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Home > Association Between Calcaneal Spurs and Plantar Fasciitis: A Study Comparing Heel Plain Radiography and Sonography

Association Between Calcaneal Spurs and Plantar Fasciitis: A Study Comparing Heel Plain Radiography and Sonography

Thesis Info

Author

Ominde, Micah Silaba

Department

Imaging and Diagnostic Radiology (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2017

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728036841

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Background: Heel pain is a common clinical entity that requires appropriate diagnostic evaluation. Multiple clinical conditions are known to cause heel pain but plantar fasciitis is the most common. Calcaneal spurs are thought to be associated with heel pain and plantar fasciitis but conclusive studies to prove this are sparse. Plain radiography is usually the first line imaging modality for imaging patients with heel pain. Magnetic Resonance Imaging is the gold standard for diagnosing plantar fasciitis but studies have shown ultrasound to be comparable in sensitivity and specificity. The aim is to establish whether a relationship exists between calcaneal spurs and heel pain caused by plantar fasciitis. Objective: To estimate the strength of association between plantar fasciitis and calcaneal spurs. Methods: The study was conducted at the Aga Khan Radiology department between October 2016 and March 2017. The study design was a case-control study nested within a cross-sectional study. Patients with heel pain were recruited and had a plain radiograph and ultrasound of one or both feet. Case and control status was determined sonographically by the presence or absence of plantar fasciitis respectively. Results: A total of 96 heels (55 participants) were evaluated and calcaneal spurs were present in 35 (36% [27%,46%]) which increased to 62 (65% [55%,74%]) on ultrasound. The crude odds ratio for the association between calcaneal spurs and plantar fasciitis was 3.8 [1.4,10.2] p=0.004. After controlling for age, sex and physical activity and accounting for within individual clustering, the adjusted odds ratio was 2.7 [0.9,8.0] p=0.072. There was a statistically significant difference in the mean calcaneal spur length measured on radiographs and ultrasound, 4.7 mm [3.7,5.7 mm] and 3.5 mm [3.0,4.0 mm], p= 0.020. Conclusion: Calcaneal spurs and plantar fasciitis are common findings among patients with heel pain but there is no statistically significant association between them.
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تمثیل نگاری اور ن۔م۔راشد

قول ِمحال:(Paradox)
"ایسا تضادی بیان جو مسلمہ تصور کے برعکس ہو، پیراڈاکس کہلاتا ہے۔"
لیکن قولِ محال محض تضاد نہیں بلکہ قولِ محال جہاں شروع ہوا ہے، وہاں تضاد ختم ہونے لگتا ہے۔ تضاد تو ایک عمومی حقیقت ہے جس کے فنی بیان میں دلکشی تو ہے، صنعت کاری کا جمالِ فریب نہیں۔ اسے اتحادِ ضدین بھی کہہ سکتے ہیں۔
"پیراڈاکس’’ انیسویں صدی کی جدید صنعتِ بیان ہے جو ایک نوع کی ذہنی ورزش ہے۔نثر و نظم میں قولِ محال پیدا کرنا اور اس سے حِظ یاب ہونا، ترقی یافتہ ذہن کا کام ہے۔یہ انگریزی ادب سے ہمارے ہاں آیا۔انگریزی ادب میں آسکر وائلڈ، چسٹرٹن اور برنارڈ شا اس کے نقیب ہیں۔اردو شاعری میں قولِ محال کی مثالیں دیکھیے:
ہم نے جس شخص کو توقیرِ شناسائی دی
اس نے خوش ہوکے ہمیں عزتِ رسوائی دی
(دوسرے مصرعہ میں قولِ محال "عزتِ رسوائی"ہے)
جہلِ خرد نے دن یہ دکھائے!
گھٹ گئے انساں، بڑھ گئے سائے
(پہلے مصرعہ میں قولِ محال "جہلِ خرد’’ ہے)
(پروفیسر انور جمال کی تصنیف "ادبی اصطلاحات’’ مطبوعہ نیشنل بْک فاؤنڈیشن، اشاعتِ چہارم، مارچ 2017ئ￿ ، صفحہ نمبر 144 سے انتخاب)
ابہام:(Ambiguity)
ابہام ایک انگریزی اصطلاح ہے جسے اردو ادب میں بھی استعمال کیا جاتا ہے۔ابہام کی صورت حال اس وقت رونما ہوتی ہے جب کسی لفظ، محاورے، جملے، اشارے وغیرہ کی ایسی ترسیل کی جائے کہ اس سے ایک کی بجائے کئی معانی اور مطالب ممکن ہوں۔ ابہام کا ایک عام پہلو عدم تعین ہے۔ یہ ہر خیال یا بیان کا خاصہ ہے جس کے ارادی معانی قطعی طور کسی اصول یا طریق? کار کی روشنی میں سلجھائے نہیں جا سکتے جس میں مقررہ اقدامات شامل ہوں۔
ابہام کی مثالیں:
کئی الفاظ جن کا عام طور سے استعمال کیا جاتا ہے، مختلف لوگوں کے لیے مختلف معانی کے حامل ہوتے ہیں۔ مثلًا لمبا یا...

