RESUMEN
Background: The common work related musculoskeletal disorders [WRMDs] among medical profession are pain in neck, elbow, shoulder wrist and back. Sonographers are more vulnerable to develop WRMDs as their work demands series of awkward repetitive movements
Objective: To determine the prevalence of work related musculoskeletal disorders [WRMDs] and to identify factors that may contribute to musculoskeletal disorders among sonologists of Sindh Province Pakistan
Methodology: This questionnaire based study conducted at the Department of Radiology, Liaquat University of Medical and Health Sciences. The target population chosen for this study was sonologists from the Sind province of Pakistan. SPSS used to analyze the data, results presented as frequency for categorical variables and as mean for continuous variables. To identify predictor variable for WRMDs, multiple bivariate regression analysis was performed, the level of significant was set at P <0.05
Results: Among 145 participants, 53.80% were University employed, while 56.54 were performing ultrasonography up to 10 hours. The prevalence of WRMDs disorder in this series was 75.17%, the mean duration of symptoms was 30.48 months. 45.9% reported it as severe. WRMDs were more prevalent and severe in those doing scanning of both abdomen and Obstetric. The Low back ache is the most common site of WRMDs found in this series [53.21%, n=58], followed by neck ache [24.77%] wrist joint [8.25%], finger [7.33%] and shoulder [6.42%]. The result of bivariate analysis showed that severity of WRMDs correlated statistically significantly with primary area of expertise, duration of WRMDs, working experience and working hours
Conclusion: The prevalence of WRMDs and its severity is significantly high among Sonographers of Sindh province
RESUMEN
Objectives: To establish radiological parameter of chronological age by observing the appearance of ossification centers of bones comprising wrist in different pediatric age groups of our population
Study Design: Prospective descriptive study
Setting: Department of Radiology and Imaging, Liaquat University Hospital Jamshoro/ Hyderabad Sindh, from January 2007 to December 2008
Method: Radiological study of wrist bones of 1544 children divided in 13 groups on the basis of 1 year age interval including both females and males representing the heterogeneous population of Hyderabad district of Sindh province was conducted. Reliable age record and freedom from any musculo-skeletal, nutritional and endocrinal disorders were the criteria for the selection of the study subjects
Results: The study reveals that the meantime of ossification of carpal bones and distal ends of ulna and radius is earlier in female subjects compared to their counterpart of same age group and also shows advancement in ossification time in both genders when compared with most of the countries of the world where bony age is scrutinized. By using these standards, bony age of child can be reliably expressed exactly in months
Conclusion: The practice of estimating age in Pakistan remained dependent on the data charts of other countries and/ or more on guess work with a margin of error +/- 1-2 years because of non availability of our own data. Comparing the west, more subjects were included in this study; therefore the outcome provides more accurate age estimation with a margin of +/- 1-2 months, by referring this presented study data. The medical professionals, law enforcers and even the courts and public at large would be benefited from this study