India is the World's largest democracy, with 1.25 billion people governing the nation. Problems in organization influencing everyday existence of native will undoubtedly happen. With government help and altruism of other national, these can be comprehended. Thus, government declares leadplans covering the advantages of individuals who requires little push to advance in life. Online Mashup system permits both the administration staff and citizens of India to impart, propositions arrangements and collaborate over the issues. No such solution exists starting at now, consequently proposed framework will make a powerful organization, cognizant nationals and fruitful government. A Concentrated mashup will ensure that everyone of the issues of the citizens are recorded alongside, it will act as repository to derive a conclusion about the resolvement and it will act as helping hand to the strategy maker. This framework appears in light of the fact that a citizen wants to repost an issue he has to go through the tedious job of submitting the application and the response of organization is moderate because of sheer number of such complaints and their handling. This framework will make all the written application digitized and furthermore take into consideration of quick activities. This solution will make governance Simple, Moral, Accountable, Responsive, Transparent (SMART). Written application at it as least prompting simplicity of responsibility, lessening, perplexity, increase in work rate and effectiveness.
Objective The aim of this study was to evaluate the clinical and radiological outcomes analysis of craniovertebral junction (CVJ) anomalies cases. Materials and Methods Retrospective analysis of 43 CVJ anomalies cases, which were surgically managed at Uttar Pradesh University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, India, from period between June 2015 and June 2019. They were analyzed for age, sex, clinical characteristics, radiological diagnosis, and treatment given. Patient's clinical and radiological status was assessed pre- and postoperatively during time of discharge and at 6 months of follow-up. For clinical assessment we used visual analogue scale (VAS) and Nurick grading system. Radiological assessment was done by atlantodental interval (ADI), craniobasal angle, and craniometric lines. Overall outcomes were depicted as favorable, stabilized, and mortality at 6 to 18 months (mean 12.69 ± 3.77) of follow-up. Results The age range of our cases was 7 to 71 years (mean 29.93 ± 17.39). Male-to-female ratio was 2.91:1. Majority of the cases were presented with neck pain (n = 38; 88.37%), motor weakness (n = 35; 81.40%), and sensory deficits (n = 25; 58.14%). Congenital atlantoaxial dislocation (n = 31; 72.09) was the most common CVJ anomaly. Clinically, there were significant improvements in VAS (p = 0.001) and Nurick grade (p = 0.007) postoperatively. Radiologically, ADI (p = 0.003) had decreased, clivus canal angle (p = 0.005) become less acute, and odontoid process (p = 0.003 for McRae's line) goes downwards in postoperative period. Bony fusion was achieved in 41 (95.35%) cases. Out of 43, 73% cases had favorable outcomes, 21% were stabilized, and mortality was seen in 2.33% cases at 6 months (mean ± standard deviation = 12.69 ± 3.77) of follow-up. Conclusion Proper preoperative evaluation and selection of individualized surgical technique was the key for excellent clinical and radiological outcomes with minimal complications.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.