JBASV8N2A59-Surgical Management of Congenital TEV in Children at PMC Hospital Nawabshah

Journal of Basic and Applied Sciences - Volume 8 Number 2

Surgical Management of Congenital TEV in Children at PMC Hospital Nawabshah
Saeed Samo, Zulfiqar Soomro, Zamir Soomro and Mehtab Pirwani

http://dx.doi.org/10.6000/1927-5129.2012.08.02.59

Abstract: Introduction: Talipes equino varus TEV is one of the most common congenital anomaly. It is managed by some common ways i-e., conservative & surgical methods. Among surgical methods are Turco’s posterior medial release, posterior soft tissue release operation (Attenborough), four quadrant release (Mc Kay). Objective of this study was to determine the reliability of surgical option like postero medial release in children having congenital TEV.

Material & Methods: This study was carried out during the period from October 2002 to March 2005 in the Deptt. of Orthopaedics of PMCH Nawab Shah. The inclusion criteria were children 2 months to 30 months of age having moderate to severe club foot. Clubfoot secondary to some other disorder such as cerebral palsy, arthrogryposis multiplex congenital, myeldysplasia or DDH were not included in this study. The deformity was treated surgically in all cases by postero medial release. Follow-up period was one & half year.

Results: A total 57 patients were included in this study with the age range of 2 months-2.5 yrs with moderate to severe deformity. Forty two were male (73.7%) and 15 patients (26.3%) were female, seventeen patients (29.8%) had bilateral club foot while the rest the rest of 40 patients (67.1%) had unilateral deformity. Positive family history of club foot was in 10 patients (17.5%). Results were concluded on 57 patients who completed one & half year follow-up. Excellent results were observed in 41 patients (71.9%), good in 11 patients (19.2%), fair in 2 children (3.5%). No patients lost to follow up.

Conclusion: Children up to 30 months (2 months - 2.5 years) age with congenital TEV can be treated with surgery successfully.

Keywords: Talipes equino varus, Postero medial release, Deformity.

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The Effect of Grain Size on Radon Exhalation Rate in Soil Samples of Dera Ismail Khan in Pakistan

Tabassum Nasir and Nisar Ahmad

http://dx.doi.org/10.6000/1927-5129.2012.08.02.29

Abstract: Radon concentration and its exhalation rate has been measured from twenty five soil samples collected from seven different locations of Dera Ismail Khan, in the north west of Pakistan. These samples were crushed after drying and passed through sieves with different sizes of pores to get three grain sizes, £0.595 mm, 0.595-2.00 mm and 2.00-4.00 mm of soil. CR-39 based NRPB (National Radiological Protection Board) radon dosimeters have been used to measure the radon concentration and exhalation rates. The maximum average value of radon exhalation rate has found to be: (3.57±0.38) Bq m^-2 hr^-1 in the samples having grain size 2.00-4.00 mm and the minimum as: (2.21±0.26) Bq m^-2 hr^-1, in the samples with grain size £ 0.0595 mm. This indicates that the radon exhalation rate increases with the grain size. The maximum average value of radon exhalation rate has been found in samples collected from river side where soil texture is silty clay loam. The obtained values of radon exhalation rate for all the samples are well below the world average value of 57.60 Bq m^-2 hr^-1.

Keywords: Radon concentration, Radon exhalation rate, grain size, soil texture.