DocumentsDate added
Case report
Harish Kumar Jain1, Anshul Jhanwar2,*, Mukul Jain3
Affiliation:-
1Associate Professor, Orthopedics, Jhalawar Medical College, Jhalawar (Raj) India.
2Senior Demonstrator,Pharmacology, Jhalawar Medical College, Jhalawar (Raj) India.
3M.B.B.S. Student, Jhalawar Medical College, Jhalawar (Raj) India
The name of the department(s) and institution(s) to which the work should be attributed:
Department of Orthopaedics, Jhalawar Medical College, Jhalawar (Raj) India
Author’s contributions
First author contributed to the concept, literature search, design, clinical work, manuscript editing and review. Second author contributed to the design, literature search, data acquisition and analysis, manuscript preparation, editing. Third author contributed to the literature search, data acquisition, analysis, manuscript editing.
*To whom it corresponds:-
Dr. Anshul Jhanwar.
Senior Demonstrator, Pharmacology, Jhalawar medical college, Jhalawar (Raj) India.
Abstract
Hip prosthetic femoral stem fractures are much less common with strong alloys. Prosthetic femoral stem fracture should be considered in patients with hip arthroplasty presenting with proximal thigh pain. Here, we report a case of hip prosthetic femoral stem fracture with intact femur in which the distal part of the broken stem was removed with the help of retrograde intramedullary nailing without any osteotomy.
Keywords: Hip prosthetic; Femoral stem fracture; Retrograde nailing.
REFERENCES
1.Heck DA, Partridge CM, Reuben JD, Lanzer WL, Courtland GL, Keating M. Prosthetic component failures in hip arthroplasty surgery. J Arthroplasty 1995; 10:575-580.
2.Stuart C. Kozinn. Simplified extraction of broken femoral stems: A brief technical note. J Arthroplasty 1989;4: 183-185.
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5.Wroblewski BM. Fractured stem in total hip replacement: A clinical review of 120 cases.Acta Orthop Scand 1982; 53:279-284.
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8.Gruen TA, McNeice GM, Amstutz HA. “Modes of failure” of cemented stem-type femoral components: a radiographic analysis of loosening. Clin Orthop Rel Res 1979; 141:17-27.
9.Lee EW, Kim HT. Early fatigue failures of cemented, forged cobalt-chromium femoral stems at the neck-shoulder junction. J Arthroplasty 2001; 16 236-238.
10.Callaghan JJ, Pellicci PM, Salvati EA. Fracture of femoral component. Analysis of failure and long term follow-up of revision. Orthop Clin North Am 1988; 19(3):637-647.
11.Glassman AH, Engh CA. The removal of porous-coated femoral hip stems. Clin Orthop Rel Res. 1992; 285:164-180.
Article citation:
Harish Kumar Jain, Anshul Jhanwar, Mukul Jain. Prosthetic femoral stem fracture with intact femur: Removal of the broken stem with retrograde nailing. J Pharm Biomed Sci 2014; 04(03): 198-2001. Available at www.jpbms.info.
Source of support: None
Competing interest / Conflict of interest
The author(s) have no competing interests for financial support, publication of this research, patents and royalties through this collaborative research. All authors were equally involved in discussed research work. There is no financial conflict with the subject matter discussed in the manuscript.
Copyright © 2014 Harish Kumar Jain, Anshul Jhanwar, Mukul Jain. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Prospective study
Sandeep Sharma1,*, Ajit Swamy2, Anil Salgia3,Ashutosh Mohapatra1,Kavaljitsingh Parmar1
Affiliation:-
1Resident, 2Professor, 3Head of Department, Department of Orthopaedics, Padm. Dr. D. Y. Patil Medical College and Hospital, Pimpri, Pune, India
The name of the department(s) and institution(s) to which the work should be attributed:
Department of Orthopaedics, Padm. Dr. D. Y. Patil Medical College and Hospital, Pimpri, Pune, India
*To whom it corresponds:-
Dr. Sandeep Sharma
Resident, Department of Orthopaedics, Padm Dr. D. Y. Patil Medical College and Hospital, Pimpri, Pune,India
Contact number: +91-7387610327
Abstract
Background and Objectives: Subtrochanteric fractures of the femur are common injuries in adults and constitute a vast majority of admissions in orthopaedic wards. A better understanding of fracture biomechanics and the development of better implants and surgical techniques have led to improved treatment of subtrochanteric fractures which have historically been difficult to treat. Historically these fractures were treated with broadly two modalities of internal fixation i.e. sliding compression hip screw with side plate assembly and intra medullary fixation devices. Proximal Femoral Nail was introduced in 1997 by AO-ASIF have shown better results in the management of these fractures because of its improved well proven design, optimal stability , additional anchoring, dynamic locking, option for secondary dynamic locking, ease of insertion and prevention of later fracture. This prospective study is conducted to assess the utility and effectiveness of Proximal Femoral Nail, as the treatment modality of choice for Subtrochanteric femoral fractures.
