RESUMEN
To measure QoL outcome in post LASIK Aviators using the Quality of Life Impact of Refractive Correction (QIRC) questionnaire. Methods: A prospective, non-randomized, cross-sectional study was carried out from Oct 2016 to Dec 2017. . The study included actively flying Indian pilots of both sexes, reporting for the annual medical fitness certification. QIRC which consists of 20 questions scored on 5 category response scale, is self-administered. Aviators were asked to rate on 5 point scale of agreement. Response was converted to Rasch weighted scores to give a true measure of refractive error related QoL. Results: This hospital based study was conducted on 39 Pilots who were administered Quality of Life Impact of Refractive Correction (QIRC) questionnaire. 20 pilots were from civil airline pilots and 7 were Army Aviation and 2 were IAF pilot of transport stream. There were 3 female pilots all from the civil transport stream. Mean age 27.2 yrs ± 4.5 (21 to 37 yrs) who had myopia of more than- 0.50 D, ranging from -.75D TO 6.5 D before undergoing the refractive surgery procedure. Prior to surgery predominantly i.e.26 patients (66.6%) were spectacle wearer, 10 (25.6%) were contact lens wearer, 3 patients (7.69%) were not using any means of correction. All the patients were Post Lasik status of more than 1 year. This study showed a large improvement in QoL in the majority of patients after refractive surgery (PRK & LASIK). These large improvements are consistent with results in conventionally validated previous reports of refractive error related QoL as a result of surgery. In the POST LASIK study group spectacle correction was being used by 36% of patients with power ranging from –0.50D to – 1.50 D SE. Conclusion: LASIK is an excellent alternative to glasses or contact lens use, being associated with high degree of patient’s satisfaction. While LASIK is not without risks, these results are quite reassuring for all pilots thinking of this procedure. Laser system for vision correction like aircraft are continually being enhanced, improved and upgraded. We should embrace the technology and offer the best currently available to the aviators.
RESUMEN
Background: The cornea is an important ocular structure involved in the mediation of visual perception. It is the principal refractive surface of the eye and vision can be significantly affected by relatively small changes in its structure and parameters. Measurement of corneal parameters is important in the diagnosis and management of ocular diseases such as keratoconus and glaucoma Methods: This study was conducted in the department of ophthalmology in ACMS medical college Delhi. Results: This study showed, height and AL has a positive correlation with a value of +.119, and with weight AL has a weak positive correlation (+.035). CCT has a positive correlation with age (+0.044) but was found to have nil correlation with sex. Conclusion: This study was conclude that, no significant difference in mean CCT and AL was found between male and female subjects.
RESUMEN
Background: Intertrochanteric fractures are one of the commonest fractures especially in the elderly with porotic bones. Our study was aimed to evaluate effectiveness of implant TSP in preventing above complication of DHS for unstable fracture I/T femur (i.e. Evan’s type III & V) measured in terms of fracture collapse, screw impaction, limb shortening &overall functional outcome. Methods: This prospective study was conducted in the Department of Orthopaedics, Traumatology, M G M Medical College & associated M. Y. Hospital, Indore from June 2008 to September 2010. 145 cases were registered in the study out of which 81 cases with unstable fracture intertrochanteric femur (type III & V of Evan`s) admitted and treated by internal fixation using TSP & DHS included. Preoperative assessment of fracture geometry was done using Evan’s classification. Intra operatively pattern of reduction achieved was seen on Antero-posterior and Lateral projections by image intensifier. Using TAD index assessment of Screw placement was done in postoperative period. Neck shaft angle measured on immediate post op x-ray with the help of Goniometer. During 1st follow up (2 weeks post op), 2nd follow up (4 weeks post op), 3rd follow up (3 months post op) and 4th follow up plain radiographs (true AP and true lateral hip with thigh) were obtained to look for signs of union and impaction. Functional results were evaluated after a period of 6 months postoperatively using new criteria devised from Harris hip score taking into consideration the needs of Indian patients (Modified Harris Hip Score). Results: Average screw impaction (Fracture collapse) was 15.8mm in DHS group & 6.5mm in TSP group. 20 patients (49%) out of 41 had screw impaction more than 15mm at 6 month of follow up, whereas only 1 patient (2.5%) out of 40 in TSP group. Average shortening in DHS group was 2.33cm & 1.42cm in TSP group. 25 (61%) out of 41 patients of DHS group had shortening more than 2cm whereas only 13 (32.5%) out of 40 patients in TSP group. In significant no. of patients excellent to good functional outcome (Harris Hip Score >60) was seen in TSP treated group. Average functional score was 76 in TSP group & 61.68 in DHS group. 28 patients (70%) out of 40 in TSP group had HHS >60 after 6 months of surgery, whereas only 17 patients (41.5%) out of 41 in DHS group. In type III fracture with TSP was having much better outcome than any other group. Conclusion:In unstable intertrochanteric fracture with lateral trochanteric wall fracture, reconstruction of lateral trochanteric wall & abductor mechanism using trochanter stabilizing plate helps in achieving anatomical reduction, imparts stability and prevents excessive sliding of screw & collapse, limb shortening. Thus it helps in achieving overall good functional outcome.
RESUMEN
Background: Vitamin D deficiency is recognized as a global public health problem. In India Vitamin D Deficiency is prevalent, a finding that is unexpected in a tropical country with abundant sunshine. This study evaluated prevalence of vitamin D deficiency among geriatric patients.Methods: The present study was a hospitalized based cross sectional study conducted among geriatric patients attending the ortho. OPD of CIMS, Lucknow. Those elderly (>60 yrs) consenting to participate were including in this study .Patients who were on vitamin D3 & calcium supply (6 month) were excluded. Results: In this study we have taken 200 sample size. Geriatric patients who were not on vitamin D and calcium supplements for last 6 months were included for the study. Out of 200 participants, only 27(13.5%) participants had normal vitamin D levels and 173 (86.5%) study participants had low vitamin D levels among them 112 (56%) participants had vitamin D deficiency, 61(30.5%) participants had vitamin D insufficiency. Conclusions: Present study confirmed that Vitamin D deficiency is a major public health problem among geriatric age group.