Online ISSN: 2515-8260

Keywords : Complications

Comparative study of reconstruction plates versus non-reconstruction plates (dynamic compression plate and locking compression plate) with respect to complications and functional outcome in operative management of middle third clavicular fractures

Dr. Avinash Kumar Katukam, Dr. Mukthapuram Sreenath, Dr. Karthik Manchala, Dr. Dodooju Veera Bhadreshwara Anusha, Dr. Battu Vijayeswar Reddy

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 2143-2152

Introduction: Clavicle fracture is a common traumatic injury and account for approximately 2.6% of all fractures. The middle-third fractures (80-85%) are most common of all clavicular fractures and were conservatively treated. Several recent multicenter, randomized control studies reported that open reduction and internal fixation (ORIF) had much lower nonunion and malunion rates as well as better shoulder function compared with non-operative treatment there are few precise data on the complications and functional outcome rates of each plate based on different fracture classifications. The current study aims to understand the complications and functional outcome with various plates.
Material and Methods: A prospective study was done in 40 patients with mid clavicular fractures type B according to Robinsons classification selected by purposive sampling method, during December 2018 to May 2021 in a tertiary care teaching hospital. After obtaining institutional ethical clearance and informed consent, history was collected, findings on general, systemic and local examination were recorded. Clavicular fixation was done under general anaesthesia using plates (reconstruction plate/dynamic compression plate/locking compression plate) and cortical screws. Follow up done to note complications and functional outcomes with different plates and analyzed statistically by chi-square test with P<0.05 as significance level.
Results: Majority of the patients were in the age group of 19-29 years (20 patients/50%) with mean patient age was 32 years. Majorities were males (32 patients/80%). In 20 patients (50%) reconstruction plates were used. In 10 patients (25%) locking compression plates were used.
In 10 patients (25%) Dynamic compression plates were used. The functional outcome was assessed by Constant and Murley score, 29 patients (67.5%) had excellent functional outcome, good functional outcome in 5 patients (12.5%), fair functional outcome in 6 (15%) patients and poor in 2 patients (5%).
Conclusions: Functional outcome was either excellent or good (80%) and complications (45%) were less common in patients managed with non-reconstruction plate compared to reconstruction plate, which was statistically significant.

Intrahepatic Bile Duct Anatomic Variations among Egyptians: A Magnetic Resonance Cholangiography Study

Mohamed Fawzi, Mohamed El-Abgeegy, Mona Mohamed Elbeheiry, Mohammad Salah Abdelbary, Safaa Mohamed El Mandooh

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3500-3508

Background: The history of end-stage liver diseases has been changed by liver transplantation. Egypt’s high prevalence rate of liver diseases has increased the number of patients requiring liver transplantation. Living donor liver transplantation has many advantages over deceased donor liver transplantation; nevertheless, biliary complications, which are the commonest intractable problem, are more likely to occur after living donor liver transplantation. Magnetic Resonance Cholangiography is a non-invasive method to assess the biliary system’s anatomy.
Objective: In this study, we aimed to assess the anatomic variations of the biliary tree among the Egyptian population using Magnetic Resonance Cholangiography.
Patients and Methods: We conducted this study on 353 patients who underwent MRC procedures between May 2010 and December 2015. Anatomical variations of intrahepatic bile ducts were studied based on the variable insertion of the right posterior hepatic duct according to Huang classification; moreover, the presence of accessory ducts was also noted.
Results: Based on the Huang classification, variations were divided into five types.Type 1 (typical type) occurred in 207 cases (58.6%) while type 2 (triple confluence) occurred in 61 cases (17.3%). Type 3, Type 4, and Type 5 were noted in 66 cases (18.7%), 14 cases (4%), and 5 cases (1.4%). We observed accessory duct in 14 cases (4%of all studied cases).
Conclusions: Our findings provide a precise understanding of the variations of the intrahepatic bile ducts among Egyptians. This is important for both donors and recipients to ensure a successful liver transplant and reduce subsequent biliary complications.


