Surgical treatment of lumbar canal stenosis with concomitant aggressive vertebral haemangioma

Vertebral hemangiomas are the most common benign spinal tumours which are asymptomatic, slow-growing benign vascular malformations. They usually involve the vertebral body. However, the involvement of the posterior elements may present with spinal cord compression. Vertebral hemangiomas exist as a continuum of manifestations and lesions ranging from the common asymptomatic forms to rare compressive lesions. Presence of multilevel spinal canal stenosis along with an atypical vertebral hemangioma with cord is a rare condition and represents a treatment challenge. We report a case of spinal canal stenosis at L2 to L4 spinal levels along with an atypical vertebral hemangioma at L3 vertebra with extension to bilateral pedicles. This tumour caused neurological manifestations and was surgically treated with posterior decompression and stabilization with transpedicular screws and rods along with vertebroplasty for the hemangioma. Presence of an atypical hemangioma with co-existing spinal canal stenosis is a rare indication of spinal fusion. Vertebroplasty for the treatment of hemangioma in such cases is imperative

Study of lumbar canal stenosis and its outcome after surgical management in central India

Background: Lumbar canal stenosis is a painful and potentially disabling condition often encountered in adults. Treatment of lumbar canal stenosis may consist of conservative approach to lumbar canal stenosis consists of rest, lumbar bracing, activity modification and analgesics. Surgical management consists of decompressive laminectomy, laminotomy or facetectomy. In the present study, authors evaluate the outcome in patients of lumbar canal stenosis managed surgically with decompressive laminectomy.Methods: A 50 patients with degenerative lumbar canal stenosis visiting Kasturbha hospital, Sewagram, Wardha from November 2016 to April 2017 were taken up for the study. Patients were taken up for laminectomy and decompression of the affected nerve roots using medial facetectomy. Post operatively patients were regularly followed up at monthly intervals. The ODI score was calculated at the end of 6 months and compared with the baseline score.Results: Fifty patients (mean age-42.9 years) underwent laminectomy and decompression. Baselines ODI score was 71.2±6.4. After 6 month follow up, the score improved significantly to 21±15.6 which was statistically significant.Conclusions: Operative treatment in patients of degenerative lumbar canal stenosis yields excellent functional results as observed based on the ODI score provided case selection is done properly

DISEASE REVIEW AND MANAGEMENT OF AMAVATA THROUGH AYURVEDIC CLASSIC’S.

Ayurveda is hope for suffering humanity in today’s world where no one found complete treatment solution for commonest chronic inflammatory joint disease Amavata (Rheumatoid Arthritis). This causes swelling, pain and stiffness of joints. Chronic condition may cause debility, deformities of joints and crippling. Unfortunately the man has not succeeded in eradicating this diseases and find to come out with successful therapeutic measures that can cure the patient completely.  Amavata is made up of two words, Ama & Vata. Ama means incomplete digestion of food which result in incomplete/impure formation of Annarasa, circulate in body & reach to target cell where it produces pathology like heaviness in body, loss of strength, drowsiness, aggravation of Vata & improper elimination of waste product. Ayurveda says chikitsa (Treatment) is Nidaan Parimarjna (removal of cause). The clinical presentation of Amavata closely mimics with the special variety of Rheumatological disorders called Rheumatoid Arthritis in accordance with their similarities on clinical features like pain, swelling, stiffness, fever, redness, general debility, fatigue are almost identical to that of Amavata. It is a severe form of chronic inflammatory autoimmune systemic disorders which mainly affects the synovial joints. sometimes leads to destruction and ankylosis of affected joints along with substantial loss of functioning and mobility. The available treatment modalities in contemporary science is NSAIDS, DMRDS, steroids etc. but these drugs are related with hazardous side effects and remission is very big problem. The ancient Ayurvedic treatment not only devoid such type of ill effect, but also provides a better way by treating Agni and Ama at its roots. Shamana (conservative) and Shodhana (biological purification of the body) treatments are advised in Ayurveda

A comparative study between dynamic hip screw and proximal femoral locking plate in the management of unstable pertrochanteric fracture femur

Background: Pertrochanteric fracture represent perhaps the most important public health problem facing the orthopedic surgeon today. The purpose of the present study is to compare dynamic hip screw with proximal femoral locking plate (PFLP) in pertrochanteric fracture femur. Method: During the period from December 2019 to August 2021, 50 patients with pertrochanteric fracture femur who were admitted in the orthopaedics department were selected. The 25 patients treated with PFLP and 25 patients treated with dynamic hip screw according to the standardized protocol. Patients were followed up for the 1 year. Results: The mean operative time and average intraoperative blood loss was more in PFLP group when compared with DHS group it was statically significant.  PFLP group has marginally better functional than DHS group. There was no difference in the radiological outcome between two group.Conclusions: PFLP can be feasible alternative to treatment of complex comminuted pertrochanteric fractures. It can be use in old age patients with osteoporotic bone which provide stable fixation

