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Background:Non-high density lipoprotein cholesterol has been shown to be a predictor of initial coronary heart disease events and arthrogenic. Women from Madurai have been shown to develop dyslipedemias from an early agerequiring surgical intervention when compared to women from other regions of India. This observational study was undertaken to find if the women had a higher risk for CHD when compared to men from the same region. Methods: 50 subjects (n=50) were inducted into this study with 26 (52%) of them were males and 24 (48%) of them were females.Patients with significant past history of major illness were excluded, including dyslipidemias, Diabetes mellitus, hypertension, myeloproliferative disorders, cardiac diseases and alcohol addiction. Blood lipid profile, Pulsed Doppler profile of right brachial artery blood flow velocities, Brachial arterial wall thickness, Blood pressure were measured.Results: In males there was significant correlation between Non HDL–C peak Systolic velocity (PSV), wall thickness (WT) and systolic Blood pressure (SBP) (P< 0.01) and End diastolic velocity (EDV) (p<0.05). Females in addition correlated significantly with diastolic blood pressure (DBP) (p<0.05) and without correlation with EDV. Total cholesterol (TC) in males were significantly correlated to PSV, EDV, WT and SBP (p<0.01). In females TC was significantly correlated to PSV, WT and SBP (P<0.01) and with DBP and Age (P<0.05). Conclusion: Our results show that females in Madurai develop higher risk for CHD from an early age than men because, Non-HDL-C was correlated significantly with SBP and DBP, SPV and WT, where as in men there was no correlation with DBP, and TC was additionally correlated significantly with DBP and Age in females and not in males. Early intervention with life style changes, Dietary modifications and exercise program may mitigate these risk factors for CHD.
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Background: Blunt abdominal trauma is a frequently encountered emergency with associated significant morbidity and mortality. Since conservative nonsurgical therapy is preferred for all but the most severe injuries affecting the solid viscera, CT imaging is useful in detecting severe solid organ and bowel injuries which require surgical management. Objective: To analyze the profile of abdominal injuries presenting to the emergency medicine department of a tertiary care teaching hospital. Materials and methods: The study was a retrospective analysis of hospital records conducted in Velammal Medical College and Hospital, Madurai, which is a tertiary care teaching hospital in south India. The study was conducted from May 2014 to January 2016. People reporting to the emergency, with suspected abdominal injuries and evaluated for the same by CT abdomen were included in the study. Results: CT had 100% negative predictive value and highly specific in ruling out significant abdominal injuries. Spleen was the most common organ injured in study population, seen in 32 (42.10%) patients. The other common organs injured were liver and kidneys, which were injured in 24 (31.57%) and 16 (21.05%) patients respectively. Only 25% of the patients in our study required surgical intervention, which was for Grade IV/V splenic injuries, hepatic injury with active contrast extravasation, hepatic pseudo aneurysm, bowel and diaphragmatic injuries. Rajalakshmi Preethi G, Mariappan M, Madhusudhanan J, Arun AC. Role of CT imaging in patients sustaining blunt injury of abdomen, retrospective analysis from a tertiary care hospital. IAIM, 2016; 3(9): 79-86. Page 80 Conclusions: CT is highly useful in evaluation of hemodynamically stable patients with suspected blunt abdominal trauma. Majority of the patients with abdominal injury were successfully managed conservatively.
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ABSTRACT This paper presents the experimental results of a reinforced concrete beams (RC) strengthened with internal steel fibers (SF) and external glass fiber reinforced polymer laminates (GFRP). The research work studied the load carrying capacity, deformation, crack width and ductility of the reinforced concrete beams strengthened with different steel fiber ratios and steel fiber reinforced concrete beams strengthened with three different glass fiber reinforced polymer laminates of two different thickness. The experimental results clearly shows that incorporating steel fibers in to the reinforced concrete beams reduced the crack width and distribute the crack evenly and also increases the bonding between tension face of the beam with glass fiber reinforced polymer laminates. The results also shows that glass fiber reinforced polymer laminates strengthened steel fiber reinforced concrete beams increases the flexural strength and ductility as compared with unstrengthened counterpart. In addition to this experimental work, theoretical calculations were done to find the ultimate load carrying capacity of the beam tested, and also compared with the experimental results.