Axtamov Azam; Axtamov Azim Azamovich; Shamsiev Jasurbek Zafarovich

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 2, Pages 827-831

The review presents current data on the role of the immune system in the development after surgical complications during endoprosthetics hip joint. Surgical stress, exerting different powers oppressive effect on the immune system is a powerful factorcreating the preconditions for the development of secondary immunosuppression or- aggravating it against this background, the likelihood of postoperative complications are enough high. The conducted research has established the involvement in the process: osteogenesis and bone resorption Polypeptide growth factors - cytokines. The use of immunological methods allowed researchershighlight: criteria and develop ways to predict development complications in arthroplasty, the results were analyzed endoprosthetics of the hip joint in overweight patients body.

Prevention of complicationsand several other relevant risk factors of Type 2 Diabetes(T2D)at a hospital in Vietnam

N. V. Chinh; P. H. T. Kiet; P. B. Diep; N. T. B. Yen; Dong Wang; L. D. P. Cuong; P. D. Trung; L. M. N. Uyen; N. H. Tu

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 10, Pages 266-279

Diabetes has a significant incidence of illness, health care effects and lead to a high mortality rate due to its complications in both developed and developing countries so far. Diabetes can be divided into three main types: Type 1 diabetes, Type 2 diabetes and Gestational diabetes, the most common type is Type 2 diabetes (T2D). Our work focuses on researching the relationship of complications and their cost of treatment in order to make the treatment plan and minimize its costs in at the Thanh Nhan hospital in Hanoi, Vietnam. Therefore, the research results show that there are many different types and rates of complications of T2D depending on key factors such as: age and duration of the disease, by determining the complication rate and analyzing multivariate logistic regression models to find the risk factors associated with an increase in the number of complications of the disease from the Social Science Package Statistics (SPSS) software and other.

Medical Emergencies In Dentistry-An Update

Siddharth Rawat; Vanshika Agarwal; Nitin Bhagat; Pallav Prakash; Shashank Agarwal; Aprajita Dhawan

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3161-3172

Medical emergencies at dental office are a rare situation. When the dentist encounters such occasional incidences, they should initiate emergency procedures to save the life of the patient. In case of an emergency, the roles and activities of the dentist and the team members should be planned, documented, and displayed. The staff members should be trained and updated in first aid, cardiopulmonary resuscitation, and other emergency procedures. The knowledge of management of medical emergencies will increase the confidence of the dental surgeons in their clinical practice. The objective of this review article is to provide a vision to the commonly occurring medical and dental emergencies and complications in dental practice and their management.

Prediction Of Long-Term Results Of Out-OfCommunity-Asquired Pneumonia Depending On The Course Of The Disease

Nosirova Dildora Erkinovna; Mamurova Nigora Normuratovna

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 5030-5036

Pneumonia is a disease that has an acute course and is characterized by an infectious and inflammatory lesion of the lungs. The high level of one-stage morbidity of community-acquired pneumonia, mainly in the variant of severe and life-threatening course in combination with concomitant pathology (75.4%), causes significant damage to the health of the population and deaths are observed in 6.7%. The problem of manifestations of long-term results of pneumonia is becoming increasingly relevant today in connection with the sharply increased rate and intensity of working activity of people, improving the quality of work, as well as environmental pollution and concomitant pathology also leaves its mark on human health. In case of community-acquired pneumonia, the concomitant pathology will influence the long-term results, further observation of these patients will show for 2, 3 years, depending on the severity of the course.

Advanced Glycation End-Products In Diabetes Complications

Anush N; Bineesh C. P.; Jeena Gupta; Pranav Kumar Prabhakar

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 2190-2198

Diabetic complications, such as, retinopathy, nephropathy lead to blindness and end stage renal failure respectively, various neuropathies, and ultimately increased mortality. While the exact mechanisms that lie behind the pathological changes associated with diabetes remain obscure, however, it is widely believed that chronic or intermittent hyperglycemia may alter various metabolic pathways at the tissue level, for instance, increased flux through the polyol and the hexosamine pathways as well as a persistent activation of protein kinase C (PKC). Reducing sugars such as glucose and fructose may react non-enzymatically through their carbonyl groups with free amino groups of proteins (commonly the Ɛ amino group of lysine) to form a Schiff base intermediate which then rearranges to a more stable structure known as Amadori product. The Amadori products generated by the aforementioned Maillard reaction may then undergo further reactions, including dehydration, oxidation and rearrangement resulting in the irreversible formation of heterogeneous advanced glycation end products (AGEs)


Dr. Balakrishnan Ramalingam; Dr. Vijay Ebenezer

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 1933-1936

Extractions are the most common surgical procedures carried out and postextraction bleeding is most commonly seen complication. The aim of this review was to determine the effectiveness of topical hemocoagulase as a hemostatic agent and its role in reducing postextraction bleeding and its comparison to routine saline pressure pack after tooth extraction. Various differences was present between the hemostatic agent and saline pressure pack in relation to pain, swelling, wound healing, bleeding time, and other complications. Topical hemocoagulase is effective in reducing bleeding, pain, and swelling after extraction when compared to saline pressure packs. It also act as a promoter of wound healing.

