Biomedical subjects

N A Mir

Publications and source records attributed to N A Mir.

38 records · Page 3Linked to original sources

PubMedDate not supplied

Symptomatic urinary tract infection in pediatric patients--a developmental aspect.

A group of children (112) at different phase of development, i.e. neonates, infants, preschool and school children were studied for symptomatic UTI. The most common clinical presentations were loin pain (56.4%), fever (50.0%), diarrhea and vomiting (47.4%) in school, preschool and infant groups respectively. In the neonatal group all patients presented with sepsis. In school children fever was more common in those with radiological abnormalities vs those without (p less than 0.005). In neonates intrauterine growth retardation was more common in those with radiological abnormalities (p less than 0.012). Radiological abnormalities were more common in male school children than in female (p less than 0.02). Renal scarring occurred mainly in school children whereas VUR occurred mainly in infants. As male children advance in age there is increased risk of radiological abnormalities. There is an increased percentage of E. coli as causative organism as age increases; from 48.3% in neonates to 74.5% in school children. We conclude that symptomatic UTI is age related in many aspect.

Adolescent↗

PubMedDate not supplied

Partial synovectomy in the treatment of tuberculosis of the knee.

Fifty synovectomies of the knee joint for tuberculous synovitis performed during a six-year period with complete postoperative follow-up were studied to assess the value of such procedures and the conclusions drawn are reported here. In order to obtain good results, synovectomy should be performed during the early phase of disease, when the knee remains swollen and warm, even after antitubercular therapy, or when the range of movement does not show signs of returning. Exploration of such joints in children shows that the cartilage is wholly or partly covered by pannus. Removal of this pannus allows better nutrition of the cartilage and thus greatly reduces the number of children eventually requiring arthrodesis. Even in adults, when the disease is mainly synovial with pannus formation over the articular cartilages but without serious damage to the bony articular surface, partial synovectomy, or more precisely, joint clearance gives encouraging results and arthrodesis may only need to be performed in patients with severe forms of the disease, often involving the bony articular surfaces.

Adolescent↗