Background: Proximal humeral fractures are third most commonly occurring fractures of old age. PHILOS plate gives maximum fracture stabilization in the treatment of proximal humeral fractures of old age. Aim: To assess the effect of PHILOS in the management of proximal fractures of humerus and its effect on DASH scores. Methodology: A comparative cross-sectional analytical study was carried out from February to July 2022. Healing and functional outcome was assessed at 24 weeks using quick Disabilities of Arm, Shoulder and Hand score ranging from 0 to 100 where <65 reflects excellent prognosis, 65-79 means good prognosis, 80-89 satisfactory and 90-100 reflects poor prognosis. Results: A total of 106 patients volunteered in this research, with the mean age of 53.92±5.28 years, among those 92(86.79%) were males & rest 14(13.21%) were females. The patients who reported earlier have excellent prognosis when compared with those who reported after 5 days with p value .007, among those who had good response majority reported before 5 days with p value .06. Conclusion: Early presentation and prompt management of proximal humoral fractures can have better prognosis and can prevent disability. MeSh Words: Fracture, PHILOS, proximal humerus, DASH.
… Introduction: Ovarian cancers are the most common and fatal malignancies in females. In Pakistan the incidence of ovarian cancer is increasing. The evidence regarding the extent of problem is scarce in local population. Objective: To study clinico-pathological characteristics of ovarian tumors in females presenting in a tertiary care setup. Study Design: Cross sectional survey. Setting: Department of Pathology, Liaquat National Hospital, Karachi. Methods: There were total n=29 patients diagnosed with ovarian tumors. Women with primary ovarian tumors were identified and clinical, radiological and pathological records were assessed. Frequency of different types of pathologies were identified among these women. Results: Mean age was 48.55±13.20years. There were n= 10 benign, n=6 borderline and n=13 malignant cases. Most common presenting complaint was abdominal pain and abdominal distension. Papillary Serous Carcinoma were most common benign (n=8) and malignant tumors (n=6). At the time of presentation, malignant lesions already had attained a size of 15.5 cm with ascites n=7, mets to bowel in n=7 cases. Mortality was 30% in patients with malignancy while rests of the patients were lost to follow-up. Conclusion: Ovarian cancers are well known for being most lethal of gynecological malignancies. At the time of presentation these tumors already attain a significant size and metastasis. Further studies are warranted in this aspect.
Introduction: Ovarian cancers are the most common and fatal malignanciesin females. In Pakistan the incidence of ovarian cancer is increasing. The evidence regardingthe extent of problem is scarce in local population. Objective: To study clinico-pathologicalcharacteristics of ovarian tumors in females presenting in a tertiary care setup. Study Design:Cross sectional survey. Setting: Department of Pathology, Liaquat National Hospital, Karachi.Methods: There were total n=29 patients diagnosed with ovarian tumors. Women with primaryovarian tumors were identified and clinical, radiological and pathological records were assessed.Frequency of different types of pathologies were identified among these women. Results: Meanage was 48.55±13.20years. There were n= 10 benign, n=6 borderline and n=13 malignantcases. Most common presenting complaint was abdominal pain and abdominal distension.Papillary Serous Carcinoma were most common benign (n=8) and malignant tumors (n=6). Atthe time of presentation, malignant lesions already had attained a size of 15.5 cm with ascitesn=7, mets to bowel in n=7 cases. Mortality was 30% in patients with malignancy while rests ofthe patients were lost to follow-up. Conclusion: Ovarian cancers are well known for being mostlethal of gynecological malignancies. At the time of presentation these tumors already attain asignificant size and metastasis. Further studies are warranted in this aspect.
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