Fodder cutter (Tokka) injuries; a preventable morbidity

2020 ◽  
pp. 1-9
Author(s):  
Danish Ali ◽  
Muhammad Adeel kaiser ◽  
Muhammad Imran khokhar ◽  
Anwer Zeb ◽  
Hassan Zaheer ◽  
...  
Keyword(s):  
General Hospital ◽  
Upper Limb ◽  
Lower Limb ◽  
Demographic Data ◽  
Case Series ◽  
The Body ◽  
Young Generation ◽  
Operative Outcome ◽  
Injured Part

Abstract Pakistan is an agricultural country where fodder cutter (Tokka) is a commonly used machine on the farms. While using it, farmers often meet with accidents causing injuries which are disastrous, and mainly involve the young generation often causing lifelong disability. This is a hospital-based case series, conducted from June 2018 to January 2019 in the Department of Surgery, Lahore General Hospital, Lahore. For this study the patient’s demographic data, site of injury, procedure performed and post-operative outcome were recorded. The study includes a total of 30 cases of tokka injury, (23 males and 07 females) with median age of 25 years. Most commonly injured part of the body was the upper limb, in 26 patients, while the lower limb was involved in 2 patients. There were 18 amputations, Continuous...

Study on Pramana Shareera in relation to Prakriti

2016 ◽  
Vol 2 (3) ◽  
Author(s):  
Rajendra Pai N. ◽  
U. Govindaraju
Keyword(s):  
Observational Study ◽  
Upper Limb ◽  
Lower Limb ◽  
Characteristic Property ◽  
The Body ◽  
Artificial Limbs ◽  
Body Parts ◽  
Unit Of Measurement ◽  
The Individual ◽  
Different Parts

Ayurveda in its principle has given importance to individualistic approach rather than generalize. Application of this examination can be clearly seem like even though two patients suffering from same disease, the treatment modality may change depending upon the results of Dashvidha Pariksha. Prakruti and Pramana both used in Dashvidha Pariksha. Both determine the health of the individual and Bala (strength) of Rogi (Patient). Ayurveda followed Swa-angula Pramana as the unit of measurement for measuring the different parts of the body which is prime step assessing patient before treatment. Sushruta and Charaka had stated different Angula Pramana of each Pratyanga (body parts). Specificity is the characteristic property of Swa-angula Pramana. This can be applicable in present era for example artificial limbs. A scientific research includes collection, compilation, analysis and lastly scrutiny of entire findings to arrive at a conclusion. Study of Pramana and its relation with Prakruti was conducted in 1000 volunteers using Prakruti Parkishan proforma with an objective of evaluation of Anguli Pramana in various Prakriti. It was observed co-relating Pramana in each Prakruti and Granthokta Pramana that there is no vast difference in measurement of head, upper limb and lower limb. The observational study shows closer relation of features with classical texts.

scholarly journals Co-relation of functional mobility with anxiety in traumatic below knee amputees

2021 ◽  
Vol 9 (5) ◽  
pp. 4013-4018
Author(s):  
Lavanya R Ayyer ◽  
◽  
Asmita C Moharkar ◽  
Keyword(s):  
Upper Limb ◽  
Lower Limb ◽  
Holistic Approach ◽  
The Body ◽  
Functional Mobility ◽  
Mental Wellbeing ◽  
Limb Amputation ◽  
Surgical Removal ◽  
Institutional Ethics ◽  
Restricted Mobility

Background: Amputation is defined as the surgical removal of one or more parts of the body. It causes great stress to the physical and mental wellbeing of an individual. The incidence of lower limb amputation is greater as compared to upper limb amputation. Also lower limb amputees experience more restricted mobility than upper limb amputee patients. Rehabilitation is an important to the recovery of an amputee. In cases of planned amputation, rehabilitation starts before the surgery. It involves physiotherapy, occupational therapy and recreational training. There is little to no studies on the co-relation of anxiety with functional mobility in amputees. This study focusses on the same. Context and purpose: Amputation causes restricted mobility and decreased quality of life. A study on the relation between anxiety and mobility will indicate a different outlook of a holistic approach while treating mobility issues in below knee amputees. Materials and methods: This is a one group co-relational study design. Study was conducted after taking approval from the institutional ethics committee and all the subjects gave their written informed consent. The study was conducted at Yashwantrao Chavan Memorial Hospital, Pune. Result: Statistical analysis of the data was done using the Pearson’s co-relation co-efficient and a co-relation was found between anxiety and functional mobility in below knee amputee patients. Conclusion: There is a co-relation between functional mobility and anxiety. Patients with anxiety showed a reduced performance on the functional mobility scale than the patients without anxiety. KEY WORDS: Amputation, Anxiety, below knee amputation, functional mobility, rehabilitation.

