iosr-JDMS   Volume-20 ~ Issue-7 ~ July 2021

Abstract: Introduction: Open fracture of tibia is a common occurrence in the orthopedic treatment arena. Open fractures of tibia are classified into Type I, II, IIIA, IIIB and IIIC. Open tibial fractures result in high rates of complications. Objective: The aim of this study was to evaluate the Complications of Open Tibial Fracture Management. Methods: This was an observational prospective study. In total 51 patients with tibial fractures were selected as the study population. The total cases were randomly selected for the study, it was conducted in the Department of Orthopedics of Khulna Medical College Hospital, Khulna, Bangladesh. Clinical examination and evaluation were done from July 2018 to June 2019. Statistical analysis of the results was obtained by using window-based computer software devised with Statistical Packages for Social Sciences..........

Key Words: open tibial fractures; infection; complications; antimicrobial

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Abstract: COVID 19 infection is known to cause vascular thrombosis in all the systemic vasculature. Ischemic stroke and cerebral venous thrombosis have been reported in the medical literature. Existing medical database does tell us that these events take occur in a predictive manner with the incidence of venous thrombosis, pulmonary embolism and cerebral venous thrombosis being higher in critically ill patients that are already admitted in the intensive care unit and also occur after a lag period from the date of infection. However, this novel virus is relentless in surprising us. We report a COVID 19 case where seizure, as a clinical manifestation of cerebral venous thrombosis was the first and the only presenting complain. Though nasopharyngeal swab test was negative, computed tomography of chest showed features of COVID.........

Key words : CVT in COVID 19, CVT at presentation, venous thrombosis in COVID-19, sinus thrombosis, transverse sinus thrombosis

[1]. Zaim S, Chong JH, Sankaranarayanan V, et al. COVID-19 and Multiorgan Response. Curr Probl Cardiol. 2020;45(8):100618. doi:10.1016/j.cpcardiol.2020.100618.
[2]. Speeckaert MM, Speeckaert R, Delanghe JR. Potential underlying mechanisms of cerebral venous thrombosis associated with COVID-19. J Neuroradiol 2020;47:473–4.
[3]. Zhou B, She J, Wang Y, et al. Venous thrombosis and arteriosclerosis obliterans of lower extremities in a very severe patient with 2019 novel coronavirus disease: a case report. J Thromb Thrombolysis 2020;50:229–32.
[4]. de Barry O, Mekki A, Diffre C, et al. Arterial and venous abdominal thrombosis in a 79-year-old woman with COVID-19 pneumonia. Radiol Case Rep 2020;15:1054–7.
[5]. Di Minno A, Ambrosino P, Calcaterra I, et al. COVID-19 and Venous Thromboembolism: A Meta-analysis of Literature Studies. Semin Thromb Hemost. 2020 Oct;46(7):763-771. doi: 10.1055/s-0040-1715456. Epub 2020 Sep 3.

Abstract: Patients with diabetes mellitus are reported to be up to five times more likely to develop cataract. Through phacoemulsification, most of the patients are able to achieve excellent visual outcome. A retrospective cohort was conducted at the Department of Ophthalmology, of 20 Aout 1953 Teaching Hospital, in Casablanca, Morocco to compare the incidence of post-operative corneal edema and the corneal thickness changes between diabetic and non-diabetic patients after phacoemulsification. Patients with corneal affections prior to surgery, with intraoperative or postoperative complications besides corneal edema were excluded. The follow up duration was 3 months. 376 eyes of 376 patients fulfilled the inclusion criteria and were enrolled in the study. The non-diabetic group had 293 eyes and the diabetics group had 83 eyes. Early post-operative corneal edema was more frequent in the diabetic group.......

Keywords: endothelium, edema, phacoemulsification, diabetes mellitus.

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