Introduction:Overall improvement in the living standards of country's population is leading to longer life expectancy. To emphasize the medical and psychological difficulties faced by geriatric people is essential to know status of their quality of life (QOL).Methodology:A community-based cross-sectional study was carried out at urban field practice area of one of the teaching institutes of Ahmedabad, Gujarat. Considering the prevalence of about 7.5% of 60 years and above people sample size of 250 was calculated. A predesigned questionnaire related to the QOL of elderly people devised by the World Health Organization-QOL was used.Results:Mean age of the study population was 65.8 years with standard deviation of 5 years. Almost two-thirds of geriatrics were currently married and having spouse alive. List of common morbidities observed among study population was joint pain (42.8%), cataract (32.8%), hypertension (22.4%), diabetes mellitus (17.2%), and dental problems (12.4%). Scoring of QOL profile revealed that none of the geriatric had poor QOL, whereas 56% fall into category “good” and 50.8% had “excellent” QOL. QOL as per four different domains was significantly better among males as compared to females. Physical, environmental, and psychological domains were better in those who were educated and married individuals living with their spouse.Conclusion:Overall QOL was good to excellent. Social characteristics, such as education, marital status, and gender, all play role for the perceived QOL among the respondents.

SUMMARY One of the findings of this study is that regional variations in the infant mortality rates of Sri Lanka are large, ranging from 26 per 1000 live births in Jaffna to 91 per 1000 in Nuwara Eliya, a tea estate district. These differences are more strongly associated with regional variations in environmental determinants of mortality than with regional variations in public health expenditure. The most significant environmental factor associated with interregional infant mortality rates was found to be the nature of the water supply (r = -0X82, significant at the 99% level). Regional government expenditure on health had only a weak association with infant mortality rates (r = 0.08).There is increasing and justifiable concern in developing countries about the social and environmental determinants of health. These conditions could be expected to improve as development proceeds and it might be argued that there is no need to consider such factors within a health policy framework. This is emphatically not the case. An understanding of areas in which a concentration of efforts will achieve the greatest improvement is an essential prerequisite for decisions on resource allocation.In this study the associations between specific health service and environmental variables and the infant mortality rates of Sri Lanka are examined both across regions and through time. Thomas McKeown has argued that most of the improvement in the health of the population of developed countries occurred in conjunction with socioeconomic improvements and before the establishment of extensive curative medical care services.' It has also been noted that the necessary return-of infants who have been helped by curative medical care services to a hostile environment decreases the ability of these services to have as significant an impact on the health of the population as they otherwise could.2The major factors considered by demographers to have had a significant environmental effect on infant mortality are access to food, medical care, sanitation, and housing.3 In this study the association between the last two and the infant mortality rates of different regions of Sri Lanka is quantitatively examined. The relationship between the primarily curative medical care services and the infant mortality rates is also examined. It is suggested that particular environmental improvements might significantly increase the impact of the medical care services of Sri Lanka on the health of the population and particularly on the infant mortality rates. MethodsFour methods of analysis are used in determining the relative influences on infant mortality rates (IMRs) of different health service and environmental factors in Sri Lanka. The first two utilise time series data and the last two cross-sectional data. The initial mode of analysis is a simple graphical comparison of government health expenditure per caput over time and the national IMR over time. This has been done both in money terms (current rupees) and at constant (1955) prices (Figs. 1 and 2).The IMR i...

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<p class="abstract"><strong>Background:</strong> This study was done to analyse the functional outcome of humeral shaft fractures (upper and middle third) managed with closed ante-grade intramedullary titanium elastic nailing.</p><p class="abstract"><strong>Methods:</strong> This was a prospective study of 20 patients, aged between 18 and 60 years, with humeral shaft fractures treated with titanium elastic nailing from May 2016 to April 2018 at our institute. Upper and middle humeral shaft fractures of both sexes were included in the study.<strong></strong></p><p class="abstract"><strong>Results:</strong> Eighteen (90%) fractures united in 12-20 weeks. Two (10%) patients had delayed union which ultimately united without any intervention. Two (10%) patients developed shoulder stiffness due to nail impingement. By evaluating ASES score, good to excellent results were noted in 18 (90%) and moderate in 2 (10%). There were 15 males and 5 females with an average age 32.75 years (range: 18-60 years).</p><p class="abstract"><strong>Conclusions:</strong> Titanium elastic nailing is a good method for treatment of humeral shaft fractures in adults. It provides early fracture union, high union rates, minimal soft tissue damage, early rehabilitation and short hospital stay.</p>

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