scholarly journals Macrodystrophia Lipomatosa: A Single Large Radiological Study of a Rare Entity

2019 ◽  
Vol 9 ◽  
pp. 4
Author(s):  
CS Prabhu ◽  
K Madhavi ◽  
VN Amogh ◽  
Hiren K Panwala ◽  
Kirthi Sathyakumar
Keyword(s):  
Upper Limb ◽  
Lower Limb ◽  
Case Series ◽  
Final Analysis ◽  
Study Data ◽  
Categorical Variables ◽  
Macrodystrophia Lipomatosa ◽  
Rare Congenital Disorder ◽  
Associated Conditions ◽  
Pacs Server

Introduction: We present one of the largest case series of Macrodystrophia lipomatosa, a rare congenital disorder of localized gigantism characterized by overgrowth of all the mesenchymal elements, predominantly involving the fibroadipose tissue. Aims: To detail the radiological features, pattern of distribution, associated conditions and to suggest an appropriate terminology to describe the condition. Methods and Material: It is a retrospective study. Data from PACS server dating from 2000 and 2018 was used. The cases with isolated enlarged limb or digit/digits with or without nerve involvement were included in the study. Statistical Analysis Used: Frequency and percentage were used for analysis of categorical variables. Results: A total of 31 cases was included for the final analysis, out of which 19 were males and 12 were females. Unilateral limb involvement was seen in 30 cases. The most common pattern identified was the ’nerve territory oriented’ type in 28 cases confined to the hand or foot, ’diffuse or pure lipomatous’ type in one case and mixed type was seen in two cases. The most common nerve territory involved was along the median nerve in the upper limb and along the medial plantar nerve in the lower limb. Neural involvement was seen in 16 cases of the upper limb and 10 cases of the lower limb. Syndactyly was seen in two cases, polydactyly in one case and symphalangism in one case. Conclusions: A diagnosis of macrodystrophia lipomatosa can be confidently made in cases with congenital isolated limb or digit/digits enlargement with or without fibrolipohamartoma of nerve. Radiographs and ultrasound are sufficient along with clinical examination to make accurate diagnosis. MRI is useful for assessing the extent and for planning surgery.

scholarly journals Pattern of injuries in trauma patients presenting in Accident and Emergency Department of Jinnah Hospital, Lahore

2016 ◽  
Vol 12 (2) ◽  
Author(s):  
Kamran Ali ◽  
Ghulam Mustafa Arain ◽  
Ahmad Sohail Masood ◽  
Aslam M
Keyword(s):  
Emergency Department ◽  
Upper Limb ◽  
Lower Limb ◽  
Tertiary Care ◽  
Age Groups ◽  
Exploratory Laparotomy ◽  
The Body ◽  
Trauma Patients ◽  
Accident And Emergency ◽  
Accident And Emergency Department

