Sports-Related Musculoskeletal Injuries in Medical Students.

Background: Little attention is paid to the problem of sports-related injuries in amateur or nonathletes or recreational student athletes. We investigated the prevalence of sports-related musculoskeletal (MSK) injuries in medical students and attempted to identify the risk factors for these injuries. Methods: We conducted a cross-sectional questionnaire-based observational study on medical students of a tertiary care teaching hospital in central India. A total of 500 medical students were approached; the questionnaire consisted of details, such as age, gender, height, weight, predominant sport played or the sport during which they sustained an injury, estimated time spent playing every week, if they had undergone any formal training for the sport, any preexisting MSK condition, details of the injury and the treatment taken, if any, after joining medical school, and duration from getting injured to return to studies and sports. The odds ratio (OR) and logistic regression were calculated for multiple parameters. Statistical significance was set at P ≤ 0.05. Results: Seventy-four of the 402 students who responded reported sustaining a sports-related injury; 33 and 41 students reported injury while playing contact and noncontact sports, respectively. Of these, 58 students reported that they had received formal training in sports. Football, volleyball, cricket, and kabaddi were the sports during which most injuries occurred. The injury rate was 3.7 per 1000 playing or practice hours. Conclusions: Almost one-fifth of the students reported sustaining a sports-related MSK injury after joining medical school. The risk factors identified for these injuries were male gender, participation in team sports, participation in noncontact sports, and lack of adequate preparation or practice.

Atmospheric polycyclic aromatic hydrocarbons in India: geographical distribution, sources and associated health risk-a review.

Atmospheric distribution of polycyclic aromatic hydrocarbons and associated human health risks have been studied in India. However, a comprehensive overview is not available in India, this review highlights the possible sources, and associated cancer risks in people living in different zones of India. Different databases were searched for the scientific literature on polycyclic aromatic hydrocarbons in ambient air in India. Database searches have revealed a total of 55 studies conducted at 139 locations in India in the last 14 years between 1996 and 2018. Based on varying climatic conditions in India, the available data was analysed and distributed with four zone including north, east, west/central and south zones. Comparatively higher concentrations were reported for locations in north zone, than east, west/central and south zones. The average concentrations of ∑PAHs is lower in east zone, and concentrations in north, west/central and south zones are higher by 1.67, 1.47, and 1.12 folds respectively than those in east zone. Certain molecular diagnostic ratios and correlation receptor models were used for identification of possible sources, which aided to the conclusion that both pyrogenic and petrogenic activities are the mixed sources of PAH emissions to the Indian environment. Benzo(a)pyrene toxicity equivalency for different zones is estimated and presented. Estimated Chronic daily intake (CDI) due to inhalation of PAHs and subsequently, cancer risk (CR) is found to be ranging from extremely low to low in various geographical zones of India.

Intraoperative Surgical Wound Contamination May Not Lead to Surgical-Site Infection in Patients Undergoing Clean Orthopaedic Procedures.

Objectives Surgical-site infections (SSIs) can complicate virtually any surgical procedure. While SSI can result from numerous causes, contamination of the surgical field can also contribute to it. Intraoperative bacterial contamination during clean orthopaedic procedures can be detected using perioperative cultures. We hypothesized that perioperative cultures could be used to predict possibility of development of SSI in patients undergoing clean orthopaedic surgeries. Materials and Methods We conducted a prospective cohort study at a tertiary care hospital over a 2-year period. Intraoperative surgical wound lavage fluid and closed suction drain tip obtained in the postoperative period were sent for aerobic culture. All patients were followed up to look for the development of SSI for a period of at least 30 days for those undergoing nonimplant surgery, and 90 days for those with implant surgery. Statistical Analysis Means with standard deviation of the continuous data were calculated. Fisher's exact test and chi-square test were used for the analysis of the categorical variables. Relative risk and odds ratio were calculated to evaluate the association of the parameters under study with SSI. Results A total of 384 patients satisfying the inclusion and exclusion criteria were included. Perioperative cultures detected surgical wound contamination in 39 patients (10.1%). Forty-five patients (11.7%) developed SSI during the follow-up period. Skin commensals constituted 59% of perioperative contaminants and accounted for 20% of the SSIs. The relative risk of developing SSI with perioperative contamination was 0.41 (95% confidence interval: 0.09-1.63). Conclusion Intraoperative surgical-site contaminants could be detected using perioperative cultures. However, these contaminants did not lead to SSI. Timely treatment of perioperative contamination with appropriate antibiotics and local wound care probably helped in the reduction of SSI.

Post-traumatic Osteomyelitis of the Rib-point of Care In children, Presenting with chest Wall Pain.

Introduction: The rib osteomyelitis is a very rare entity and it hardly accounts for 1% of all cases of osteomyelitis. In this case report, we are presenting a case of acute osteomyelitis of rib in a very young child, with a previous history of mediocre trauma over the chest wall. Case Report: It is a case report of a young boy, who had sustained the blunt injury over the chest wall. The X-ray was unremarkable. After sometime, he presented to the hospital with the pain over the chest wall. Now, the X-ray showed the signs of rib osteomyelitis. Conclusion: In children, the clinical presentation of rib osteomyelitis is very non-specific. Sometimes, the injury while playing, which is very usual in this age group may create the confusion. Hence, it may need high index of suspicion by the physician to include is as a possible diagnosis.

Assessment of persistent organic pollutants in soil and sediments from an urbanized flood plain area.

