Documentation of neurovascular assessment in fracture patients in a tertiary care hospital: A retrospective review.

Introduction: Neurovascular problems are common in acute fracture. In the emergency room, a thorough clinical evaluation is required, when examined by an orthopedic specialist or emergency doctors. Materials and methods: we registered our project with the audit department. In the first cycle, we looked at notes from 77 patients from November-December 2020, emphasis to neurovascular documentation from both ED and orthopedic Clerking notes. We submitted our findings at our audit meeting and implemented modifications. Two months later, we re-audited, this time with 82 patients as the sample size. Results: 77 patient notes were reviewed in the first cycle, 51% male and 49% female. In ED clerking notes, 22% patients had no neurovascular documentation, compared to 3.8% of patients in orthopedic clerking. 39% ED notes had acronyms written for the neurovascular status, such as NVI, to 20.7% of orthopedic notes. 82 notes were reviewed in the second cycle,44% male and 56% female.7% of ED clerking notes lacked any neurovascular comments, compared to 0% of orthopedic admission sheets. 10% of the ED sheets contained NVI abbreviation, while 4% of ortho notes had the same. There were specific notes on neurovascular state on 68 of the ED admission sheets evaluated, and 74 of the orthopedic notes did the same. Conclusion: In fracture patients, documentation of neurovascular condition was lacking. The documentation of the details of the neurovascular assessment was poor. Increased recording of neurovascular assessment and improved emergency department evaluation of patients presenting with upper and lower limb injuries were aided by the introduction of teachings.

Injuries associated with golf: A qualitative study.

Background: Golf is a popular sport played worldwide. The majority of professional golfers work as teaching professionals based at golf clubs. All professional players spend numerous hours on the golf course, placing themselves at increased risk of injury. There have been no recent, large studies investigating injury patterns among male and female professional golfers. Objective: To investigate the frequency, types and mechanism of injury sustained by male and female professional golfers and to compare injury patterns between touring and teaching professionals. Methods: Injury data was analyzed from 77 amateur golfers recruited through a questionnaire asking about their different injuries. A web based survey was conducted focusing on injury frequency, location and mechanism and any subsequent time loss. Factors such as side of injury, investigations for the injury were noted. Results: The study enlisted the participation of 76 patients. One was excluded due to incomplete questionairres Injuries were reported by 34 patients (45%). Eleven patients said they had an elbow injury. The relationship between the number of years the individuals had been playing golf and their history of injury was shown to be significant (p = 0.0257). Warm up and injury have a statistically significant relationship (p = 0.846). Conclusion: In order to contribute to making golf a safer and hence more enjoyable lifetime activity, a greater knowledge of golf-related injuries is required. This study attempts to do so, and the elbow was discovered to be the most damaged region.

Biosynthesis of silver nanoparticles from leaf extract of Litchi chinensis and its dynamic biological impact on microbial cells and human cancer cell lines.

Green synthesis of metallic nanoparticles has attracted a great deal of attention from scientific community due to its biocompatibility and environment friendly nature. In the present study, silver nanoparticles were biologically synthesized using leave extracts of Litchi chinensis. Biosynthesized silver nanoparticles were characterized and their applications were observed by different methodologies. Bio-reduction reaction was confirmed by the surface plasmon resonance of silver nanoparticles at 417 nm through UV-VIS spectrophotometer. FTIR analysis revealed that the amine groups present in the leaf extracts were responsible for the reduction of silver ions to silver nanoparticles. X-ray diffraction analysis was used to determine the crystalline nature of silver nanoparticles and their diameter was noted in the range of 41-55 nm by scanning electron microscopy. Antibacterial activity was observed against gram positive and gram negative strains of bacteria. Furthermore, human epithelial type 2 cancer cells (HEp-2) and Human breast adenocarcinoma cells lines (MCF-7) were treated with the biosynthesized silver nanoparticles using MTT assay. The resulting cell death rate was noted up to 40.91+1.99%. This study concludes that plant mediated biosynthesis of nanoparticles is the superior alternative compared to chemical and physical approaches, to utilize them as drug delivery tool and need to conjugate apoptosis inducing biological agents with silver nanoparticles to suppress the uncontrolled division of cancer cells.