Objective: To observe the pattern of injuries in patients involved in different kinds of trauma presenting to the Accident and Emergency Department of Jinnah Hospital Lahore. Design: A prospective descriptive epidemiological study. Place and duration of study: Accident and emergency department of Jinnah Hospital Lahore. From 1st April 2005 to 30th September 2005. Subjects and methods: The study included patients presenting with different kinds of trauma to the emergency department of Jinnah Hospital, Lahore. They were further categorized into trauma of different regions of the body i.e. upper limb, lower limb, abdomen, head & neck, thorax and perineum. Then frequency of different types of trauma was determined. Results: During this period (1st April2005 to 30th September 2005), 111`413 patients presented in accident and emergency department and 4680 patients had traumatic injury. 1404 patients (30%) had blunt trauma, 134(2.86%) had penetrating firearms injury, 2433(51.99%) had penetrating sharp injury an d 709 patients (15.15%) had crush injury. Most patients got upper limb, lower limb, head & neck and abdominal injuries, in that order. Most patients received multiple injuries. 3340 patients (71.36%) got only minor surgery like stitching under local anaesthesia and 468 patients (10%) had no surgery at all. 872 patients (18.63%) underwent some kind of major surgical procedure like amputation, exploratory laparotomy, or stitching under GA etc. Conclusion: Trauma is a leading cause of morbidity and mortality among all age groups. Most of the trauma victims receiving minor injuries can be treated at primary heath care centers. This can decrease the load of tertiary care hospitals. Maximum impact in reducing the burden of trauma must come from injury prevention strategies.

STRETCHING IN ROCK CLIMBERS

2020 ◽  
Vol 1 (3) ◽  
pp. 21-26
Author(s):  
Magdalena WASILEWSKA ◽  
Karolina ŁAPETA ◽  
Patryk TULKE ◽  
Patryk TULKE ◽  
Patryk TULKE ◽  
...  
Keyword(s):  
Upper Limb ◽  
Lower Limb ◽  
The Body ◽  
Intermediate Level ◽  
Study Group ◽  
Muscle Stretching ◽  
Medium Level ◽  
Normal Human ◽  
Human Function

Introduction: Muscle stretching is defined as a approach of performing exercises which improve flexibility of the muscles. This is an important aspect of normal human function because it can influence the amplitude and economy of a movement. The aim: The aim of the study was to reveal the role of stretching among climbers. Material and methods:The study group consisted of 88 rock climbers, in the range of 24 to 84 years old, including 34 women (39%) and 54 men (61%). The study was conducted using anonymous electronic questionnaire. Results: The question about the level of advancement in climbing "beginner level" was declared by 22 (25%) climbers, "medium level" - 31 (35%), "intermediate level" - 23 (26%) and "advanced" - 12 (14%). The most frequent parts of the body stretching through climbers are the shoulder and upper limb - 42 (48%), lower limb - 27 (31%) and pelvis 19 (21%). Stretching after each training was used by 39 (44%) climbers, less than once a week 11 (12%) climbers. C o n c l u s i o n s : 1 . S t r e t c h i n g minimizes injuries in climbing. 2. Stretching is used as part of the warm-

scholarly journals (A21) Injury Patterns of Blast Type Antipersonnel Land Mine Victims

2011 ◽  
Vol 26 (S1) ◽  
pp. s6-s6
Author(s):  
L. Dassanayake ◽  
A. Karunarathne ◽  
D. Munidasa
Keyword(s):  
Soft Tissue ◽  
Upper Limb ◽  
Lower Limb ◽  
The Body ◽  
Lower Limbs ◽  
Severe Injuries ◽  
Land Mine ◽  
Limb Injuries ◽  
Tarsal Bones ◽  
Compound Fractures

Anti-personnel land mines are deployed in many regions of conflict around the world. A large number of civilians and militants are affected regularly due to the blasts of such mines. Once set, they remain as silent concealed killers for decades and challenge the safety of the civilians even during the times of peace. A descriptive study was carried out at the Anuradhapura Teaching Hospital during a six month period starting in July 2007. The total number of anti-personal land mine injuries admitted during this period was 89. In all cases, the body part primarily in contact with the mine had been a lower limb. Except for few occasions, extensive soft tissue damage associated with compound fractures necessitated some form of an amputation for those limbs in primary contact with the blast mines. Closed fractures of the calcareous, talus, and the tarsal bones were seen in two cases. Nearly two thirds of the patients sustained either soft tissue or bone injuries to the opposite lower limb. Twelve percent of the victims had compound fractures on the opposite tibia and fibula. Injuries to external genitalia were seen in 8% of the cases. Upper limb injuries were not rare and predominantly found on the contra lateral upper limb (17%). The majority of them were soft tissue injuries. Chest wall injuries were seen among 2% of the cases. Superficial facial injuries were seen among 7% of the cases. In one occasion a gingival injury was detected. Seven percent of the victims developed deterioration in level of consciousness. None of them clinically showed any external physical trauma to the head. In some instances, the Glasgow Coma Scale (GCS) was ranked as 7 in which tracheal intubation and ventilation were needed. It was evident in this study that the majority of the affected patients sustained severe injuries in both lower limbs in contrast to some of the previous available studies.