Design and Setting: The surgeries were performed in Dr D Y Patil Medical College, Pimpri, Pune, Maharashtra, India between April 2011 to March 2013.
Methods: 30 patients ( 21 male and 9 female ) admitted with subtrochanteric fracture were treated with Proximal Femoral Nail and the results analysed.
Results: Most common mechanism of injury is simple fall (60%), Seinsheimer type IIIA constitute highest percentage (26.67%), average blood loss was 120 ml, mean operative time was 76 minutes, in 90% of patients reduction was achieved by closed means, mean duration of hospital stay was 26 days, radiological fracture union occurred in 12.34 weeks, 90% of patients had excellent results, 3.34% had good, 3.34% had fair and 3.34% had poor results.
Conclusion: In the light of the results obtained from the present study, we believe that proximal femoral nail emerges as a valid option for the treatment of subtrochanteric femoral fractures because of the simplicity and lack of aggressiveness of the surgical technique with high union rates.
Keywords: Proximal Femoral Nail; Seinsheimer Classification; Subtrochanteric Fracture.
REFERENCES:
1.Bucholz R W, Court-Brown C M, Heckman J D, Tornette III P. Rookwood and Green’s Fractures in Adults. 7th ed. Philadelphia: Lippincot Williams and Wilkins; 2010. p 1641-1654.
2.Kyle R F, Gustilo R B, Premer R F. Analysis of 622 intertrochanteric hip fractures. J Bone Joint Surg Am 1979 Mar; 61(2): 216-221.
3.Jiang LS, Shen L, Dai LY. Intramedullary fixation of subtrochanteric fractures with long proximal femoral nail or long Gamma nail: Technical notes and preliminary results. Ann Acad Med Singapore 2007; 36: 816-821.
4.Bouldin C, Seibert F J, Fankhauser F et al. “ The proximal femoral nail (PFN)- a minimal invasive treatment of unstable proximal femoral fractures”. Acta Orthop Scand 2003; 74(1): 53-58.
5.Schipper I.B, Steyerberg E.W, Castlein R.M et al. Treatment of unstable trochanteric fractures. J Bone Joint Surg (Br) 2004; 86-B: 86-94.
6.Pavelka T, Krotus J, Linhart M. Osteosynthesis of proximal femoral fractures using short proximal femoral nails. Acta Chir Orthop Traumatol Cech 2003; 70(1): 31-38.
7.Gadegone W M, Salphale Y S. Proximal femoral nail- An analysis of 100 cases of proximal femoral fractures with an average follow up of one year. International Orthopaedics 2007; 31: 403-408.
8.Seinsheimer F. Subtrochanteric fractures of the femur. J Bone Joint Surg 1978; 60-A: 300-306.
9.Rahme D M, Harris A. Intramedullary nailing versus fixed angle blade plating for subtrochanteric femoral fractures: a prospective randomised controlled trial. Journal of Orthopaedic Surgery 2007; 15(3): 278-281.
10.Tyllianakis M, Panagopoulos A, Papadopoulos A et al. Treatment of extracapsular hip fractures with proximal femoral nail(PFN): Long term results of 45 patients. Acta Orthop Belg 2004; 70: 444-454.
11.Domingo L J, Cecillia D, Herrera A, Resines C. Trochanteric fractures treated with proximal femoral nail. International Orthopaedics(SICOT) 2001; 25: 298-301.
Article citation:
Sandeep Sharma,Ajit Swamy,Anil Salgia,Ashutosh Mohapatra,Kavaljitsingh Parmar. Management of Subtrochanteric Fracture Femur With Proximal Femoral Nail(PFN). J Pharm Biomed Sci 2014; 04(03): 235-240. Available at www.jpbms.info.
Source of support: None
Competing interest / Conflict of interest
The author(s) have no competing interests for financial support, publication of this research, patents and royalties through this collaborative research. All authors were equally involved in discussed research work. There is no financial conflict with the subject matter discussed in the manuscript.