Polycyclic aromatic hydrocarbons (PAHs), organochlorine pesticides (OCPs) and phenolic compounds (PCs) are persistent organic compounds. Contamination of these potentially toxic organic pollutants in soils and sediments is most studied environmental compartments. In recent past, studies were carried out on PAHs, OCPs and PCs in various soils and sediments in India. But, this is the first study on these pollutants in soils and sediments from an urbanized river flood plain area in Delhi, India. During 2018, a total of fifty-four samples including twenty-seven each of soil and sediment were collected and analyzed for thirteen priority PAHs, four OCPs and six PCs. The detected concentration of ∑PAHs, ∑OCPs and ∑PCs in soils ranged between 473 and 1132, 13 and 41, and 639 and 2112 µg/kg, respectively, while their concentrations in sediments ranged between 1685 and 4010, 4.2 and 47, and 553 and 20,983 µg/kg, respectively. PAHs with 4-aromatic rings were the dominant compounds, accounting for 51 and 76% of total PAHs in soils and sediments, respectively. The contribution of seven carcinogen PAHs (7CPAHs) in soils and sediments accounted for 43% and 61%, respectively, to ∑PAHs. Among OCPs, p, p'-DDT was the dominant compound in soils, while α-HCH was found to be dominated in sediments. The concentrations of ∑CPs (chlorophenols) were dominated over ∑NPs (nitrophenols) in both the matrices. Various diagnostic tools were applied for the identification of their possible sources in soil and sediments. The observed concentrations of PAHs, OCPs and PCs were more or less comparable with the recently reports from various locations around the world including India. Soil quality guidelines and consensus-based sediment quality guidelines were applied for the assessment of ecotoxicological health effect.

Polychlorinated Biphenyls in Residential Soils and their Health Risk and Hazard in an Industrial City in India.

BACKGROUND: Polychlorinated biphenyls (PCBs) have never been produced in India, but were used in industrial applications. PCBs have been detected in environmental samples since 1966, and their sources in soils come from depositions of industrial applications, incinerators and biomass combustions. PCBs adsorb to soil particles and persist for long time due to their properties. Their close proximity may also lead to human exposure through ingestion, inhalation, dermal contact, and may exert neurotoxic, mutagenic and carcinogenic health effects. BACKGROUND: Residential soil from Korba, India, was extracted using pressurized liquid extraction procedure, cleaned on modified silica and quantified for PCBs. Soil ingestion was considered as the main exposure pathways of life-long intake of PCBs. Human health risk in terms of life time average daily dose, incremental lifetime cancer risk (ILCR) and non-cancer hazard quotient (HQ) were estimated using established guidelines. BACKGROUND: The estimated average ILCR from non dioxin like PCBs for human adults and children was 3.1×10(-8) and 1.1×10(-7), respectively. ILCR from dioxin like PCBs for human adults and children was 3.1×10(-6) and 1.1×10(-5), respectively. The HQ for PCBs was 6.3×10(-4) and 2.2×10(-3), respectively for human adults and children. Study observed that ILCR from non dioxin like PCBs was lower than acceptable guideline range of 10(-6)-10(-4), and ILCR from dioxin like PCBs was within the limit. HQ was lower than safe limit of 1. BACKGROUND: Study concluded that human population residing in Korba had low health risk due to PCBs in residential soils. Significance for public healthThe concentrations of polychlorinated biphenyls (PCBs) in soils from an industrial city in India were measured for the assessment of human health risk. PCBs composition profiles were dominated with tri-chlorinated and tetra-chlorinated biphenyls. The possible sources of PCBs contamination can be attributed to local industrial emissions and long range transport depositions. The daily intakes of PCBs, and corresponding incremental lifetime cancer risk and hazard quotient for humans were estimated and found to be lower than acceptable levels. This baseline study may provide database on persistent organic pollutants in tropical countries and may also be useful in risks assessment of the industrial pollutants on human population.

Probabilistic health risk assessment of polycyclic aromatic hydrocarbons and polychlorinated biphenyls in urban soils from a tropical city of India.

Distribution of polycyclic aromatic hydrocarbons (PAHs) and polychlorinated biphenyls (PCBs) in urban soils, and their risk for humans was evaluated and presented in this article. The average concentration of ∑16PAHs, ∑carcinogenic PAHs, ∑28PCBs and ∑dioxin-like PCBs was 631.6 ± 244.5 µg kg(-1), 568.8 ± 238.8 µg kg(-1), 11.57 ± 2.00 µg kg(-1) and 2.58 ± 0.34 µg kg(-1), respectively. Environmental and human health risk assessment parameters such as benzo(a)pyrene total potency equivalent (BaP TPE), index of additive cancer risk (IACR), life time average daily dose (LADD) and incremental lifetime cancer risk (ILCR) have been estimated and discussed. The average benzo(a)pyrene total potency equivalent (BaP TPE) estimate was 0.194 mg kg(-1) and ranging between 8.9×10(-4) to 0.87 mg kg(-1). The incremental life time cancer risk (ILCR) of PAHs through soil ingestion for adults and children was estimated as 8.1×10(-6) and 4.2×10(-5), respectively. However, the cancer risk (ILCR) from non-dioxin-like PCBs and dioxin-like PCBs for adults and children ranged between 3.31×10(-8) to 1.741×10(-7) and 1.46×10(-5) to 7.56×10(-5), respectively. These estimated risks were lower than acceptable limits, based on incremental cancer risk from soil exposure. Overall, index of additive cancer risk (IACR) and hazard quotient (HQ) for PAHs and PCBs was lower than safe limit of 1, indicating no environmental and human health risk from PAHs and PCBs in this area of study.