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Parag Sancheti,Vijay D. Shetty,Mandeep S. Dhillon,Sheila A. Sprague,Mohit Bhandari 대한정형외과학회 2017 Clinics in Orthopedic Surgery Vol.9 No.3
Background: Access to early knee osteoarthritis treatment in low and middle income nations is often believed to be limited. We conducted a cross-sectional study in India to assess prior access to treatment among patients presenting with knee pain to specialist orthopaedic clinics. Methods: The multi-centre, cross-sectional study included patients presenting with knee pain at 3 hospitals in India. Patients who met the inclusion criteria and provided informed consent completed a questionnaire designed to assess patient demographics, socioeconomic status, knee pain, treatment method, and patient’s knowledge on osteoarthritis (OA). Their orthopaedic surgeons also completed a questionnaire on the severity of patient’s OA and their recommended treatments. The impact of demographic characteristics on the prescription of treatment options was analyzed using logistic regression. Results: A total of 714 patients met the eligibility criteria and participated in this study. The majority of patients had been experiencing pain for less than 1 year (64.8%) and had previously been prescribed medications (91.6%), supplements (68.6%), and nonpharmacological (81.9%) treatments to manage their knee OA. Current treatment recommendations included oral medications (83.3%), intra-articular injections (29.8%), and surgical intervention (12.7%). Prescription of oral medications was related to younger age, lack of deformities, and lower Kellgren-Lawrence grades (p < 0.01). Patients treated in private hospital settings were more likely to have been previously treated with medications (range, 84.3% to 92.6%; p < 0.01) and physical treatments (range, 61.8% to 84.8%; p < 0.01) than patients treated at government hospitals. Conclusions: Contrary to the perception, our findings suggest a similar proportion of early knee OA treatment between India and North America.
Comparison of Glucose Tolerance Effect of Various Commelinaceae Plant Extracts on Hyperglycemic Rats
Ju Chan Kwon,이승현,Sandesh Sancheti,Shruti Sancheti,최미영,SungYum Seo 한국생약학회 2009 Natural Product Sciences Vol.15 No.1
Blood glucose lowering effects of water extracts from four species of Commelinaceae (Commelina communis, Streptolirion volubile, Tradescantia reflexa, Aneliema keisak) were determined on alloxan-induced hyperglycemic rats. In all the experimental groups, the blood glucose level decreased after loading carbohydrates. The blood glucose level in a group treated with C. communis extract decreased significantly as compared with the normal group. After loading maltose and sucrose separately in different groups, the blood glucose level decreased in the groups treated with the extracts of C. communis and S. volubile, and remained approximately unchanged with the extracts of T. reflexa and A. keisak as compared with the control groups.
Hydrolocation assisted subclavian venous catheterization -two case reports-
Frohlich Joshua,Sancheti Sushil 대한마취통증의학회 2022 Korean Journal of Anesthesiology Vol.75 No.5
Background: Of the three common central access sites, subclavian vein catheterization has the lowest risk of infection but the highest risk of pneumothorax. The main disadvantage of the short-axis ultrasound guided approach is difficult needle-tip visualization. We describe use of the hydrolocation technique to improve needle-tip localization. Case: Two females, an 81-year-old and a 72-year-old, presented for coronary artery bypass grafting requiring central vein cannulation. To confirm that the needle tip was visualized and not the shaft, needle advancement was paused and 1 ml of saline injected. The appearance of a small anechoic pocket superficial to the subclavian vein helped to visualize the needle tip. Negative aspiration was then re-applied and slight advancement resulted in aspiration of blood and successful subclavian vein puncture. Conclusions: The use of hydrolocation for subclavian vein access was easily implemented, required little modification in setup and technique, and provided improved localization of the needle tip.
