ABSTRACT
Pain is experienced by people suffering from spinal cord injury leading to disability and affecting the person's functional ability, independence, psychological well - being, ability to return to work and quality of life. Pain management in these patients is notoriously difficult due to multiple factors and varied mechanism leading to pain. Only few treatments have been assessed in randomized, controlled trials and management is based on different case reports. We are reporting our experience of managing 2 patients with neuropathic pain following traumatic spinal cord injury. Both the patients were refractory to conventional pain medications but there was significant reduction in pain following lignocaine infusion in the first patient and with ketamine in the second patient
ABSTRACT
There is now growing body of evidence which links the abdominal obesity to the increased risk of developing cardiovascular disease, respiratory problems, infertility. Insulin resistance, obesity is on an increase with improved socio-economic conditions in Pakistan and other developing countries. The anthropometry of the body fat provides useful information. Ultrasonography is now gaining importance as a method for assessment of body composition i.e. fat and fat free mass, the purpose of this study was to determine, the influence of age and obesity on male human anterior abdominal subcutaneous fat. In this study 260 healthy men [20-50 years] were studied by ultrasonographic anthropometric method at even different sites of abdomen. Pearson's correlation coefficient was computed and the results were analyzed statistically by regression analysis and were found to be highly significant [p< 0.01-0.001]. Both, age and obesity influenced the abdominal subcutaneous fat thickness. The influence of age and obesity on abdominal wall resulted in an increased deposition of subcutaneous fat whereas, interestingly the effect of age was found more marked in normal weight individuals than in overweight or obese
Subject(s)
Humans , Male , Abdominal Muscles , Adipose Tissue/diagnostic imaging , Body Mass Index , Ultrasonography , Age FactorsABSTRACT
Between 1993 and 1995, thirty-three patients having 39 fractures caused by missiles fired from a high velocity rifle were reviewed retrospectively between 1 and 3 years after injury and the outcome of treatment assessed. Majority [33 out of 39] were Grade III. Union was achieved in 35 out of 39 fractures, there was deep infection and delayed union in one case each. Non-union occurred in three fractures. The fractures were stabilized using different techniques, but highest complication rate was seen with the use of the static external fixator. This was related to the severe nature of the injury as well as the inherent limitations of the external fixator. Revision of the external fixator with internal fixation after healing of the soft tissues seems to be the direction of the future