ABSTRACT
Objectives: To study the prevalence of HBsAg, Anti-HCV, HIV, Syphilis and Malaria in blood donors
Methods: This is a cross sectional descriptive study, conducted at Blood bank and Transfusion center at Liaquat University of Medical and Health Sciences [LUMHS] Hyderabad, during the period from January, 2014 to June, 2015.A total of 4683 blood donors were screened for HBsAg, Anti-HCV and HIV on Architect 20001 [manufactured by Abbott], employing chemiluminescent microparticle immunoassay [CMIA]. For Syphilis, VDRL ICT kits were used and Malaria parasite was screen through MP slides. Blood grouping was performed by both forward and reverse methods
Results: This study showed a high frequency of HBsAg, VDRL and malaria positivity among the O-ve blood group donors, i.e. 3.70%, 9.25% and 0.61% respectively. Blood group B-ve individuals were commonly infected with HCV [12.5%] as compared with all other blood group donors. HIV is more commonly reported in A+ve blood group individuals. Blood group O+ve is more prevalent [37.41 %]
Conclusion: High frequency of HCV infection in blood donors advocates implementation of strict screening policy for donors and public awareness campaigns about preventive measures to reduce the spread of this infection as well as other transfusion transmissible infections
ABSTRACT
Object: To evaluate the risk of lag screw cut out in unstable intertrochanteric fractures
Material and Methods: This study was conducted in the Department of Orthopedic Surgery and Traumatology [DOST] Liaquat University of Medical and Health sciences Jamshoro from January 2006 to December 2009. Unstable intertrochanteric fractures type A2 and A3 of AO classification fixed with DHS in stable [anatomic and wayn county] reduction, were included in study. All patients were assessed on six months follow up x-rays for cut out failure in different positions for placement of screw in femoral head. For placement of screw, femoral head was divided in 9 columns/zones on antero-posterior and lateral plane x-rays
Results: Out of total 66 study subjects 45 [68.1%] were males and 21 [31.8%] were females, 56 [84.8%] were of A2 and 10 [15.2%] of A3 type. Mean age was 65.41 years. Forty [60.6%] patients were fixed in anatomical reduction and 26 [39.3%] in wayn county reduction. The screw placement was 24 [36.3%] in central -central, 9 [13.6%] in central -inferior, 17 [25.7%] in posteriorinferior and 16 [24.2%] in remaining off central [unsatisfactory] zones. The cut out was in 2 patients [8.3%] in central-central , 0% in central inferior position , 3 patients [17.6%] in posterior inferior and 4 patients [25%] in remaining off central zones [all cut out were in superior zones of femoral head]
Conclusion: We conclude that placement of lag screw in inferior on AP and central on lateral view in femoral head gives excellent results after achieving stable reduction, having maximum bone to plow for cut out. But it is difficult and time consuming so if it is aimed in lower half on AP and central on lateral view in femoral head it will give better results
ABSTRACT
Haemarthrosis of the knee joint in common problem, especially in young and almost always secondary to trauma. One hundred knee injuries diagnosed as traumatlc haemarthrosis were reviewed. All were initially treated by aspiration and splintage. None and major ligamentous or major bony injury clinically or radiographically when first seen. The incidence of anterior cruciate damage was 15 percent and that of crack fracture was percent. Many of those aged under thirty had anterior cruciate damage. Those over thirty commonly and crack fractures. Sixty five percent of the patients had no symptoms when reviewed. A total 10 percent needed further operations