Online ISSN: 2515-8260

Keywords : injury


A study of acute kidney injury in cirrhosis of liver

Dr. Meghna Vaidya, Dr. Nitin Sarate, Dr. Juhi Kawale, Dr. Vinayak Pai

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 26-34

Background: The prevalence of renal dysfunction has been reported to vary from 14-50% in
patients with cirrhosis. The prevalence is estimated to be approximately 50% among patients
with cirrhosis and ascites and 20% of patients with advanced cirrhosis admitted to the hospital
3,4. The wide range in prevalence is likely due to different study populations and varying
definitions of renal dysfunction. Patients with HRS who fail to respond to medical therapy or
those with severe renal failure of other etiology may require renal replacement therapy.
Simultaneous liver kidney transplant (SLK) is needed in many of these patients to improve
their post-transplant outcomes. However, the criteria to select patients who would benefit from
SLK transplantation are based on consensus and lack strong evidence to support them. Heath
care system has evolved over the last decade and newer drugs are available for the management
of complication of cirrhosis. We attempt to study its impact on course and outcome of acute
kidney injury. Also few of the patients could possibly be on the antiviral drugs for hepatitis B
and hepatitis C. If these patients are admitted they will be included in study and we would study
the effect of the effect of this drug on acute kidney injury and vice versa. Hence, the present
study was conducted to study clinical profile of patients with acute kidney injury in liver
cirrhosis.

Open globe injury: Presentation and predicting factors

Dr. Prabha, Dr. Rajesh Kumar Saini, Dr. Shashidhar Harvyasi, Dr. Charita Meena

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1222-1227

Aim: To identify the prognostic factors in open globe injuries and its presentation.
Materials and Methods: Retrospective study at Government medical College, Bharatpur,
JLN Medical College Ajmer, GMC Churu, GMC Dungarpur, Rajasthan, India in year 2021,
patients presented to casualty department of eye and undergone intervention with follow-up
of 1 to 3 months or till better recovery.
Results: Total 62 patients, 44 (71%) were males and 18 (21%) were females. Mean age was
24 years (with range: 2.5-62 years). Factors affecting final outcomes in ocular trauma are
nature and mechanism of injury, presenting conditions initial visual acuity, timing of
presentation and timing of intervention, segmental involvement as anterior or posterior
segment and zone of injury.
Conclusion: These predicting factors helps in counseling and explaining the prognosis and
also the deciding the line of treatment

THE CURRENT STATE OF THE PROBLEM OF PROVIDING ASSISTANCE TO VICTIMS WITH ACETABULAR INJURIES IN THE BUKHARA REGION

E. Yu. Valiev; A. S Yakhyoev; J.Yu. Jabbarov; Khasanov Z. R

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 1, Pages 1440-1445

In recent years, there has been an increase in patients with acetabular fractures, while the rates of unsatisfactory treatment results and disability remain high. There is a widespread trend, as well as in the Bukhara region, to increase the number of patients with injuries of the acetabulum. The difficulties of diagnosis and the choice of treatment tactics remain relevant. Low rates of active surgical tactics for treating injuries, which affects the results of treatment. There is a need for a more in-depth study of this problem with the introduction of modern methods of damage visualization and the development of minimally invasive treatment methods

To study modalities for evaluating the abdomen after blunt abdominal trauma & severity of injury

Dr. Sandeep Shrivastava

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 7043-7047

Background & Method: This study carried out in Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh. The present study includes 250 cases of blunt abdominal trauma admitted Hospital. On admission to hospital patient s name, age, sex, address, registration number, and, date and time of admission, length of delay in treatment taken noted and Nature of weapon also noted.
Result: Maximum patients come after 1 day of injury 83, i.e. 33.2 % and the minimum of the patients 32, i.e. 12.8% came to hospital in between 8-16 hrs of injury. This duration of injury had recorded from the OPD slip of the patients or the direct enquiry made from patients. There were 51 out of 250 patients (20.4 %) of head injury in BAT patient, 53 out of 250 patients (21.2 %) of chest injury, and 17 out of 250 patients (6.8 %) of Extremity injury, 16 out of 250 patients (6.4 %) of facial injury, and 15 out of 250 patients (6.0 %) of pelvis injury. So it is clear that maximum associated extra abdominal injury in BAT patients is chest> head injury and minimal associated extra-abdomanal injury in BAT patients are pelvis injuries.
Conclusion: In all blunt abdominal trauma 61.6 % case account for accidental in nature. RTA is the most common mode of injury in the blunt abdominal trauma. Majority of patients83, (33.2%) attend emergency department are after 1 day of injury. Most extra-abdominal body region injuries are managed conservatively. Trauma centres should be modernized and fully equipped with emergency drugs and surgical instruments along with adequate manpower.