A study on fracture of femur shaft treatment with intramedullary interlocking nailing

Background: Rigid interlocking nailing for femoral shaft fracture is ideal for use in adolescents in terms of stability of the fracture and convenience for the patient. Closed reduction and intramedullary interlocking nailing is the surgical treatment of choice for the closed shaft fractures of femur. Present study conducted to study the principles of intramedullary interlocking nailing and to assess the outcome of the patient.Methods: The present study comprises of 28 cases of fracture shaft of the femur admitted in orthopaedics wards of JJM Medical College, Davangere. Total 28 cases considered for closed intramedullary nailing.Results: In 55% cases closed intramedullary nailing given excellent healing of fracture, in 25% cases healing was good, in 10% cases it was average and 5% cases poor healing was observed.Conclusions: It is concluded that closed intramedullary interlocking nailing method given good result in treatment of shaft fractures of femur

An exploratory study of ERM perception in Oman and proposing a maturity model for risk optimization

Enterprise Risk management is a process vital to enterprise governance which has gained tremendous momentum in modern business due to the dynamic nature of threats, vulnerability and stringent regulatory requirements. The business owners have realized that, risk creates opportunity which in turn creates value. Identifying and mitigating risk proactively across the enterprise is the purview of Enterprise Risk Management (ERM).However, key errors in the ERM process such as misinterpretation of statistical data, overlooking change management, inadequate attention to supply chain interdependencies, excessive trust of insiders and business partners, ambiguous grouping of risks and poor documentation has contributed significantly to the failure of ERM. To examine the ERM perception in Oman, the authors have conducted a survey among various risk management practitioners. Based on the findings, the authors have broadly classified risk into three types namely business risks, technical risks and regulatory risks and threat vs. consequence mapping is defined to provide direction to moderately group risks. Further, this article defines various ERM approaches including due diligence, probabilistic risk analysis, scenario-based analysis and system analysis which offers a wide range of decision-support tools to the management

Unusual Findings and Outcomes of Balloon Mitral Valvotomy

Balloon mitral valvotomy is a common procedure done for rheumatic mitral stenosis. However, certain cases may pose challenges and rarely may be life-threatening. Here, three unusual cases of balloon mitral valvotomy are presented. Case 1 had procedural challenge in terms of Interatrial Septal (IAS) fibrotic thickening and calcification, posing difficulty in trans-septal puncture and crossing IAS with valvotomy balloon. Case 2 had bidirectional Ventricular Tachycardia (VT) with a single dose of intravenous digoxin, and stress cardiomyopathy. Case 3 had difficulty in negotiating valvotomy balloon towards apex and in the process, there was left ventricular free wall perforation

Effects of Dental Operating Microscope on Anxiety, Behaviour, and Treatment duration among Children in the 5-7 Year Age Group undergoing dental restorative procedures: A Randomised Clinical Trial

Introduction: Fear of the unknown causes anxiety in paediatric patients. The use of tell-show-do, along with audiovisual distraction, promotes positive behaviour and reduces anxiety. The use of a Dental Operating Microscope (DOM) as a visual distraction aid provides better cooperation in paediatric patients. Aim: To evaluate the effects of a DOM on anxiety, behaviour, and treatment time during a restorative procedure in paediatric dental patients. Materials and Methods: The present study was a parallel-arm, randomised clinical trial conducted at IGIDS, Puducherry, India, in 2022, over a period of four months. Healthy five to sevenyear-old children on their first dental visit were selected (n=90) and divided into two groups using simple randomisation. Group A: Restoration of teeth without a DOM, and group B: Restoration of teeth using a DOM. Anxiety and behaviour were measured as soon as the child entered the operatory (T1), after tell-show-do for the procedure (T2), after cavity preparation (T3), and after completion of the restoration (T4). Caries removal efficacy and treatment duration were also assessed. The data obtained were statistically analysed using the Chi-square test and independent sample t-test (p<0.05). Results: Out of the 90 children who participated in the study, 47 (52%) were girls, and 43 (47%) were boys. There was a decrease in anxiety and improved patient behaviour during cavity preparation (T3) and after completion of restoration (T4) in group B (p<0.001). The operator also reported higher visual (71.10%) and tactile (95.60%) scores in caries removal, with a shorter treatment duration in groups where DOM was used (p<0.001). Conclusion: The use of DOM reduced anxiety levels and improved the compliance of children during dental procedures. Operator ergonomics and the quality of treatment could be enhanced by recommending DOM in regular paediatric dental practice