Some Clinical Features Of The Chickenpox In Adults And Children In Modern Conditions (Review Article)

Zhuraev Shavkat Abdukhuhidovich; Yarmukhamedova Nargiza Anvarovna; Rustamova, Shahlo Abdukhakimovna; Uralov Shukhrat Mukhtarovich; Israilova Sokhiba Buribaevna

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 2716-2721

Chicken pox is one of the leading places in prevalence after acute respiratory infections. The urgency of the problem is determined by the high incidence of chickenpox, the widespread spread of the pathogen, an increase in the specific gravity in the general infectious pathology, and the ineffectiveness of preventive measures implemented in practice (isolation of patients, quarantine). Despite the low incidence of chickenpox in adults, the risk of severe complications and even death is higher than in children. The greatest risk of the dysfunctional course of chickenpox is noted in people with immunodeficiency. This is characteristic, first of all, for patients with HIV infection and patients with chronic diseases (diabetes mellitus, autoimmune diseases, bronchial asthma, chronic hepatitis, systemic diseases of the connective tissue).
The aim of the study was to conduct a retrospective analysis of the clinical and laboratory features of the course of chickenpox in children and among the adult population of the Samarkand region, as well as to offer practical measures for the prevention of disease in practical health care.

Changes In The Microbiota Of The Birth Canal When Using An Intrauterine Contraceptive During Abdominal Delivery

Nazarova Zebiniso Azizovna; Agababyan Larisa Rubenovna

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 614-624

In this work, we analyzed the frequency of violations of the vaginal microbiota and the development of infectious and inflammatory complications during post-placental intrauterine contraceptive administration during abdominal delivery. Currently, the incidence of infectious and inflammatory diseases in obstetrics does not tend to decrease. In the structure of infectious and inflammatory diseases, a significant place is occupied by postoperative purulent-septic complications – endometritis, suppuration of wounds on the uterus and anterior abdominal wall after cesarean section. One of the tasks solved in the course of this study was to identify the correlation between the state of the birth canal microbiota and the development of complications when using IUDs during cesarean section.

Knowledge, Awareness And Risk Factors Of Childhood Obesity Among Adolescent Population In Chennai - A Survey Based Analysis

Jagadheeswari Ramamoorthy; Karthik Ganesh Mohanraj; Geo Mani

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 3156-3174

IntroductionChildhood obesity is termed as excess body fat accumulation which negatively affects a child's health or well-being. As methods to work out body fat directly are difficult, the diagnosis of obesity is usually supported by BMI. A Body mass Index of 30 or more is considered as obesity. Children are considered to be obese if they are above the normal weight for their height in relation to their age. The problem is global and is steadily affecting many low and middle income countries. The rising prevalence of obesity in children and its many adverse health effects it's being recognized as a significant public health concern. AimThe aim of this study is to assess the Knowledge, awareness and risk factors of childhood obesity among the adolescent population.
Materials and MethodThis is a survey based study and was conducted on an online forum, Survey Planet with a sample of 100 participants .Adolescents of age group between 10-21 participated in the study. A questionnaire with 10 questions was circulated among the Chennai population. The responses were collected. The data was summarised as the number and percentage and analysed using SPSS.Chi square test was done and a P value of < 0.05 was considered statistically significant.
ResultsIn this survey, we observed that 29% of them consider their current weight to be harmful for their health. 40% of them check their weight regularly. Half of the population were aware that chronic stress can lead to weight gain. Only 41% of the participants have the habit of exercising regularly. 67% of the participants were aware of the complications of obesity. Among all the respondents 28% of them had a family history of obesity.
ConclusionWithin the limits of this survey, we can conclude that awareness on childhood obesity is present among the adolescent population. Females were more aware of Childhood obesity than males. However regular exercise and healthy diet is essential to maintain a healthy weight and prevent obesity.