Prof. Anisuddin Bhatti, Paediatric Orthopaedic Surgeon, Dr. Ziauddin University Hospital, Clifton campus Karachi, presented lecture on Congenital Clubfoot and PPV deformity evaluation & treatment. On 31 May 2021 to Resident's of AKUH and others. Acknowledged text & picture source as indicated in reference list.
Prof. Anisuddin Bhatti, Paediatric Orthopaedic Surgeon, Dr. Ziauddin University Hospital, Clifton campus Karachi, presented lecture on Congenital Clubfoot and PPV deformity evaluation & treatment. On 31 May 2021 to Resident's of AKUH and others. Acknowledged text & picture source as indicated in reference list.
Deformity: It’s the position of a limb/Joint, from which it cannot be brought back to its normal anatomical position.
Described as abnormalities of :
Length
Angulation
Rotation
Translation
Combination
muscle pedicle grafting for delayed presentation of intra cpasular fracture neck of Femur.. a study of 65 cases in Osmania Medical College, Hyderabad, Telengana.
Evolution of tunnel placement in ACL reconstructionDhananjaya Sabat
One of my talks at Delhi Arthroscopy Club....... this presentation provides a insight regarding the conceptual evolution in tunnel placement during ACL reconstruction.
Ponseti Management of Clubfoot in Chittagong Division: Experience of 1000 Clu...LMRF
The aim of this study is to evaluate the effectiveness of the Ponseti method in children presenting before 5 years of age with either untreated or complex (initially treated unsuccessfully by other conservative methods) idiopathic clubfeet
Type of study : Retrospective clinical study.
Duration of study : From February 2010 to November 2011 (21months)
Place of study : 6 ZCF clinics of Chittagong, Cox’s bazar, Khagrachhari, Comilla, Noakhali & Chandpur.
Study population : Patients with CTEV attended at these ZCF clinics.
Treatment of congenital club foot by ponseti technique is very effective method with excellent result for below 1 years children.
Brace follow up is essential for long term better outcome.
With proper monitoring and support, Ponseti service can be effectively and successfully administered in a district general hospitals.
Deformity: It’s the position of a limb/Joint, from which it cannot be brought back to its normal anatomical position.
Described as abnormalities of :
Length
Angulation
Rotation
Translation
Combination
muscle pedicle grafting for delayed presentation of intra cpasular fracture neck of Femur.. a study of 65 cases in Osmania Medical College, Hyderabad, Telengana.
Evolution of tunnel placement in ACL reconstructionDhananjaya Sabat
One of my talks at Delhi Arthroscopy Club....... this presentation provides a insight regarding the conceptual evolution in tunnel placement during ACL reconstruction.
Ponseti Management of Clubfoot in Chittagong Division: Experience of 1000 Clu...LMRF
The aim of this study is to evaluate the effectiveness of the Ponseti method in children presenting before 5 years of age with either untreated or complex (initially treated unsuccessfully by other conservative methods) idiopathic clubfeet
Type of study : Retrospective clinical study.
Duration of study : From February 2010 to November 2011 (21months)
Place of study : 6 ZCF clinics of Chittagong, Cox’s bazar, Khagrachhari, Comilla, Noakhali & Chandpur.
Study population : Patients with CTEV attended at these ZCF clinics.
Treatment of congenital club foot by ponseti technique is very effective method with excellent result for below 1 years children.
Brace follow up is essential for long term better outcome.
With proper monitoring and support, Ponseti service can be effectively and successfully administered in a district general hospitals.
Slings versus POP meshes ICS Educational Course - S Paulo BrazilCassio Riccetto
This presentation is focused on the differences and similarities between mid-urethral slings and POP meshes. Issues regarding FDA warnings are also addressed.
ABSTRACT
Objective: To evaluate the role of age as a moderator of bone regeneration patterns and
symphysis remodeling after genioplasty.
Method: Fifty-four patients who underwent genioplasty at the end of their orthodontic treatment
were divided into three age groups: younger than 15 years at the time of surgery (group 1), 15 to
19 years (group 2), and 20 years or older (group 3). Twenty-three patients who did not accept
genioplasty and had a follow-up radiograph 2 years after the end of their orthodontic treatment
were used as a control group. Patients were evaluated at three time points: immediate preoperative
(T1), immediate postoperative (T2,) and 2 years postsurgery (T3).
Results: The mean genial advancement at surgery was similar for the three age groups, but the
extent of remodeling around the repositioned chin was greater in group 1, less in group 2, and still
less in group 3. Symphysis thickness increased significantly during the 2-year postsurgery interval
for the three groups, and this increase was significantly greater in group 1 than in group 3.
Remodeling above and behind the repositioned chin also was greater in the younger patients. This
was related to greater vertical growth of the dentoalveolar process in the younger patients. There
was no evidence of a deleterious effect on mandibular growth.