Copyright © 2014 Sandeep Sharma, Ajit Swamy, Anil Salgia, Ashutosh Mohapatra,Kavaljitsingh Parmar. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Original article:
Tripathi Purti C1,*, Dhote Kiran2
Affiliation:-
1Assistant Professor,2Laboratory Technician, Department of Microbiology, L. N. Medical College and Research Centre, Bhopal (M.P.) 462042, India
The name of the department(s) and institution(s) to which the work should be attributed:
Department of Microbiology, L. N. Medical College and Research Centre, Bhopal (M.P.) India
*To whom it corresponds:-
Dr. Purti C. Tripathi
Flat No. 402, Vaishnavi Dham, Plot E77/78, Sector 3, Belpada, Kharghar, Mumbai - 410 210, Maharashtra, India.
Phone numbers: 9922558999, 9827091875
Abstract
Background: Lower respiratory tract infections (LRTI) are the commonest health problem demanding frequent consultation and hospitalization. Moreover, in recent years, there has been dramatic rise in antibiotic resistance among respiratory pathogens. This study aims to know the prevalence of microorganisms causing lower respiratory tract infections and to determine the antibiotic susceptibility pattern of these bacterial isolates.
Material and Methods: 372 sputum samples of patients presenting with symptoms of LRTI were collected and processed by standard microbiological techniques. Antimicrobial susceptibility testing was performed by modified Kirby Bauer method as per the CLSI guidelines. All gram negative organisms were further tested for ESBL production using CLSI phenotypic confirmatory test.
Results: Out of 372 processed sputum specimens, 157 (42.20%) specimens yielded significant growth. The highest isolation rate was observed in the 51-60 years of age group with a male preponderance. Klebsiella pneumoniae (42.03%) was found to be the predominant organism. The resistance pattern varied for different organisms. All the gram negative isolates were sensitive to imipenem while high resistance was recorded for antibiotics such as ampicillin, third generation cephalosporins, amoxycillin-clavulinic acid, ampicillin-sulbactam and trimethoprim-sulphamethoxazole. For the gram positive isolates, vancomycin and linezolid were 100% sensitive. 35(25.73%) gram negative isolates were found to be extended spectrum beta-lactamase producers.
Conclusion: LRTI remains an important cause of morbidity and mortality worldwide. Therefore correct identification of the causative pathogens and their antibiotic susceptibility pattern in turn helps to select best antibiotic therapy which ultimately helps for diagnosis and treatment of the patients.
Keywords: LRTI; Gram negative isolates; Antibiotic resistance; ESBL.
REFERENCES
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5.Mustaq Ahmed S, Jakribettu RP, Meletath SK, Arya B, Shakir VPA. Lower Respiratory Tract Infections (LRTIs): an insight into the prevalence and the antibiogram of the gram negative respiratory, bacterial agents. J Clin Diag Res 2013:1-4.
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18.Nidhi Goel, Uma Chaudhary, Riru Aggrawal, Kiran Bala. Antibiotic sensitivity pattern of gram negative bacilli isolated from lower respiratory tract of ventilated patients of intensive care unit. Research Article 2002;13:148-51.
19.Gauchan P, Lekhak B, Sherchand JB. Bacterial Involvement in Causing Lower Respiratory Tract Infection in Adults Visiting Tribhuvan University Teaching Hospital and their Antibiotic Susceptibility Pattern. J Nepal Health Reasearch Council 2005;3:2:23-28.
20.Noyal MJC, Menezes GA, Harish BN, Sujatha S, Parija SC. Simple screening tests for detection of carbapenemases in clinical isolates of nonfermentative gram-negative bacteria. Indian J Med Res 2009;129:707-12.
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Article citation:
Tripathi Purti C, Dhote Kiran. Lower respiratory tract infections: Current etiological trends and antibiogram. J Pharm Biomed Sci 2014; 04(03): 249-255. Available at www.jpbms.info.
Source of support: None
Competing interest / Conflict of interest
The author(s) have no competing interests for financial support, publication of this research, patents and royalties through this collaborative research. All authors were equally involved in discussed research work. There is no financial conflict with the subject matter discussed in the manuscript.
Copyright © 2014 Tripathi Purti C, Dhote Kiran. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Original article
Leili Mosalanejad1,*, Nehle Parandavar2, Bahar Morshed Baehbahani3,
Mehadi Dastpak4, Fatemeh Ghavi5
Affiliation:-
1Assistant Professor, Department of mental health, Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom , Iran
2Department of Maternity, Research Center for Health Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran
3Department of Maternity, Shiraz University of Medical Sciences, Shiraz, Iran
4Foreign language Department, Research Center for Health Determinants of Health, Jahrom University of Medical Sciences, Jahrom , Iran
5Maternity Department , School of Nursing, Jahrom University of Medical Sciences, Research Center for social Determinants of Health, Jahrom University of Medical Sciences, Jahrom ,Iran
*To whom it corresponds:-
Dr. Leili Mosalanejad.
