Chronic rhinosinusitis is one of the most frequent chronic disorders which influences the patient’s quality of life significantly. The objective of this paper was to examine which are the most frequent and intensive symptoms in patients with chronic rhinosinusitis. The study done in 80 patients with clinical diagnosis of chronic rhinosinusitis that was endoscopically proven and computer tomography of the nose and paranasal sinuses. All the possible symptom was recorded in each and every patient (nasal congestion, nasal discharge, reduction or loss of smell, facial pain/pressure, headache, cough, fatigue, halitosis and ear pain/fullness) the intensity of every possible symptom was recorded. The patients were assessed properly and the intensity of their symptoms was recorded by visual analogue scale. Nasal discharge was the most frequent symptom in our study, it occurred in all 80 patients (100%), followed by nasal obstruction/ blockage in 74 patients (92.5%). Nasal discharge has been recorded as the most intensive symptom and it is significantly more intensive in comparison to nasal congestion which was the second on the intensity list. All other symptoms were significantly less frequent and less intensive.
Background and aims - Total Hip Replacement (THR) is the most common, permanent and effective surgical procedure available for the treatment of Osteoarthritis of the hip joint. In case of THR, it is mandatory that the design and dimensions of the femoral component, match (best-fit) the anatomy of the femur more so in cement-less variety. Significant variations are noted in the proximal femoral geometry of different races and ethnic groups Studies show that genetic and environmental factors including lifestyle determine the geometry of the proximal femur. The study is aimed to provide guidelines for future design of the femoral stem for Indian population. Materials & Methods - The present study was conducted on 202 adult human femora available in Anatomy, Orthopaedic & FMT departments of V.S.S Medical College, Burla, Odisha. The head vertical diameter (HVD), head transverse diameter (HTD), and circumference of femoral head (HC) were measured at the upper end of femur. The results were analyzed using statistical package SPSS 17.0 version. Results & Conclusion- - The average HVD was 41.24 ± 3.41 mm. whereas the average HTD was nearly similar with HVD averaging 41.21± 3.44mm.
Stroke is a worldwide health problem. It is one of the most common and most devastating disorder of central nervous system. Not only the mortality associated with stroke, but also the morbidity puts a heavy emotional, psychological and financial burden both on the patient as well as on the family and the state. To study serum level of 25-hydroxyvitamin D in acute stroke patients and to evaluate any association between 25(OH) vitamin D level and stroke and its risk factors. The present study had been conducted at VIMSAR from September 2013 to September 2015. For this study 73 patients with acute stroke were taken as cases and 40 subjects were taken as controls. In our study cases are having professions in which they get adequate exposure to sun rays like farmers and daily labours. They have been found to be having significantly higher level of serum vitamin D (42.81) as compared to the other group (26.52) with a p value of 0.01.
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