Conclusion: The outcomes of forward-upward genioplasty include increased symphysis
thickness, bone apposition above B point, and remodeling at the inferior border. When indications
for this type of genioplasty are recognized, early surgical correction (before age 15) produces a
better outcome in terms of bone remodeling. (Angle Orthod. 0000;00:000–000.)
Very rare complication for radial head fracture and even other trauma (elbow dislocation, radius/cubitus shaft fracture,…)
Lost of range of motion and specifiquely for pronosupine
Lot of treatment in litterature as:
- preventive irradiation
- resection without interposition
- resection/interposition
- resection wo interposition + irradiation
- resection/interposition + irradiation
Still no consensus
Orthopaedic support with 3D printing in childrenROBERT ELBAUM
En orthopédie pédiatrique l’immobilisation d’un membre s’effectue
traditionnellement par une contention plâtrée. Très peu d’avancées majeures se sont produites
dans ce domaine. Cependant, l’émergence des nouvelles technologies, permet d’envisager des
contentions produites par technologie 3D, propre aux caractéristiques anatomiques du patient.
Une start-up a ainsi développé un processus de modélisation et de production de ces
contentions. Ce papier vise à déterminer la faisabilité du processus de développement de ces
contentions.
Digitized manual palpation: a new method of evaluating posture and its defor...ROBERT ELBAUM
The aim of this study was to be able to apply this method for adolescents with idiopathic scoliosis and to try to draw the following elements: postural equilibrium parameters, evaluate the asymmetries present at the spine deformations, make an assessment of the curvature profile both in the frontal and sagittal plane and also a count of the position of the shoulders
Aspect particulier en traumatologie pédiatriqueROBERT ELBAUM
L ’enfant n’est pas un petit adulte
Particularités propres à la traumatologie pédiatrique
Connaissance du potentiel de remodelage mais ne pas le surestimer
Connaissance RX des points d ’ossifications
Fractures in Children: Is conservative treatment still alive?ROBERT ELBAUM
Pediatric traumatology represent the first cause of death in chidren.
It is also the first cause of inability
And also the first reason of hospital stay
SPONDYLOLYSE: solution de continuité au niveau de l’isthme de la vertèbre
SPONDYLOLYSTHESIS: « glissement en avant d’un corps vertébral, provoqué par la rupture de la continuité ou l’élongation des isthmes » (TAILLARD)
Bilateral simultaneous avulsion fractures of the anterior tibial tubercle (ATT) are extremely rare. Since the first description in 1954, 15 similar cases have been reported. We report a further case in a 16-year-old boy who sustained bilateral simultaneous tibial tubercle avulsion fractures (Watson-Jones Type III) from jumping during a gymnastics session. The right knee presented an associated partial avulsion of the patellar tendon. Both knees were treated successfully by open reduction and internal fixation with two cannulated screws. The recovery of the patient was complete; the screws were removed six months later. After one year follow-up, the patient had no complaint and had resumed his sporting activity.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
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ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
French Functional Method for Congenital Clubfoot: 20 years of experience
1. French Functional
Method for Congenital
Clubfoot:
20 years of experience
R. Elbaum* B.Noel* V.Degueldre** P.Ghyselinck***
* Department of Orthopaedic surgery, CHIREC Orthopaedic Group (Brussel)
** Department of Physiotherapy , Etterbeek Ixelles Hospital , Brussel , Belgium
*** Faculty of Medicine Free University of Brussel (ULB) Belgium
2. Disclosures
I, (R.Elbaum) DO NOT have a financial interest/arrangement or affiliation with one or more
organizations that could be perceived as a real or apparent conflict of interest in the context
of the subject of French Functional Method for congenital Clubfoot
3. Principles of conservative treatment of CCF As soon as possible!!!
Antiquity Middle Age Industrial period Modern Period Today
4. Introduction
• Conservative treatment for
Congenital clubfoot (CCF),
especially the Ponseti
method, has showed the
advantage on surgery.
• Laaveg SJ, Ponseti IV. Long-term results of treatment
of congenital club foot. J Bone Joint Surg Am 1980
• Ponseti IV, Smoley EN. Congenital club foot: the
results of treatment. J Bone Joint Surg Am. 1963
5. Introduction
• Another conservative method, developed
in France ,the “French”Functional Method
(FFM) is presented.
• The “Saint Vincent Protocol” describe by
Pr. Raphael Seringe (Paris)
• Méthode fonctionnelle versus Ponseti dans le traitement du pied bot
varus équin
6.
7. Aim of the Study
• Results?
• Surgery and tenotomy?
• Compliance and follow-up?
• Recurrence rate ?
• Advantages and limits ?
