Role of concomitant percutaneous pie crusting and local corticosteroid injection in lateral epicondylitis: a prospective, case control study

Amyn M. Rajani,Anmol RS Mittal,Vishal Kulkarni,Khushi Rajani,Kashish Rajani 대한견주관절학회 2023 대한견주관절의학회지 Vol.26 No.1

Background: Lateral epicondylitis is an increasingly debilitating condition in working population. Evidence for conservative treatment modalities has been inconclusive. Percutaneous pie crusting of the common extensor origin at the lateral epicondyle at the time of local corticosteroid injection (CSI) has been proposed sparsely. The objective of this study was to analyze if concomitant CSI and pie-crusting of the common extensor origin provides better outcome than CSI alone in lateral epicondylitis. Methods: This case-control study on 236 patients was conducted at a single center between January 1, 2020, and May 31, 2022. Patients were divided into two groups (n=118 each) based on their preference. Group A underwent CSI alone and group B underwent pie crusting along with CSI. The clinical and functional outcomes of all patients were evaluated at 2, 4, 6, and 12-week post-procedure using the visual analog scale (VAS) and Nirschl score. The mean time for return to daily activities was also compared. Results: Both groups showed significant improvement in post-procedure outcome at successive follow-ups on intragroup longitudinal analysis (VAS: F=558.384 vs. F=1,529.618, Nirschl: F=791.468 vs. F=1,284.951). On intergroup analysis, VAS of group B was superior to that of group A; however, it was statistically significant (P<0.05) only from the 6-week follow-up onwards. Nirschl score of group B was significantly better throughout the period of follow-up (P<0.05). Group B returned to daily activities faster than Group A (6.2±0.44 weeks vs. 7.18±0.76 weeks). Conclusions: Concomitant pie crusting with CSI is recommended for lateral epicondylitis as it provides significantly better results than CSI alone.

Effects of glenohumeral corticosteroid injection on stiffness following arthroscopic rotator cuff repair: a prospective, multicentric, case-control study with 18-month follow-up

Amyn M. Rajani,Urvil A Shah,Anmol RS Mittal,Sheetal Gupta,Rajesh Garg,Alisha A. Rajani,Gautam Shetty,Meenakshi Punamiya,Richa Singhal 대한견주관절학회 2023 대한견주관절의학회지 Vol.26 No.1

Background: This study aimed to analyze the efficacy of single-dose corticosteroid injection (CSI) administered at 6 weeks postoperative to treat stiffness following arthroscopic rotator cuff repair (ARCR). Methods: In this prospective, multicentric, case-control study, post-ARCR stiffness at 6 weeks was treated with either a single dose of intra-articular CSI (CSI group) or physical therapy with oral analgesics (non-CSI group). Pain intensity according to visual analog scale (VAS), functional outcome using the Constant Murley Shoulder Score, time to return to activities of daily living (ADLs), and retear rate were recorded at 6 weeks, 9 weeks, 12 weeks, 6 months, 12 months, and 18 months postoperatively in both groups. Results: A total of 149 patients (54.5%) in the CSI group and 124 patients (45.5%) in the non-CSI group were included in this study. Pain and function were significantly better in the CSI group at 9-week, 12-week, and 6-month (P<0.001) follow-up, whereas they were not significantly different when the groups were compared at 12- and 18-month follow-up. The mean duration to return to ADLs was significantly shorter (P<0.001) in the CSI group. The incidence of retears was not significantly different (P=0.36) between groups at the end of 18 months of follow-up. Conclusions: Single-dose intra-articular CSI administered at 6 weeks postoperative to treat post-ARCR stiffness significantly improved pain, function, and duration of return to ADLs without increasing the risk of retears compared to patients who did not receive intra-articular CSI.

