Introduction: -Chronic obstructive pulmonary disease (COPD) has effects that seems to be related with systemic inflammation. The objective of the current study was to find the relationship of metabolic syndrome and C-reactive protein (CRP) levels, as a marker of systemic inflammation in stable COPD patients with different severity levels and in age and sex matched control group .Materials and Methods:-100 stable COPD patients and 50 control subjects were included in the study. The severity level in patients with COPD were determined according to GOLD (Global Initiative for Chronic Obstructive Lung Disease) criteria. ATP III (The National Cholesterol Education Program’s Adult Treatment Panel III) was used in diagnosis of metabolic syndrome. Hs-CRP levels were measured in venous samples of patients and control subjects. Results: - The frequency of metabolic syndrome was found higher in-patient group than control subjects, especially in GOLD stages I, II (p= 0.004). Abdominal obesity, hypertension, hyperglycaemia components of metabolic syndrome were significantly more prevalent in-patient group (p< 0.0001). Increased CRP levels were higher in control and patient groups in all GOLD stages, with metabolic syndrome than without metabolic syndrome (p= 0.046, p= 0.216, p< 0.001, p= 0.05, p= 0.466).
BACKGROUND-Pleural effusion is defined as collection of fluid between the two pleural covering. OBJECTIVE-To evaluate the different etiologies of pleural effusion according to laboratory report. METHODOLOGY-Data was collected in a nonprobability convenience technique with descriptive cross- sectional study in indoor patient of pulmonary medicine department of Balangir Bhima Bhoi medical college from 2017 nov to 2020 nov,202 patients included in this technique.Diagnosis was confirmed by chest -x-Ray, and USG Chest in some cases, .Pleural fluid is aspirated from all and analysed with necessary investigation carried out ,like pleural fluid cytology, Biochemical and culture .computed tomography ,echocardiography and connective tissue profile for evaluating the underlying cause of pleural effusion. RESULT- Out of 202 patients 145 (73%) were male and 57(26)% were female Mean age was 44.8years with 19,832 SD .Among patients of pleural effusion most common cause was tuberculosis (65.3%). followed by Para pneumonic effusion/empyema (11.4%), malignancy both metastatic and primary accounted for (15%), heart failure also showed its presence in 5% of cases. Connective tissue disorder was found to be the cause in only one case (0.5%). In one case (0.5%) pleural effusion remained undiagnosed.
Eighty-six patient (49males, 37 females) with acute thrombosed external prolapsed haemorrhoids from January 2019 to January 2022 were treated topically with heparin sodium plus benzyl nicotinate along with 0.5% nifedipine ointment paste (t.i.d.) for 8 wk. All the patients were advised to take a high-fibre diet and assessed post-treatment at 2, 4 and 8 weeks. The healing of external thrombosed haemorrhoids and any side effects were recorded. The patients were again followed up subsequently in the outpatient department for the period of 2years and contacted by phone every three months thereafter, while they were encouraged to come back if symptoms recurred. Seventy-nine of the 86 patients followed the instruction regularly and completed the 8-wk treatment course, of them 77 patients (85.2%) achieved a complete remission indicated by resolution of pain and swellings symptoms and resolution of the thrombosis of haemorrhoids. Of the remaining nine unhealed patients (14.8%), 5 opted to undergo haemorrhoidectomy and the other 4 to continue therapy for four additional weeks, resulting in healing and resolution of pain and swellings symptoms and resolution of the thrombosis of haemorrhoids.
BACKGROUND Rectal prolapse is a condition affecting the patient's personal and social life making them grossly disabled. From time since the disease was diagnosed, many procedures have been advocated in the past for treating rectal prolapse yet the best method is still debatable. So the purpose of our study is to compare the outcomes of two commonly performed procedures i.e. the modified Thiersch and abdominal rectopexy for complete rectal prolapse among the patients admitted to MKCG Medical College, Berhampur. MATERIALS AND METHODS Fifty patients with complete rectal prolapse were studied among which 25 patients underwent abdominal rectopexy using Prolene mesh and 25 patients underwent modified Thiersch repair using a Prolene mesh. It is a prospective study conducted from June 2015 to June 2017. They were followed up for a mean period of 7 months. All cases were analysed for postoperative complications like haemorrhage, wound infection, constipation, bladder and erectile dysfunction. During the followup period, recurrence rate, bowel frequency changes and restoration or deterioration in continence were taken into consideration. RESULTS The study group included patients from 17 to 88 years, most of them belonged to the age group of 61-70 (28%). Majority of them were male patients 42 (84%) and 8 (16%) were female patients. The patients who underwent abdominal rectopexy had less morbidity, only 1 (4%) patient had constipation and others had improved functional results with a bowel frequency of 1-2/day in 24 (96%) of the patients compared to the modified Thiersch repair where only 11 (44%) patients had an improved bowel frequency, also 8 (32%) had wound infection, 6 (24%) had incontinence, 3 (12%) had constipation, 2 (8%) had bladder dysfunction, 2 (8%) had haemorrhage. CONCLUSION Abdominal rectopexy is a better option than the modified Thiersch repair for complete rectal prolapse in patients who are fit to undergo an abdominal procedure.
The nonunion can develop after an open fracture, after 1oUs open reduction and internal fixation (ORIF), or as a sequela to chronic hematogenous osteomyelitis. The incidence also seems to be increasing especially in view of increasing high velocity trauma, which is usually treated by internal fixation. It is difficult to treat infected nonunion, because of the following reasons. Aim of the study is to observe the role of Orthofix limb reconstruction system as a treatment in non-union with bone loss with shortening due to fresh fractures. In the last twenty-five months we had the opportunity to treat thirteen cases of non-union and two cases of shortening With Limb reconstruction system. Out of thirteen patients eight patients had infected nonunion following open fracture and three patients had infected nonunion following previous surgeries with internal fixation for closed fractures and two patients had nonunion following treatment with traditional bone setters for closed fractures. Our follow up of cases varied from six to fifteen months. The results were divided into bony results and functional results, according to the classification of the ASAMI (Association for the study and application of the method of Ilizarov).
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