ABSTRACT
Back ground: Devastating defects are those defects where the major structures like bones, joints, nerves, and blood vessels are exposed. These defects may be due to road traffic accidents, train traffic accidents, post burn scar contracture release raw area etc. Skin grafting or simple flaps may not help in these cases making reconstruction challenge. To study the various flap options for the coverage of the elbow defects and its outcomes. Materials and methods: From the period of 2016 to 2017, all patients with elbow defects that required local or locoregional flaps were chosen for the study. Investigations included plain X-ray of the elbow. Hand held Doppler was done for patients in whom the perforator based flaps were selected for reconstruction. Results: In our study (23 patients) were males and (4 patients) were females. The most common cause was the road traffic accident (18 patients). Two patients were due to a post burn contracture release raw area. One of the patients was due to a work place accidental injury. Six patients were due to train traffic accident and of which 5 patients presented with total amputation (stump raw area). The site of the wound played a major role in determining the flap selection. In our series, most of the patients presented with defects over lateral (6 patients) and posterior lateral (7patients) elbow region. Conclusion: Meticulous planning for their construction of devastating elbow defects is necessary to achieve satisfactory results. The choice between different flaps depends on the nature of the defect, availability of donor tissues and the patient’s needs.
ABSTRACT
Background: The shift work affects human health and performance by disrupting circadian rhythms and by causing numerous alterations in human behaviour. We have taken night shift workers as they were sleep deprived people, comparing with the same variables in same persons during day shift work, to assess, how sleep deprivation (night shift work) impacts on persons health. So we decided to study the effect of sleep deprivation on blood glucose and vital data. Method: 58 normal healthy male volunteers aged ranging from 25 to 45 years were selected from Madras cement factory Limited and tested for Fasting Blood Glucose, Pulse Rate, Respiratory Rate, Temperature, Systolic Blood Pressure, Diastolic Blood Pressure before and After Sleep Deprivation. Results: Mean Fasting Blood Glucose levels after sleep deprivation, when compared to mean fasting Glucose levels after normal sleep is significantly increased (P value < 0.05). The mean Temperature after sleep deprivation, when compared to mean Temperature after normal sleep is significantly decreased (P value < 0.05). The mean Systolic Blood Pressure after sleep deprivation when compared to mean Systolic Blood Pressure after normal sleep is significantly Raised (P value < 0.05)The mean Diastolic Blood Pressure, mean respiratory rate and mean pulse rate after sleep deprivation was not significant (P value > 0.05). Conclusion: This study concludes that sleep deprivation play a role to increase blood glucose levels and blood pressure.The results suggest that sleep deprivation play a role in the etiology of hypertension and diabetes mellitus.
ABSTRACT
Background: Chlamydial disease has the major scourges of humans. In women severe, sometimes irreversible complications usually present as the first symptom of genital infection. Though contemporary diagnostic methods are reliable for identifying infections there are economic and acceptance issues surrounding certain intervention strategies involving frequent community wide screening for early detection and for mass treatment. So we aimed at the Chlamydial infections in the community. Method: The study population was 150 cases out of which 100 cases were symptomatic patients who are attending STD clinic and 50 were control group. We selected ELISA test by the patella Chlamydia IgG ELISA kit supplied by BIO-RAD agencies, Hyderabad for detecting Chlamydia IgG antibodies after the Ethical Committee approval. Results: The test results were tabulated. Out of 100 test sera collected for chlamydial infections with variety of clinical symptoms, 12 patients have shown seropositivity, 20.83% belongs to the age group of 21-25 years, 17.64 % of them are belongs to rural group,14.18% are females and 16.66% of patients suffers with syphilis. Conclusion: Present study concludes that 12 cases were positive for chlamydial infection. Majority of the patients belong to the age group of 21-25 years and least incidence was seen among the age group less than 20 years and females were affected more than males. Distribution of chlamydial infection was more in rural area than urban and was found to be syphilis than other STD cases.
ABSTRACT
This case report highlights the persistent fetal bradycardia without fetal distress presenting at 29 weeks gestation. Approach to etiological diagnosis is discussed. The neonatal inborn error of metabolism as a cause for this bradycardia is emphasized