scholarly journals Skin Lesions and Systemic Reactions in Humans Infested by Blackflies (Diptera: Simullidae) in Recreational Areas in Southeastern Poland

2021 ◽  
Vol 10 (4) ◽  
pp. 788
Author(s):  
Monika Sitarz ◽  
Alicja Buczek ◽  
Weronika Buczek
Keyword(s):  
Body Temperature ◽  
Upper Limb ◽  
Lower Limb ◽  
Skin Lesions ◽  
The Body ◽  
Menstrual Disorders ◽  
Medical Centers ◽  
Systemic Reactions ◽  
Mass Occurrence ◽  
Varied Range

Due to their mass occurrence in some environments and high aggressiveness, blackflies (Simulium spp.) represent the most bothersome arthropods attacking humans. In this study, we describe the medical effects of blackfly infestations in humans in southeastern Poland. Local and systemic reactions to blackfly bites were monitored in 418 patients (61.24% of females and 38.76% of males) of medical centers. Only skin lesions at the site of the bites were found in 88.52% of the patients, whereas accompanying systemic reactions were diagnosed in 11.48%. The most common signs observed in the area of the bites were pruritus (94.74%), burning (55.02%), edema (44.02%), and erythema (40.91%). The skin lesions, which were most often grouped small papules and papular and purpuric lesions with a varied range, typically persisted for several days, or for several weeks in some patients. Statistical analyses confirmed that the persistence of the skin lesions did not depend on the sex of the patients and the number of blackfly infestations. The systemic reactions to the components of the blackfly saliva were manifested by headache, increased body temperature, arthralgia, lymphadenopathy, and menstrual disorders in the females. The patients were most often attacked simultaneously by many blackflies on exposed parts of the body, mainly the upper limb, lower limb, head, and neck areas. The investigations indicate that blackflies are an important etiological factor of dermatitis and other symptoms in humans; hence, they should be considered in clinical diagnosis.

AMNIOTIC CONSTRICTION BANDS: A CASE SERIES AND PROPOSED NEW CLASSIFICATION SYSTEM

Hand Surgery ◽  
2015 ◽  
Vol 20 (01) ◽  
pp. 121-126 ◽  
Author(s):  
Lucy E. Homer ◽  
Anuj Mishra ◽  
Paul McArthur
Keyword(s):  
Upper Limb ◽  
Lower Limb ◽  
Classification System ◽  
Case Series ◽  
Lower Limbs ◽  
Anatomical Location ◽  
Limb Deformity ◽  
Constriction Band ◽  
Alder Hey

Introduction: Amniotic constriction bands occur in approximately one in every 15,000 live births and is graded using the Patterson Classification system. Methods: A case series of all patients with amniotic constriction band that presented to Alder Hey Children's Hospital was compiled between the years 1993 and 2012, data was described and a classification system developed. Results: Thirty seven patients were identified. Of these 17 had amniotic constriction confined to the upper limbs and three of the lower limbs only. Seventeen had both upper and lower limb deformity. Twenty eight children underwent surgical intervention whilst nine to date have not. Conclusion: Constriction band of the upper limb was the most common with lower limb bands the least. There is no agreement on the nomenclature of this condition making amalgamation of the literature problematic. A more specific classification of upper limb bands has been suggested which includes anatomical location and depth of band.

scholarly journals Epidemiology of Orthopaedic Trauma Admissions Over One Year in a District General Hospital in England

2015 ◽  
Vol 9 (1) ◽  
pp. 191-193 ◽  
Author(s):  
A Taylor ◽  
A Young
Keyword(s):  
General Hospital ◽  
Upper Limb ◽  
Lower Limb ◽  
District General Hospital ◽  
Bone Involvement ◽  
Trauma Network ◽  
Hospital Data ◽  
Disc Disease ◽  
Vertebral Disc ◽  
Limb Fractures