Comparative morphological, biochemical and bioactive potentials of different varieties of <em>Bael</em> [<em>Aegle marmelos</em> (L.) Corrêa] of India

584-591Bael [Aegle marmelos (L.) Corrêa] is a traditional medicinal plant indigenous to India. From olden days, it has been used as an alternative medicine for various purposes. Existence of different varieties of Bael raised a pertinent question, whether all of them show equivalent health benefits?. In the current study, Bael fruits from different varieties were analysed for nutritional composition and their bioactive potentials. Results revealed the broad range of physicochemical alterations among the screened five varieties. The best sweetish Bhopal variety composed with high polyphenols (27.3±1.56 mg GAE/g), vitamin A (54.6±2.48 mg/g), and enriched levels of phenolic acids (tannic, cinnamic, ferulic, and chlorogenic acids) compared to other varieties. The Bhopal variety showed good antioxidant activity (6.8±0.95 µg/mL) and cyto/DNA protective properties. It also showed potent antiulcer and anticancer activities by inhibiting H+, K+- ATPase (6.4±0.75 µg/mL) and tyrosinase (40.2±3.9 µg/mL) respectively as opposed to respective standard inhibitors – lanzoprazole (19.2±0.75 µg/mL) and kojic acid (25.6±0.89 µg/mL). Evaluation of comparative nutritional content and nutraceutical potency explains that all varieties are not edible and they differ also in posessing health benefical compounds. Bael variety from Bhopal yielded sensorially acceptable Nectar and offered enriched bioactivities. This is the first study indicating the varietal effect on nutritional and nutraceutical composition of Bael

1-[(7E)-7-(2-Chlorobenzylidene)-3-(2-chlorophenyl)-3,3a,4,5,6,7-hexahydro-2H-indazol-2-yl]ethanone

In the title compound, C22H20Cl2N2O, the diazole ring adopts a shallow envelope conformation with the methine C atom bonded to the adjacent chlorobenzene ring as the flap. The dihedral angles between the heterocyclic ring and the pendant chlorobenzene rings are 61.4 (2) and 80.3 (2)°. In the crystal, weak C—H...Cl interactions connect the molecules into [001] chains

Clinical Efficacy of Kedo S Square Files versus Manual K Files in Root Canal Preparation of Deciduous Molars: A Randomised Clinical Trial

Introduction: The conventional approach to root canal preparation in primary molars involves hand instrumentation. However, the disadvantage of longer instrumentation time poses a challenge for dentists treating paediatric patients. As a solution, rotary file systems have been introduced to reduce chairside time and improve patient cooperation. Among the various rotary file systems available, the "Kedo S Square" rotary files are exclusive single files made of Nickel-titanium (NiTi), offering increased flexibility and variable taper to adapt to the curved canals of deciduous molars. Aim: To assess and compare the instrumentation time and obturation quality of rotary “Kedo S Square” files with manual K files in deciduous molars. Materials and Methods: This randomised clinical trial was conducted from July 2022 to February 2023 included 40 primary molars from four to six-year-old children requiring root canal therapy. The teeth were evenly allocated to two groups: Group 1 underwent instrumentation using “Kedo S Square” files, while Group 2 underwent instrumentation using manual K files. The instrumentation time was recorded, and post-treatment radiographs were taken to evaluate the quality of obturation by a single-blinded investigator. Statistical analysis included the Independent t-test, Levene’s Test for Equality of Variances, Chisquare test, and Fisher’s-exact test. Results: The use of Kedo S Square files resulted in significantly less instrumentation time (p<0.001) with a mean time of 3.91±1.462 minutes. There was no statistically significant difference in obturation quality between the two groups, with a p-value of 0.427. Conclusion: Kedo S “Square” files demonstrated comparable obturation quality with shorter instrumentation time compared to manual K files in root canals of primary molars