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Introduction: Minimally invasive plate osteosynthesis (MIPO) has been advocated as a safe approach to humeral shaft fracturemanagement.Aim: This study aims to analyze and evaluate the functional outcome of surgical management of comminuted shaft of humerusby minimally invasive anterior plate osteosynthesis.Materials and Methods: In this prospective study, patients with humeral shaft fractures were included in the study. All thepatients with a comminuted diaphyseal fracture of humerus underwent MIPO technique. Constant–Murley score for shoulderand Mayo Elbow Performance Score (MEPS) for elbow were assessed postoperatively at 3 months, 6 months, and 2 yearsfollow-up and score calculated at each visit.Results: In 15 patients, the mean Constant score was 87 on the affected side and 90.67 on the unaffected side. The meanMEPS was 97.33 ranging from 85 to 100. The mean surgical time with MIPO was 69 min (range: 60–90 min). The averageblood loss with MIPO was 109 ml (range: 75–150 min).Conclusion: MIPO of the humerus gives good functional and cosmetic results and should be considered one of the managementoptions in the treatment of humeral diaphyseal fractures.
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The co-circulation of multiple dengue virus serotypes has been reported in many parts of the world, including India; however, concurrent infection with more than one serotype of dengue virus in the same individual is rarely documented. An outbreak of dengue hemorrhagic fever/dengue shock syndrome [DHF/DSS] occurred in and around Davangere, Karnataka, from June 2011-March 2012. This is the first report from India with a high percentage of concurrent infections with different dengue virus serotypes circulating during one outbreak. Acute phase sera from patients were tested for the presence of dengue virus RNA by RT-PCR. Of the 72 samples tested for dengue virus RNA, 42 [58.3%] were positive. All four dengue virus serotypes were found to be co-circulating in this outbreak, and DENV-2 was the predominant serotype. In addition, concurrent infection with more than one dengue virus serotype was identified in 18 [42.9%] dengue virus-positive samples. Our study showed that serotype DEN-2 was dominant in the positive dengue virus-infected samples; the other serotype present was DEN-3. This is the first report of concurrent infections with different dengue virus serotypes in this part of the world
Assuntos
Humanos , Feminino , Masculino , Coinfecção , Dengue , Vírus da Dengue/classificaçãoRESUMO
It has been shown that inhalation of carbonaceous particulate matter may impair lung function in children. Using the carbon content of airway macrophages as a marker of individual expo-sure to particulate matter derived from fossil fuel, we sought direct evidence for this associa-tion. 300 children from puffed rice industrial areas and 300 children from population living in green zone were selected randomly. Airway macrophages were obtained from healthy children through sputum induction, and the grading of ultrafine carbon particles in airway macrophages was measured. Pulmonary function was also measured by spirometry. Pulmonary function tests showed that in industrial area 42.6% and 20.3% of children had moderate obstructive airway disease and restrictive airway disease, respectively. In the green zone area, 7% of children had obstructive airway disease and 6% had restrictive airway disease. Evaluation of airway macrophages for ultrafine carbon particles revealed that in industrial area there were ultrafine carbon particles of grade 2 in 23% of subjects and grade 3 in 8.33% of individuals with obstructive airway disease. In the green zone area, the rates were 1.67% and 0.7%, respectively. The study provides a first evidence of the strong association between air pollution and development of airway diseases. Carbon particles in the sputum can be used as a marker for air pollution