Introduction : Admission to district general hospitals in England has undergone change in recent years due to both an aging population and the reconfiguration of the major trauma network throughout the United Kingdom. Methods : We utilised a retrospective cohort study to analyse the epidemiology over a 12-month period at a district general hospital. Data was collected and divided into groups: upper limb, lower limb, vertebral disc disease, vertebral fracture, cellulitis without bone involvement and deep infection including metalwork. Results : 2817 patients were admitted over the 12-month period. There were 893 upper limb fractures, 1511 lower limb fractures, 126 vertebral disc disease, 55 vertebral fractures, 108 cellulitis without bone involvement and 124 deep infections with 19 admissions not specified due to coding. AN average of 242 patients were admitted each month with the majority admitted during the summer months. Conclusion : Although fractures make up the majority of the reason for which a person is admitted, there are also many other injuries/morbidities, which may necessitate admission. There is an increasing incidence of elderly osteoporotic fractures in females, which is balancing out the previously more common fractures seen in younger adults and adolescents.

Cardiac troponin I in patients with acute upper and lower limb ischemia

VASA ◽  
2008 ◽  
Vol 37 (4) ◽  
pp. 327-332 ◽  
Author(s):  
Koutouzis ◽  
Sfyroeras ◽  
Moulakakis ◽  
Kontaras ◽  
Nikolaou ◽  
...  
Keyword(s):  
Upper Limb ◽  
Lower Limb ◽  
Cardiac Troponin ◽  
Cardiac Involvement ◽  
Troponin I ◽  
Limb Ischemia ◽  
Elevated Troponin ◽  
Troponin Elevation ◽  
Lower Limb Ischemia ◽  
Ischemia Group

Background: The aim of this study was to investigate the presence, etiology and clinical significance of elevated troponin I in patients with acute upper or lower limb ischemia. The high sensitivity and specificity of cardiac troponin for the diagnosis of myocardial cell damage suggested a significant role for troponin in the patients investigated for this condition. The initial enthusiasm for the diagnostic potential of troponin was limited by the discovery that elevated cardiac troponin levels are also observed in conditions other than acute myocardial infarction, even conditions without obvious cardiac involvement. Patients and Methods: 71 consecutive patients participated in this study. 31 (44%) of them were men and mean age was 75.4 ± 10.3 years (range 44–92 years). 60 (85%) patients had acute lower limb ischemia and the remaining (11; 15%) had acute upper limb ischemia. Serial creatine kinase (CK), isoenzyme MB (CK-MB) and troponin I measurements were performed in all patients. Results: 33 (46%) patients had elevated peak troponin I (> 0.2 ng/ml) levels, all from the lower limb ischemia group (33/60 vs. 0/11 from the acute upper limb ischemia group; p = 0.04). Patients with lower limb ischemia had higher peak troponin I values than patients with upper limb ischemia (0.97 ± 2.3 [range 0.01–12.1] ng/ml vs. 0.04 ± 0.04 [0.01–0.14] ng/ml respectively; p = 0.003), higher peak CK values (2504 ± 7409 [range 42–45 940] U/ml vs. 340 ± 775 [range 34–2403] U/ml, p = 0.002, respectively, in the two groups) and peak CK-MB values (59.4 ± 84.5 [range 12–480] U/ml vs. 21.2 ± 9.1 [range 12–39] U/ml, respectively, in the two groups; p = 0.04). Peak cardiac troponin I levels were correlated with peak CK and CK-MB values. Conclusions: Patients with lower limb ischemia often have elevated troponin I without a primary cardiac source; this was not observed in patients presenting with acute upper limb ischemia. It is very important for these critically ill patients to focus on the main problem of acute limb ischemia and to attempt to treat the patient rather than the troponin elevation per se. Cardiac troponin elevation should not prevent physicians from providing immediate treatment for limb ischaemia to these patients, espescially when signs, symptoms and electrocardiographic findings preclude acute cardiac involvement.

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