Mental Health Department, Jahrom University of Medical Sciences, Motahari Street, Jahrom, Iran. Postal code-74148, Jahrom, Iran
Contact number:-09177920813.
Abstract
Objective: Different factors such as economical, social, and cultural may have a considerable role in choosing the type of delivery. Considering the importance of women’s idea and decision in choosing the type of delivery, this study was done by purposing on explaining women’s experiences in delivery and choosing its type in a qualitative study.
Methods: This is a descriptive qualitative study (phenomenology approach) that was done by purposeful sampling on non-nulliparous pregnant women who were in the third trimester of pregnancy referred to Jahrom maternity clinics. The purposeful sampling was used for studying urban and rural pregnant women in six focus groups including seven pregnant women in each that data gathering continued to the point of data saturation and data were analyzed using content analysis.
Results: From 98 dismissed codes, two main teams and nine sub teams emerged that included their perception delivery and their cultural socioeconomic level.
Conclusion: There were many factors affecting the selection of the type of delivery that some of them is the result of the lack of accurate information, poor education and lack of comprehensive rational and decisions regarding women’s healthcare. Therefore it’s necessary to adapt appropriate strategies to improve children and mother’s health.
Keywords: Qualitative study; Delivery; Women.
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Article citation:
Leili Mosalanejad, Nehle Parandavar,Bahar Morshed Baehbahani,Mehadi Dastpak,Fatemeh Ghavi. Iran: The First Ranks in Caesarean Section? Why and How: A Phenomenological Study. J Pharm Biomed Sci 2014; 04(03): 162-168. Available at www.jpbms.info.
Competing interest / Conflict of interest
The author(s) have no competing interests for financial support, publication of this research, patents and royalties through this collaborative research. All authors were equally involved in discussed research work. There is no financial conflict with the subject matter discussed in the manuscript.
Source of support: None
Competing interest / Conflict of interest
The author(s) have no competing interests for financial support, publication of this research, patents and royalties through this collaborative research. All authors were equally involved in discussed research work. There is no financial conflict with the subject matter discussed in the manuscript.
Copyright © 2014 Leili Mosalanejad, Nehle Parandavar,Bahar Morshed Baehbahani,Mehadi Dastpak,Fatemeh Ghavi. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Original Article
Annette Milton B1,*, Ajay Bhambal1
Affiliation:-
1Assistant Professor, Oral Medicine and Radiology,1Professor,Preventive and Public Health Dentistry, People’s College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India
The name of the department(s) and institution(s) to which the work should be attributed:
People’s College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India
*To whom it corresponds:-
Dr. Annette Milton B. MDS (Oral Medicine and Radiology)
Assistant Professor,People’s College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India
Contact number: +919826088574+919826088574.
Abstract
Depressive disorders, worldwide, may rank second by the year 2020. In India; about 10 million people suffer from depressive disorders, the prevalence rate being recorded as 31.2 for every 1000 individuals. A significant impairment of all personal hygiene may occur due a depressive episode which in turn may result in altered salivary flow.
PURPOSE OF THE STUDY: The present study was a hospital- based clinical cross-sectional study which was conducted in Bhopal, the heart of Madhya Pradesh, India. It was done to assess the relationship of bring about a comparison of stimulated sialometric alterations between normal and subjects with depressive disorders.
MATERIAL AND METHODS: Whole salivary flow rates were determined by gravimetric method (i.e. in millilitres per minute). The Tenovuo criterion was used, to which numerical scores (SFI) were attributed.
RESULTS: Stimulated salivary flow rates between Group I and Group III and Group II and Group III to be statistically significant (p< 0.0001).
Subjective and objective oral dryness in Group II patients was found to be statistically significant (chi 2= 22.588, df= 3 and p< 0.0001).
Among Group III patients, there was statistically significant difference between the stimulated flow rate levels of TCAs and SSRI (p= 0.0037) and between SSRI and TeCA (p= 0.007).
CONCLUSIONS: It was observed that subjective sensation of dry mouth may exist even in the presence of normal salivary flow rates.
Keywords: Depression; Sialometry; Sialometric analysis; Subjective oral dryness; Stimulated saliva; Xerostomia.
REFERENCES:
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Competing interest / Conflict of interest
The author(s) have no competing interests for financial support, publication of this research, patents and royalties through this collaborative research. All authors were equally involved in discussed research work. There is no financial conflict with the subject matter discussed in the manuscript.
Article citation:
Annette Milton B,Ajay Bhambal. Evaluation of stimulated salivary flow rate in depressive disorders J Pharm Biomed Sci 2014; 04(03): 189-197. Available at www.jpbms.info.
Copyright © 2014 Annette Milton B, Ajay Bhamba. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.