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Introduction: As the elderly population grows, the number of hip fractures continues to increase. Aim and Objective: To compare the clinical outcomes of DHS and PFN in the fixation of intertrochanteric fractures of the femur. Material and Method: A comparative study was conducted in the Department of Orthopaedics, MLB Medical College, Jhansi, Uttar Pradesh. 90 inter-trochanteric hip fractures were surgically treated between January 2023 and January 2024 at our institution. Result: A total of 50 patients were included in the study. The mean age in Group DHS was 63 and in Group PFN was 64. In the group of DHS, 13 out of 25 patients were male, and 12 out of 25 patients were female. In a group of PFN, 14 out of 25 patients were male and 11 out of 25 patients were female. The mean six-week score in Group DHS was 34.38 ± 3.27 out of 50, and in Group PFN it was 32.64 ± 2.99 out of 50. The mean Harris hip score in Group DHS was 90.68 ± 5.22 out of 50. The mean Harris hip score in Group PFN was 93.68 ± 3.76 out of 50. In Group DHS, 56% had injuries on the left side and 44% on the right side. In Group PFN, 20% had injuries on the left side and 80% on the right side. In Group DHS, results were excellent in 36% (9 patients), good in 44% (10 patients), fair in 16% (four patients out of 23 patients), and poor in 4% (one patient). In Group PFN, results were excellent in 48 (12 patients), good in 40% (10 patients), and fair in 12% (3 patients). Conclusion: From the study, it can be concluded that PFN had a better outcome in intertrochanteric fractures compared to DHS. The highest percentage of subjects in the PFN group had excellent to good outcomes, and none of them had poor outcomes when compared to the DHS group. [ABSTRACT FROM AUTHOR]

Background: Despite increased awareness, poor adherence to treatments for chronic diseases remains a global problem. Adherence issues are common in patients taking antihypertensive therapy and are associated with Increased risks of coronary and cerebrovascular events. Aim and Objective: The present study aimed to analyze medication adherence and its effect on blood pressure (BP) control and assess the prevalence of treatment-resistant hypertension (TRH) among newly treated hypertensive patients. Method and Material: A cross-sectional, observational study was conducted in department of general medicine, Rani Durgawati Medical College, Banda, Uttar Pradesh. 100 adults (age 18 years) with hypertension on treatment for at least 6 months, fulfilling the criteria of apparent treatment resistance, were Observation and Result: Males constituted 70% and females constituted 30% of the study population. The mean age was 52.11 years. 48% were diabetics, 38% had CKD, 27% had COPD, and 22 had CKD. 51% were smoker, and 18% were alcoholics. Almost all the patients with aTRH were found to have low adherence (98%). Female s ex, financial dependency, lower socioeconomic status, alcohol, smoking, knowledge about medication and the presence of depression were significant factors associated with low medication adherence in a RTH. Conclusion: Our study find that significant low medication adherence among patients with TRH. The study stresses that medication adherence be checked in each and very aTRH patient, and specific underlying causes must be addressed. [ABSTRACT FROM AUTHOR]