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        Magnetic Resonance Imaging of Trunk Musculature and Intervertebral Discs in Patients with Spinal Cord Injury with Thoracolumbar Vertebral Fractures: A Prospective Study

        Singh Roop,Wadhwani Jitendra,Punia Gaurav,Rohilla Rajesh Kumar,Kaur Kiranpreet 대한척추외과학회 2020 Asian Spine Journal Vol.14 No.6

        Study Design: This study is a prospective clinical study.Purpose: This study aims to evaluate the characteristics of trunk musculature and intervertebral discs by using magnetic resonance imaging in patients with spinal cord injuries (SCIs) with thoracic and lumbar fractures. Overview of Literature: Muscle atrophy is an immediate consequence of SCI and is associated with secondary complications. At present, there are limited clinical data on muscle and disc responses to fractures of the thoracic and lumbar spine.Methods: A total of 51 patients with a mean age of 31.75±10.42 years who suffered traumatic SCI were included in this study. Complete neurological examinations (American Spinal Injury Association grading) and magnetic resonance imaging (MRI) were performed at the time of admission and at 3–6 months after injury to study the neurological status and disc and trunk parameters. The type of management (operative or conservative) was decided on the basis of clinical, radiological, and MRI evaluations, and a robust rehabilitation program was initiated.Results: Disc parameters including disc angle, skin angle, cross-sectional area (CSA), and disc height and trunk parameters (mean trunk width, mean trunk depth, and CSA of the lumbar muscles) decreased significantly (p <0.001) during the first 3 months after SCI. However, improvements were observed in disc and muscle parameters at the 6-month follow-up, but these parameters did not return to normal levels. Neither initial neurological status (complete vs. incomplete) nor type of management (operative vs. conservative) had a significant effect on these parameters.Conclusions: Spinal trauma leads to alterations in the morphology of the vertebral column, spinal cord, intervertebral discs, and paraspinal muscles in the initial phase of injury. The extent of these changes may determine the initial neurological deficit and subsequent recovery. Although this study did not identify any statistically significant effect of neurological status or management strategy on these parameters, rehabilitation was found to result in the improvement of these parameters in the later phase of recovery. Future studies are required to evaluate the exact causes of these alterations and the potential benefits of rehabilitation strategies and to minimize these changes.

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        Zinc Chloride Modified Electronic Transport and Relaxation Studies in Barium-Tellurite Glasses

        Sunil Dhankhar,R. S. Kundu,Sunita Rani,Preeti Sharma,S. Murugavel,Rajesh Punia,N. Kishore 대한금속·재료학회 2017 ELECTRONIC MATERIALS LETTERS Vol.13 No.5

        The ac conductivity of halide based tellurium glasses havingcomposition 70 TeO2-(30-x) BaO-x ZnCl2 ; x = 5, 10, 15 , 20 and 25has been investigated in the frequency range 10-1 Hz to 105Hz and inthe temperature range 453 K to 553 K. The frequency and temperaturedependent ac conductivity show mixed behaviour with increase inhalide content and found to obey Jonscher’s universal power law. Thevalues of dc conductivity, crossover frequency and frequency exponenthave been estimated from the fitting of experimental data of acconductivity with Jonscher’s universal power law. For determining theconduction mechanism in studied glass system, frequency exponent hasbeen analyzed by various theoretical models. In presently studiedglasses, the ac conduction takes place via overlapping large polarontunneling (OLPT). The values of activation energy for dc conduction(W) and the one associated with relaxation process (ER) are found toincrease with increase in x up to glass sample with x = 15 and thereafterit decrease with increase in zinc chloride content. DC conduction takes place via variable range hopping (VRH) as proposed byMott with some modification suggested by Punia et al. The value of real part of modulus (M') is observed to decrease withincrease in temperature. The value of stretched exponent (β) obtained from fitting of M'' reveals the presence of non-Debye typeof relaxation in presently studied glass samples. Scaling spectra of ac conductivity and values of electric modulus (M' and M'')collapse into a single master curve for all the compositions and temperatures. The values of relaxation energy (ER) for all thestudied glass compositions are almost equal to W, suggesting that polarons have to overcome same barrier while relaxing andconducting. The conduction and relaxation processes in the studied glass samples are composition and temperature independent.

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