Effect of granite fines on mechanical and microstructure properties of concrete
Jain, Kishan Lal,Sancheti, Gaurav Techno-Press 2022 Advances in concrete construction Vol.13 No.6
Solid waste management is of great concern in today's world. An enormous amount of waste is generated from various industrial activities. Concrete production utilizing some of the potential waste materials will add to the benefit of society. These benefits will include reduction of landfill burden, improved air quality, riverbed protection due to excessive sand excavation, economical concrete production and much more. This study aims to utilize waste granite powder (GP) originating from granite industries as a sand replacement in concrete. Fine GP was collected in the form of slurry from different granite cutting industries. In this study, GP was added in an interval of ten percent as 10%, 20%, 30%, 40% and 50% by weight of sand in concrete. Mechanical assets; compressive strength, flexural strength and splitting tensile strength were prominent for control and blended mixes. Modulus of elasticity (MoE) and abrasion tests were also performed on control and blended specimens of concrete. To provide a comprehensive clarification for enhanced performance of GP prepared concrete samples, scanning electron microscopy (SEM) and X-ray diffraction (XRD) were performed. Results indicate that 30% replacement of sand by weight with GP enhances the mechanical assets of concrete and even the results obtained for 50% replacement are also acceptable. Comprehensive analysis through SEM and XRD for 30% replacement was better than control one. The performance of GP added to concrete in terms of abrasion and modulus of elasticity was far better than the control mix. A significant outcome shows the appropriateness of granite fines to produce sustainable and environmentally friendly concrete.
Subcoracoid tunnel block as an alternative infraclavicular brachial plexus approach -a case series-
Sandeep Diwan,Divya Sethi,Avinash Gaikwad,Parag Sancheti,Abhijit Nair 대한마취통증의학회 2020 Korean Journal of Anesthesiology Vol.73 No.5
Background: Magnetic resonance neurography shows the brachial plexus cords in the subcoracoid tunnel beneath the pectoralis minor. With an ultrasound scan along the brachial line, the brachial plexus cords in the subcoracoid tunnel can be targeted using an inplane needle approach. We describe this new approach to the infraclavicular block called the “subcoracoid tunnel block.” Case: Twenty patients were administered with the ultrasound-guided subcoracoid tunnel block for the below-elbow surgery. The contact of the needle tip with cords was visible in all 20 patients. With neurostimulation, the posterior cord was identified in 11 (55%) and medial cord in 9 (45%) patients on the first needle pass. The subcoracoid tunnel block was successful in 16 patients (80%). Conclusions: Our case series shows that the subcoracoid tunnel block is an excellent alternative technique for the infraclavicular block. Its advantages include better needle-cord visibility and easy identification of the brachial plexus cords.
Does subepineural injection damage the nerve integrity? A technical report from four amputated limbs
( Sandeep Diwan ),( Abhijit Nair ),( Parag Sancheti ),( André Van Zundert ) 대한통증학회 2021 The Korean Journal of Pain Vol.34 No.1
Local anesthetic (LA) injection outside the sheath in epineural or paraneural connective tissue is considered safe practice among regional anesthesiologists. There is limited evidence as to whether neurological complications occur if LA is injected inside the sheath (subepineural - intraneural). We performed ultrasound guided injections at the level of undivided sciatic nerve in four amputated lower limbs. In two specimens, LA was injected in epineural connective tissue (paraneural tissue) and in another two specimens by penetrating the outer nerve sheath (hyperechoic epineurium). Ultrasonography demonstrated an increase in the size of nerve and macroscopic findings revealed fascicular tracings with sub-epineural injections. Limbs were sent for histological analysis in formalin containers. Pathologist performed the analysis which demonstrated an intact perineurium and a breach in the epineurium. We conclude that sub-epineural injections are unsafe and injection should be done in paraneural tissue to ensure safety and avoid unwanted neurological sequelae after the block.
High Grade Infective Spondylolisthesis of Cervical Spine Secondary to Tuberculosis
Shailesh Hadgaonkar,Kunal Shah,Ashok Shyam,Parag Sancheti 대한정형외과학회 2015 Clinics in Orthopedic Surgery Vol.7 No.4
Spondylolisthesis coexisting with tuberculosis is rarely reported. There is a controversy whether spondylolisthesis coexists or precedes tuberculosis. Few cases of pathological spondylolisthesis secondary to tuberculous spondylodiscitis have been reported in the lumbar and lumbosacral spine. All cases in the literature presented as anterolisthesis, except one which presented as posterolisthesis of lumbar spine. Spondylolisthesis in the cervical spine is mainly degenerative and traumatic. Spondylolisthesis due to tuberculosis is not reported in the lower cervical spine. The exact mechanism of such an occurrence of spondylolisthesis with tuberculosis is sparsely reported in the literature and inadequately understood. We report a rare case of high grade pathological posterolisthesis of the lower cervical spine due to tubercular spondylodiscitis in a 67-year-old woman managed surgically with a three-year follow-up period. This case highlights the varied and complex presentation of tuberculosis of the lower cervical spine and gives insight into its pathogenesis, diagnosis, and management.