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Gupta, Ruchi,Singh, Saru,Kaur, Sukhdeep,Singh, Kulvinder,Aujla, Kuljeet The Korean Pain Society 2014 The Korean Journal of Pain Vol.27 No.4
Background: Epidural steroid injections are an accepted procedure for the conservative management of chronic backache caused by lumbar disc pathology. The purpose of this study was to evaluate the epidurographic findings for the midline, transforaminal and parasagittal approaches in lumbar epidural steroid injections, and correlating them with the clinical improvement. Methods: Sixty chronic lower back pain patients with unilateral radiculitis from a herniated/degenerated disc were enrolled. After screening the patients according to the exclusion criteria and randomly allocating them to 3 groups of 20 patients, fluoroscopic contrast enhanced epidural steroids were injected via midline (group 1), transforaminal (group 2) and parasagittal interlaminar (group 3) approaches at the level of the pathology. The fluoroscopic patterns of the three groups were studied and correlated with the clinical improvement measured by the VAS over the next 3 months; any incidences of complications were recorded. Results: The transforaminal group presented better results in terms of VAS reduction than the midline and parasagittal approach groups (P < 0.05). The epidurography showed a better ventral spread for both the transforaminal (P < 0.001) and the paramedian approaches (P < 0.05), as compared to the midline approach. The nerve root filling was greater in the transforaminal group (P < 0.001) than in the other two groups. The ventral spread of the contrast agent was associated with improvement in the VAS score and this difference was statistically significant in group 1 (P < 0.05), and highly significant in groups 2 and 3 (P < 0.001). In all the groups, any complications observed were transient and minor. Conclusions: The midline and paramedian approaches are technically easier and statistically comparable, but clinically less efficacious than the transforaminal approach. The incidence of ventral spread and nerve root delineation show a definite correlation with clinical improvement. However, an longer follow-up period is advisable for a better evaluation of the actual outcom.
( Ruchi Gupta ),( Saru Singh ),( Sukhdeep Kaur ),( Kulvinder Singh ),( Kuljeet Aujla ) 대한통증학회 2014 The Korean Journal of Pain Vol.27 No.4
Background: Epidural steroid injections are an accepted procedure for the conservative management of chronic backache caused by lumbar disc pathology. The purpose of this study was to evaluate the epidurographic findings for the midline, transforaminal and parasagittal approaches in lumbar epidural steroid injections, and correlating them with the clinical improvement.Methods: Sixty chronic lower back pain patients with unilateral radiculitis from a herniated/degenerated disc were enrolled. After screening the patients according to the exclusion criteria and randomly allocating them to 3 groups of 20 patients, fluoroscopic contrast enhanced epidural steroids were injected via midline (group 1), transforaminal (group 2) and parasagittal interlaminar (group 3) approaches at the level of the pathology. The fluoroscopic patterns of the three groups were studied and correlated with the clinical improvement measured by the VAS over the next 3 months; any incidences of complications were recorded. Results: The transforaminal group presented better results in terms of VAS reduction than the midline and parasagittal approach groups (P < 0.05). The epidurography showed a better ventral spread for both the transforaminal (P < 0.001) and the paramedian approaches (P < 0.05), as compared to the midline approach. The nerve root filling was greater in the transforaminal group (P < 0.001) than in the other two groups. The ventral spread of the contrast agent was associated with improvement in the VAS score and this difference was statistically significant in group 1 (P < 0.05), and highly significant in groups 2 and 3 (P < 0.001). In all the groups, any complications observed were transient and minor. Conclusions: The midline and paramedian approaches are technically easier and statistically comparable, but clinically less efficacious than the transforaminal approach. The incidence of ventral spread and nerve root delineation show a definite correlation with clinical improvement. However, an longer follow-up period is advisable for a better evaluation of the actual outcom. (Korean J Pain 2014; 27: 353-359)
Portal vein fenestration: a case report of an unusual portal vein developmental anomaly
Inbaraj Balradja,Bappaditya Har,Ruchi Rastogi,Shaleen Agarwal,Subash Gupta 대한이식학회 2022 Korean Journal of Transplantation Vol.36 No.4
Portal vein anatomic variations are common in living donor liver transplantation. Portal vein fenestration, in which a segment of a vessel divides into at least two channels that reunite into a single distal lumen, has not yet been reported in the literature. Failure to identify this anomaly can lead to catastrophic events in donor liver hepatectomy. Herein, we report an unusual portal vein anomaly that was detected intraoperatively in a living liver donor.
Jena K.,Kumari Ruchi,Pandey J.P.,Kar P.K.,Akhtar J.,Singh A.K.,Gupta V.P.,A. K. Sinha 한국응용곤충학회 2021 Journal of Asia-Pacific Entomology Vol.24 No.3
Sericin were isolated and characterized from tasar cocoons raised in three different food plants i.e. Terminalia arjuna, T. tomentosa and Shorea robusta for its applications. Their molecular composition, structure and physical nature were determined by elemental analysis, amino acid analysis, Fourier Transform Infrared Spectroscopy (FTIR) and Differential Scanning Calorimetry (DSC) analysis. These results show that tasar food plants influence the physical and chemical properties of sericin. Further, sericin isolated from cocoons of S. robusta food plant shows better antioxidant potential and inhibition of tyrosinase, elastase and glutathione-S-transferase activity than other food plants. This may be attributed to its amino acid variations and associated phenolic content. The present study appears to be useful in utilizing tasar sericin as a potential bio-molecule for its prospective utili zation in pharmaceuticals and its associated fields.
Sonal Dhingra,C M Marya,Avinash J,Puneet Gupta,Ruchi Nagpal,Nidhi Pruthi 대한예방치과학회 2012 International Journal of Clinical Preventive Denti Vol.8 No.2
Objective: To determine the prevalence, associated risk factors and unmet treatment needs of trauma to permanent anterior teeth in 12 to 15 year old school going children in urban and rural areas of Faridabad, Haryana. Methods: A cross-sectional study was carried out through clinical examination of the upper and lower permanent anterior teeth. Type III examination of 1,090 school children (rural=525, urban=565) was done. Dental trauma was classified according to Ellis and Davey (1960) criteria on a prepared examination form. Results: The prevalence of trauma was observed as 24% and 20.9% in rural and urban schoolchildren respectively; more prevalent in boys. The most common type of injury was the ‘enamel only’ fracture; falls and fights being the main cause of trauma; affecting the maxillary central incisor the most. A high level of untreated traumatized teeth observed in rural and urban schoolchildren was 96.8% and 81.4% respectively. Conclusion: The high prevalence and unmet treatment needs of dental trauma clearly illustrates importance of recognizing anterior tooth trauma as major dental public health problem.