8. History of
French
Functional
Method
(FFM)
• 1950 P.Masse @ Daniel
• 1970 G.Bensahel @ Guillaume
• 1973 R.Seringe @ R.Chedeville
• 1985 P.Souchet @ Delaby
• 1993 P.Wicart @MJ Clio-Assouvie
• 1994 R.Elbaum@B.Noel
13. Protocol
• Jo till 4w : 5 x w
• 6w à 3mo: 3- 4 x w
• >4 mo :1/w to 1/mo
• Night Splint till 5-7 Yo
www.pied-bot.fr
14. Our
Serie
Retrospective study
Since 1994,175 children
(230 CCF) were treated in
our Institution.
145 children (210 CCF) were
evaluated on.
Inclusion criteria:
o Idiopathic CCF
o <3Mo
o No previous treatment
o walking age
0.3669
0.223
0.4101
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
0.45
DROITE GAUCHE BILATÉRAL
Laterality
Droite
Gauche
Bilatéral
64%
36%
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
GARÇON FILLE
Gender
garçon
fille
15. Our Serie
4 subgroups = 4 periods of time
corresponding to major modifications of
the protocol:
• Subgroup 1 (1996-1998): no tenotomy
• Subgroup 2 (1998-2005): progressive
onset of tenotomy.
• Subgroup 3 (2005-2014): more
pronounced derotation of splints
• Subgroup 4 (2014-2016): addition of
an anterior hull in the splints.
0
10
20
30
40
50
60
70
Subgroup 1 Subgroup 2 Subgroup 3 Subdroup A
Colonne1
17. Result
Ghanem I, Seringe R Rev.Chir.orthop, 1995 ; 81 :616-21
Statistical analysis:
- Descriptive study using absolute
and relative frequencies
- Chi2 test for qualitative variables
- Tests considered significant at
the 5% .
18. Result
5.26
9.23
22.81
38.46
59.65
32.31
12.28
20
GARÇON FILLE
Dimeglio according Gender
Grade 1 Grade 2 Grade 3 Grade 4
Bergerault F, Fournier J, Bonnard C. Idiopathic congenital clubfoot: Initial treatment
Pediatric Orthopedics Department, Clocheville Hospital, Tours University Hospital, 37044 Tours, France
p=0,006
24. Need for
Surgery
Comparison of different conservative treatments for
idiopathic clubfoot: Ponseti's versus non-Ponseti's
methods.
J Int Med Res. 2017 Jun;45(3): Epub 2017 May 28.
He JP, Shao JF1, Hao Y
27. Gait lab analysis
The effect of tenotomy on kinematics, kinetics and pressure parameters in
children with idiopathic clubfoot
R. Elbaum3,4, C. Mahieu1,7, C. Concessa1, F. Adam6, B. Noel7, B. Beyer1, F.
S. Van sint jan1, V. Feipel5, 1 , P. Salvia1, 2
34. Recurence
rate in the
littérature
+/- 30%!
Relapse of Clubfoot after Treatment with the Ponseti Method and the Function of the Foot Abduction Orthosis
Dahang Zhao, MD, Jianlin Liu, MD, Li Zhao, MD,corresponding author and Zhenkai Wu, MD
Dobbs MB, Rudzki JR, Purcell DB, Walton T, Porter KR, Gurnett CA. Factors predictive of outcome after use of the
Ponseti method for the treatment of idiopathic clubfeet. J Bone Joint Surg Am 2004;86(1)
Thacker MM, Scher DM, Sala DA, van Bosse HJ, Feldman DS, Lehman WB. Use of the foot abduction orthosis
following Ponseti casts: is it essential? J Pediatr Orthop 2005
Chen RC, Gordon JE, Luhmann SJ, Schoenecker PL, Dobbs MB. A new dynamic foot abduction orthosis for
clubfoot treatment. J Pediatr Orthop 2007
Avilucea FR, Szalay EA, Bosch PP, Sweet KR, Schwend RM. Effect of cultural factors on outcome of Ponseti
treatment of clubfeet in rural America. J Bone Joint Surg Am 2009
Ramirez N, Flynn JM, Fernandez S, Seda W, Macchiavelli RE. Orthosis noncompliance after the Ponseti method
for the treatment of idiopathic clubfeet: a relevant problem that needs reevaluation. J Pediatr Orthop 2011
Haft GF, Walker CG, Crawford HA. Early clubfoot recurrence after use of the Ponseti method in a New Zealand
population. J Bone Joint Surg Am 2007
Ponseti IV. Relapsing clubfoot: causes, prevention, and treatment. Iowa Orthop J 2002;22:55–56.
38. CONCLUSION
FFM is an interesting approach for treating clubfeet, especially
concerning rigourous and modularity of splinting system.
Compliance rate is very high comparing to PM
Achilleus tenotomy is less systematic in our series and is indicated
after 4 month of age
Long term follow up and result encourages us to continue on this
way.
However, it requires a well-trained physical therapist team and a
good collaboration of the parents.