Walking quality after surgical treatment of developmental dysplasia of the hip in children.

We assessed the quality of life of children with developmental dysplasia of the hip (DDH) treated surgically, through analysis of leg length discrepancy, quality of walking and presence of pain in 39 children with DDH between 1991 and 2011 at the University Children's Hospital in Belgrade. Salter's innominate osteotomy combined with derotation and femoral bone shortening was performed. Patients were divided into 3 groups based on their age at operation: the first group included participants operated at age up to 24 months, the second group between 24 and 48 months and the third group above 48 months of life. In the first group, leg length discrepancy was present in 30.76% and mean leg shortening was 0.63cm, versus 27.77% and 1.30 cm in the second group and 37.50% and 1.50 cm in the third group. Children with DDH that were operated earlier in life had less leg shortening and did not display any significant asymmetry of walking.

[Comparative analysis of gynaecological status of workers from textile and metal industry].

INTRODUCTION: Female workers in textile and metal industry are exposed to various physical and chemical hazards that can lead to the occurrence of gynaecological diseases. OBJECTIVE: The aim of this study was to estimate the frequency of gynaecological diseases among workers of textile and metal industries. METHOD: The investigation comprised 197 female workers, 148 from textile and 49 from metal industry, aged from 26 to 57 years. All subjects were hospitalized based on non-gynaecological diagnoses. Gynaecological diagnoses included: tumours of the genital organs and breasts, cervical ectopy and lacerations, inflammatory diseases, disturbances of static of genital organs, cysts, and irregularities of menstrual cycle. RESULTS: Textile workers were significantly younger than metal workers, but the groups were comparable according to total and exposure work-time, qualifications and diagnosis on hospital admission. Gynaecological diseases were diagnosed among all investigated subjects. About 80% were diagnosed with tumours and inflammatory diseases. A highly statistically significant difference was observed among groups according to the presence of cervical ectopy and lacerations, which were more frequent among textile workers. CONCLUSION: Comparison of gynaecological status of workers revealed that, among textile workers, cervical ectopy and lacerations were more frequent than among workers in metal industry.

[Morbidity patterns of workers employed in pharmaceutical-chemical industry].

INTRODUCTION: Work in pharmaceutical-chemical industry is characterized by exposure to numerous hazards, both physical (microclimate, illumination, noise) and chemical (organic solvents). Organic solvents can cause damage to many organic systems and have carcinogenic, teratogenic and mutagenic effects. OBJECTIVE: The aim of this study was to analyze patterns of chronic morbidity of workers employed in pharmaceutical-chemical industry during 2002. METHOD: The study was conducted in the pharmaceutical-chemical industry "Zdravlje" Leskovac in 2002. A total of 143 workers in workplaces with special working conditions exposed to chemical hazards as well as 40 workers from control group took part in the study. The physical examinations of the participants were performed at the Department of Occupational Health in Health Center, Leskovac. RESULTS: Heart diseases were the most frequent both among exposed workers (17.8%) and in control group (33.3%). Respiratory diseases were at the second place (16.9% in the exposed group, and 7.4% in control group). Arterial hypertension was diagnosed in 14.7% workers occupationally exposed to hazards, and in 12.5% workers from control group (p > 0.05). Chronic bronchitis was diagnosed in 175% of the exposed workers and in only 5.0% of controls (p > 0.05). The highest prevalence of diseases in both groups was observed among workers aged 40-49 years, with 20-29 years of exposure working time. 73.4% of the exposed workers and 85% of control workers were capable of work (p > 0.05). CONCLUSION: Workers occupationally exposed to hazards in pharmaceutical-chemical industry have higher prevalence of various diseases compared to non-exposed workers, which can be the result of work, working conditions and work activity. Preventive measures should be directed towards the decrease of occupational hazards and unfavorable working conditions and increase of work protection. Regular physical examinations of workers are of prime importance for the prevention of occupational morbidity, traumatism and invalidity.