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Introduction: With rapid industrialization and modernization rate of road traffic accidents has also increased concomitantly which has inadverantly increased rate of musculoskeletal injuries. In all these injuries supracondylar femur fracture contributes 1% of all the fractures and 3-6% of all femur fractures. In young patients the main reason is due to high energy trauma whereas in elderly this occurs due to trivial trauma attributed to osteopenia. Despite of various treatment modalities these fractures still possess a great challenge in front of orthopaedics surgeons. Method & Material: we conducted the study from March 2021 to Feb 2022 on 25 patients arrived at M.Y hospital emergency room with 13 of them treated with RN, while 12 are treated with locking plate. Patients were followed up for 6 months. Muller classification system was used to classify this fracture with only type A1-3 were taken into consideration. Results: KOOS scoring system was used to evaluate final outcome at the end of 6 months follow up which demonstrated that in RN group 3 cases were excellent, 7 were good, 2 were fair while 1 was poor. In LP group 2 were excellent, 4 were good, 4 were fair while 2 were poor. Over 90% fracture healed before 6 months with average time of union for RN and LP group being 17 weeks and 21 weeks respectively. Conclusion: Retrograde nailing and plating both provide an excellent means of treating such fracture. Early fracture healing, less intraop blood loss, less operative time were some advantages beared by RN group but it was also associated with more incidence of anterior knee pain. Both the method allows fracture healing with statistical significance. However, this difference was seen in both the group can be explained as more complex/communited fractures were treated with plating. At last, both the procedure requires proper planning and execution so as to get desirable result. [ABSTRACT FROM AUTHOR]

Background: Diarrheal disease, injuries, and respiratory infections form the major chunk of diseases among adolescents. Hence, this study was carried out to study the seasonal variation among these three diseases. Aim: To study the seasonal variation among three diseases. Methods: A record-based retrospective study was conducted among students of a medical college in Western Maharashtra who reported to the General OPD. The data were collected for a period of 7 years from Jan 2012 to Mar 2019. The diseases were characterized under three board headings based on the predefined criteria. Results: All 10,881 sick reports of students reported during the period were included in the study. After exclusion, the data were analyzed for 6,322 sick reports. A total of 67% of the cases were of upper respiratory tract infection (URTI), followed by injuries (19%). On analyzing the seasonal variations among the three categories, it was observed that there was an increase in the cases of diarrhea in the postmonsoon months of September and October. Injuries were maximum from August to September. The seasonal trend could be seen in URTI cases with a maximum number of cases from January to March and August to October. Conclusions: The burden of these diseases could be reduced if we take measures to detect the changes in their trend through the implementation of surveillance programs. [ABSTRACT FROM AUTHOR]

Byline: Aneesh. Srivastava, Ankur. Bansal, Sanjoy. Sureka, Priyank. Yadav, Devarshi. Srivastava, Rahul. Jena, Uday. Singh, Saurabh. Vashishtha, M. Ansari, Rakesh. Kapoor Introduction: Kocak described a modification of Clavien-Dindo classification system [...]

Background: Healthy adulthood thrives on the foundation of a healthy childhood. Earlier studies show different morbidity patterns and prevalence of under-nutrition in children studying in Government primary schools. The present study was undertaken to explore the morbidity pattern and nutritional status of children studying in a government primary school in the field practice area of Rural Health Training Centre of a medical college in Pune, Western Maharashtra. Methodology: A cross-sectional study was done in a Government Primary School during January–February 2019. A total of 134 school children studying in classes 1st to 7th underwent anthropometric measurements, medical examination, dental examination, and haemoglobin estimation to bring out the common morbidities present in children of school-going age. School records of the past 6 months of the academic year 2018–19 were used to know the prevalence of absenteeism among the subjects studied, and an attempt was made to find any association between absenteeism and under-nutrition among school children. Results: Out of 134 children, 26 (19.4%) were stunted, 51 (38.64%) were underweight, and 2 (1.49%) were found to be obese. Dental caries was found in 73 (54.48%) pupils, and it was the commonest morbidity found. Eighty-six (64.18%) of the examined school children were anemic. Thirty-five (26.12%) had ear problems, skin problems were found in 35 (26.12%), 6 (4.48%) had refractive errors, and 2 (1.49%) were having Tachycardia. An association was found between abesentism and underweight (P = 0.02). Conclusions: The present study found that under-nutrition is present among children studying in a rural Government school despite the mid-day meal programme being implemented in the school. Targeted interventions may be planned for undernourished children to improve their nutritional status, and more studies are required to assess their health needs and problems. [ABSTRACT FROM AUTHOR]

Byline: Ankur. Bansal, Satyanarayan. Sankhwar, Apul. Goel, Manoj. Kumar, Bimalesh. Purkait, Ruchir. Aeron Introduction: Clavien–Dindo classification system is used for grading complications of various oncological, renal, and endourological procedures. We [...]