, more phase II research with stem cells is required..
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