Prevalence of Erectile Dysfunction among Type 2 Diabetic Males at Government General Hospital, Nizamabad

Background: Erectile dysfunction (ED), also known as impotence, is a type of sexual  dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity.In diabetic men, erectiledysfunction usually occurs as a result of micro-vascular changes,neuropathy and endothelial dysfunction, which are causes ofmany other complications of diabetes ED is common in men who have diabetes, especially those with type 2 diabetes. In diabetic men, erectiledysfunction usually occurs as a result of micro-vascular changes,neuropathy and endothelial dysfunction, which are causes ofmany other complications of diabetes. ED is an undiagnosed andan underreported problem. It can stem from damage to nerves and blood vessels caused by poor long-term blood sugar control. Erectile dysfunction can also be linked to other conditions common in men with diabetes, such as high blood pressure and heart disease. Erectile dysfunction might occur earlier in men with diabetes than in men without the disease. Material and Methods: -This study was hospital based cross sectional study conducted on type 2 diabetes male patients attending outpatient department of general medicine, at government general hospital, Nizamabad. After institutional ethical committee approval and informed consent of study subjects, a convenient sample of 100 was taken from age group 25 to 75 years from April 2017 to April 2018. Results: In the present study 24% of patients have Normal erectile function, 76% patients have erectile dysfunction, in that 40% have mild erectile dysfunction, 24% have moderate ED, 12% have severe ED. In this study ED was more common in the age group of 50-59 (24%) and 40-49 (21%). In this study as the duration of diabetes is increases severity of ED increases. In the present study 45% with hypertension have ED and 31% Normotensive have ED.In this study as the duration of diabetes is increases severity of ED increases.Mild, moderate, severe ED was seen with history of diabetes above 10 years. ED was less common with history of below one year diabetes  history.Conclusion:In the present study 24% of patents have Normal erectile function, 76% patients have erectile dysfunction, in that 40% have mild erectile dysfunction, 24% have moderate ED, and 12% have severe ED. Erectile dysfunction was more common in the age group of 50-59 (24%) and 40-49 (21%). In the present study 45% with hypertension have ED and 31% Normotensive have EDIn this study as the duration of diabetes is increases severity of ED increases. Mild, moderate, severe ED was seen with history of diabetes above 10 years. ED was less common with history of below one year diabetes history. Keywords: Erectile dysfunction, type 2 Diabetes, Males, IIEF-5 Questionnaire

A Comparative study of prevalence of hypertension among Urban, and rural population of south Indian city, Hyderabad

Introduction:-Hypertension (HTN or HT), also known as high blood pressure (HBP), is a long-term medical condition in which the blood pressure in the arteries is persistently elevated. High blood pressure usually does not cause symptoms. Long-term high blood pressure, however, is a major risk factor for coronary artery disease, stroke, heart failure, atrialfibrillation, peripheral vascular disease, vision loss, chronic kidney disease, and dementia. Aims and Objectives:-To estimate the prevalence of Hypertension among the study population above 15 years age group. To compare the study results between urban and rural area population. Methodology: - The present study was a cross sectional study carried out at field practice area of Osmania Medical College, Hyderabad. It is a community based cross-sectional study , total of 1409 persons in the age group of above 15 years were interviewed at their residence and anthropometric measurements were taken. Results:-The prevalence of hypertension was more in females in both in urban and rural areas (22.6% and 26.4%),The prevalence of hypertension was more among lower class 45.4% in urban area where as prevalence is more among upper middle class 29.7% in rural area.The prevalence of hypertension was more in widow/widowers in both urban and rural areas. The prevalence of hypertension was more among Hindus 20.2% in urban area, when compared to rural area prevalence of hypertension was more among Muslims 40%. The prevalence of hypertension was more in widow/widowers in both urban and rural population 34.7% and 52.5% respectively

Comparative analysis of two different treatments by surgery: Distal femoral fractures

Introduction: A controversial topic has been the treatment of distal femoral fractures and it was recently evolved towards indirect reduction and minimally invasive techniques.Ob­jective: Comparing the results of the surgical treatment with the minimally invasive stabilization of distal femoral fractures with a plate with screws for appendage compression.Mate­rial and methods: Patients treated surgically between January 2016 and January 2018 with distal femoral fractures were evaluated retrospectively. From each patient record, the following variables were recorded: age, sex, fracture form and injury mechanism, type of implant used, operating time and postoperative bleeding. The Neer scale was used to comparing the anatomical, radiological, and useful outcomes of each technique.Results: the total number of patients was 59; 33 males and 26 females; 58 years was the mean age. A screw plate was used for appendage compression purposes in 36 patients and a minimally invasive stabilization system in 23 patients. The cases handled had a shorter operating time and less in traoperative bleeding with a minimally inbuilt stabilization system. The Neer scale analytical victimization results were similar for each of the modalities.Conclusions: Patients with distal third of the femur fracture managed with a minimally invasive stabilization system had higher outcomes, which were not vital on the Neer scale, mainly due to lower pain intensity, early mobilization and less functional impact