Perception of University Students About Horoscopes in Sindh Province, Pakistan

Horoscopes are considered as one of the important content items in the mass media. Many people perceive and believe that these Zodiac signs have an impact on their lives. That is why they check these signs on different media regularly. The purpose of this study was to determine the perception of Sindh University students about horoscope. A cross-sectional survey was conducted from 100 students of Sindh University through a close-ended questionnaire. The results concluded that girls are more interested in horoscope than boys. The sources for horoscope prediction were mainly newspapers among the Sindh University students. The students reported that they read horoscope daily to skip the pressure and try to satisfy their minds. This research is limited to the University of Sindh students. In the future, the researchers should conduct a large-scale study with a more significant population to determine the perception of the public about horoscopes.

Relationship Between Workplace Harassment and Posttraumatic Stress Symptoms Among Pakistani Female Healthcare Professionals

The current research was conducted to investigate relationship between workplace harassment and posttraumatic stress symptoms among Pakistani female healthcare professionals. Survey research design was used. The purposive sample was composed of 300 female healthcare professionals within age range from 20 to 59 years (100 doctors, 100 house-job doctors and 100 certified nurses). The sample was drawn from five different public hospitals (Mayo Hospital, Ganga Ram Hospital, Jinnah Hospital, Lady Willington Hospital and Sheikh Zayed Hospital) of Lahore city. Written consent was individually obtained from all the participants. Björkquist, Osterman and Hjelt- Beck‘s (1992) Work Harassement Scale (WHS), Kamal and Tariq ̳s (1997) Sexual Harassment Experience Questionnaire (SHEQ) and Weathers, Litz, Herman, Huska and Keane‘s (1993) PTSD Civilian Checklist (PCL-C) were individually administered to the participants to determine their reported workplace harassment and posttraumatic stress symptoms. Written permission was granted by the authors to the researcher for use of WHS (1992); SHEQ (1997); and PCL-C (1993) in the current research project. The SPSS (version 14.0) was used. Pearson Product Moment Correlation Coefficient was performed to determine the relationship between workplace harassment and posttraumatic stress symptoms reported by the female healthcare professionals. The findings suggested significant positive relationship between general workplace harassment and posttraumatic stress symptoms (r = .52, **p < .01); and sexual harassment and posttraumatic stress symptoms (r = .65, **p < .01). Hierarchical Multiple Regression analysis was performed to determine the impact of demographic variables (age, education, job status, job experience, monthly income, marital status) and workplace harassment on posttraumatic stress symptoms. The results indicated that workplace harassment and sexual harassment were thestrongest predictors for posttraumatic stress symptoms, whereas, none of the demographic variables accounted for variance. Furthermore, the results suggest statistically significant differences in posttraumatic stress symptoms reported by all the participants who were exposed to serious general and sexual workplace harassment, moderate workplace harassment and minimal workplace harassment. The findings of this research would promote our understanding of the relationship among workplace harassment, posttraumatic stress symptoms and the demographic variables; such as age, job status, education and marital status of the female doctors, house-job doctors and nurses in the Pakistani healthcare system. Furthermore, these findings have implications for the prevention of workplace harassment and posttraumatic stress symptoms as well as introduction of timely interventions for the promotion of mental health of the victims of workplace harassment in the Pakistani healthcare system.