A Hierarchical Architecture for Semantic Representation of Sensing Information in Pig Farm

Rajani Reddy Gorrepati,Do-Hyeun Kim 보안공학연구지원센터 2014 International Journal of Control and Automation Vol.7 No.7

A Regression Test Selection Technique for SOA Based Applications

Rajani Kanta Mohanty,Binod Kumar Pattanayak,Durga Prasad Mohapatra 보안공학연구지원센터 2014 International Journal of Software Engineering and Vol.8 No.3

Performance of cement composite embeddable sensors for strain-based health monitoring of in-service structures

Rajani Kant Rao,B.S. Sindu,Saptarshi Sasmal 국제구조공학회 2021 Smart Structures and Systems, An International Jou Vol.28 No.2

There is a growing need to develop sensors which can be embedded into the structures during the construction stage itself for developing smart structures. It is preferred to develop these kinds of sensors with the material same as that of material used in construction for the sake of compatibility and better capturing the actual state of distress in the structure. Towards this, in this study cement based piezo-resistive sensors are developed with the help of conductive nano-fillers (Carbon Nanotubes (CNTs)). Since the sensors are cement based, and porous in nature, the characteristics of the sensor will vary due to water penetration into the sensor. As the structures with such embedded sensors have to perform for years, understanding the variations in the characteristics of the sensor due to pore structure is very important. In this regard, the conductivity of the sensor is assessed where the effect of dosage of CNTs, functionalization of CNTs, type of electrical conductivity measurement (both DC and AC) and pore water are the parameters. The strain sensitivity of the sensors under cyclic stress is also investigated and reported in the present study. The findings of this study will help in developing continuous health monitoring strategies using highly sensitive embeddable cement-based nanocomposites.

Architecture for Data Modeling in Healthcare

Rajani Reddy,Do-Hyeun Kim 대한전자공학회 2010 ICEIC:International Conference on Electronics, Inf Vol.1 No.1

In order to support the healthcare service for an increasingly biomedical society, an ontology healthcare infrastructure is certainly needed. In a computing environment, it is important that all applications should be executed on a system. To provide personalized healthcare services to users anywhere and anytime, there should convert sensing data to semantic and context data. Therefore, ontology and rules were used for relation representation of many data. In this paper, we propose architecture for data modeling and reasoning based on a context-aware which is executed using EEG, pill camera and temperature sensors in a computing environment for healthcare of brain. The objective of this research is the development of data modeling and the standard ontology foundation for healthcare of brain disorder services. Semantic layer and context awareness layer of architecture was also developed in order to recognize a situation and provide a customized healthcare service for specific brain disorders.

Morphometric analysis of infraorbital foramen in Indian dry skulls

Rajani Singh 대한해부학회 2011 Anatomy & Cell Biology Vol.44 No.1

We analyzed the variability in position, shape, size and incidence of the infraorbital foramen in Indian dry skulls as little literature is available on this foramen in Indians to prevent clinical complications during maxillofacial surgery and regional block anesthesia. Fifty-five Indian skulls from the Department of Anatomy CSM Medical University were examined. The 110 sides (left and right) of the skulls were analyzed by measuring the infraorbital foramina distances from infraorbital margin and the piriform aperture on both sides. The vertical and horizontal dimensions were also measured. All measurements were taken with a compass transferred to calipers and analyzed statistically. The mean distances between the infraorbital foramen and the infraorbital margin on the right and left side were 6.12 mm and 6.19 mm, respectively. The mean distances between the infraorbital foramen and the piriform aperture were 15.31 mm and 15.80 mm on the right and left sides, respectively. The mean vertical dimensions on the right and left side were 3.39 mm and 3.75 mm, respectively. The mean horizontal dimensions on the two sides were 3.19 mm and 3.52 mm. These results provide detailed knowledge of the anatomical characteristics and clinical importance of the infraorbital foramina which are of paramount importance for surgeons when performing maxillofacial surgery and regional block anesthesia.

Female medical and nursing students’ knowledge, attitudes, and skills regarding breast self-examination in Oman: a comparison between pre- and post-training

Rajani Ranganath,John Muthusami,Miriam Simon,Tatiyana Mandal,Meena Anand Kukkamulla 한국보건의료인국가시험원 2020 보건의료교육평가 Vol.17 No.-

Purpose: Breast cancer is one of the most common cancers in women worldwide. Educational and awareness programs impact early practices of breast self-examination, resulting in the early detection of cancer and thereby decreasing mortality. The study aimed to assess the levels of knowledge and awareness of breast cancer and breast self-examination among medical and nursing students in Oman and to compare their knowledge, attitudes, and skills after a training program. Methods: This quasi-experimental study was carried out for female 90 medical and 80 nursing students in Oman in November 2019. A pre-test questionnaire was given before the training program and a post-test questionnaire was administered after the training program. Students’ knowledge, attitude, and skills regarding breast cancer and breast self-examination were compared. Scores for skills of practicing breast self-examination were compared between lecture and activity group and lecture-only group. Results: Pre-test and post-test data were collected from 170 female students. Significant improvements were observed in the post-test scores for students’ knowledge, attitude, and skills after the intervention (P

A Hyaluronic Acid-Rich Node and Duct System in Which Pluripotent Adult Stem Cells Circulate

Rai, Rajani,Chandra, Vishal,Kwon, Byoung S. Mary Ann Liebert 2015 STEM CELLS AND DEVELOPMENT Vol.24 No.19

<P>Regenerative medicine is in demand of adult pluripotent stem cells (PSCs). The 'Bonghan System (BHS)' was discovered and suggested to contain cells with regenerative capacity in the early 1960s. It had been ignored for a long time due to the lack of sufficient details of experiments, but about 37 years after the initial report, the BHS was rediscovered and named as the 'primo vascular system.' Recently, we have discovered a similar structure, which contained a high level of hyaluronic acid, and hence, named the structure as hyaluronic acid-rich node and duct system (HAR-NDS). Here we discuss the HAR-NDS concept starting from the discovery of BHS, and findings pointing to its importance in regenerative medicine. This HAR-NDS contained adult PSCs, called node and duct stem cells (NDSCs), which appeared to circulate in it. We describe the evidence that NDSCs can differentiate into hemangioblasts that further produced differentiated blood cells. The NDSCs had a potential to differentiate into neuronal cells and hepatocytes; thus, NDSCs had a capability to become cells from all three germ layers. This system appears to be a promising alternative source of adult stem cells that can be easily delivered to their target tissues and participate in tissue regeneration.</P>

Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study

( Amyn M. Rajani ),( Urvil A. Shah ),( Anmol R. S. Mittal ),( Sheetal Gupta ),( Rajesh Garg ),( Meenakshi Punamiya ) 대한슬관절학회 2022 대한슬관절학회지 Vol.34 No.-

Background: Mucoid degeneration of the anterior cruciate ligament (ACL) has been shown to cause restricted terminal range of motion and rest pain. If present in a patient undergoing unicompartmental knee arthroplasty, it can deteriorate the final outcome. This study aims to compare functional and clinical outcomes of debulking the mucoid ACL in patients undergoing mobile-bearing unicompartmental knee arthroplasty (UKA). Methods: Patients with mucoid ACL undergoing mobile-bearing UKA at five different centres by five different arthroplasty surgeons were included. They were segregated into two groups matched for all demographic and preoperative values: group A did not undergo debulking; group B underwent open debulking by a 15-number blade prior to UKA. Patient-related outcome measures, rest pain, clinical outcomes, and subjective patient satisfaction were recorded and compared at 2 years follow-up. Results: A total of 442 patients (226 patients underwent debulking, 216 patients did not undergo debulking) were included. Both groups showed overall improvement after surgery, however, patients who underwent debulking performed better at 2 years follow-up in terms of Knee Society functional score, International Knee Documentation Committee scores, range of motion, rest pain and overall patient satisfaction (p < 0.05) as compared with their counterparts. Conclusions: Debulking of mucoid ACL in patients undergoing unicompartmental knee arthroplasty significantly reduces the rest pain and improves the final range of motion of the knee joint, subsequently improving the overall functional and clinical outcome of the patient and resulting in greater patient satisfaction.