A case report of open infected clavicle fracture treated with locking compression plate as an external fixator

46 year old male presented to emergency department 8 days after fall from bike sustaining trauma to right shoulder and head. On examination revealed that he had open right clavicle fracture (Gustilo and Anderson grade II). Patient was treated with locking compression plate (LCP) as an external fixator. Postoperative follow up was uneventful with no signs of infection and good functional outcome

Phytochemical analysis, antioxidant and anti-inflammatory activity of leaves and bark of Ceropegia rollae Hemadri

The purpose of the present study is to evaluate in vitro antioxidant activity and anti-inflammatory activity of methanolic extract of the leaves and the bark of the plant Ceropegia rollae Hemadri. The antioxidant activity of the both leaves and bark extract was studied using FRAP and DPPH method. The in vitro anti-inflammatory activity and phytochemical characterization were carried using known protocols. The various phytochemical components such as total phenolics and flavonoids were determined. The plant Ceropegia rollae also contains tannis and ascorbic acid. This is related to the antioxidant activity of the plant Ceropegia rollae extract. The leaves shows good antioxidant and anti-inflammatory activity as compared to the bark. These can be used as natural antioxidant and anti-inflammatory agents

'Birthing a Better Future': A mixed-methods evaluation of an exhibition on the early years of life

BACKGROUND: Our study aimed to evaluate to what extent Zero2 Expo's 'Birthing a Better Future', a co-created multimedia exhibition, was effective in raising awareness on the importance of the first 1001 days of life and explore what refinements would help to optimize the impact of future exhibitions. METHODS: We conducted a mixed-methods evaluation of the exhibition delivered in the John Radcliffe Hospital, Oxford. Through convenience sampling, 14 participants were selected to participate in 12 structured interviews and 19 participants completed a questionnaire. Interviews were thematically analysed alongside quantitative analysis of questionnaire responses through Likert scales. RESULTS: The majority (78.6%, n = 11/14) of participants who completed the questionnaire either agreed or strongly agreed that the exhibition raised their awareness about the first 1001 days of life. This was supported by the analysis of interviews. The use of art was found to provoke an emotional engagement from participants. Participants felt that the length of the written pieces and location of the exhibition were important factors for designers to consider in future exhibitions. CONCLUSION: This study demonstrated that multimedia exhibitions, combining science with art, may be an effective way to raise awareness of public health messages. Engaging with key stakeholders will be an essential step in order to improve future public health exhibitions. PUBLIC CONTRIBUTION: When designing the study, the public reviewed the study tools, which were refined based on their feedback. At every phase of the study, members of the public who are artists co-created the exhibition content

GaSbBi alloys and heterostructures: fabrication and properties

International audienceDilute bismuth (Bi) III-V alloys have recently attracted great attention, due to their properties of band-gap reduction and spin-orbit splitting. The incorporation of Bi into antimonide based III-V semiconductors is very attractive for the development of new optoelectronic devices working in the mid-infrared range (2-5 µm). However, due to its large size, Bi does not readily incorporate into III-V alloys and the epitaxy of III-V dilute bismides is thus very challenging. This book chapter presents the most recent developments in the epitaxy and characterization of GaSbBi alloys and heterostructures

Enhanced room temperature ferromagnetism in antiferromagnetic NiO nanoparticles

We report systematic investigations of structural, vibrational, resonance and magnetic properties of nanoscale NiO powders prepared by ball milling process under different milling speeds for 30 hours of milling. Structural properties revealed that both pure NiO and as-milled NiO powders exhibit face centered cubic structure, but average crystallite size decreases to around 11 nm along with significant increase in strain with increasing milling speed. Vibrational properties show the enhancement in the intensity of one-phonon longitudinal optical (LO) band and disappearance of two-magnon band due to size reduction. In addition, two-phonon LO band exhibits red shift due to size-induced phonon confinement effect and surface relaxation. Pure NiO powder exhibit antiferromagnetic nature, which transforms into induced ferromagnetic after size reduction. The average magnetization at room temperature increases with decreasing the crystallite size and a maximum moment of 0.016 μB/f.u. at 12 kOe applied field and coercivity of 170 Oe were obtained for 30 hours milled NiO powders at 600 rotation per minute milling speed. The change in the magnetic properties is also supported by the vibrational properties. Thermomagnetization measurements at high temperature reveal a well-defined magnetic phase transition at high temperature (TC) around 780 K due to induced ferromagnetic phase. Electron paramagnetic resonance (EPR) studies reveal a good agreement between the EPR results and magnetic properties. The observed results are described on the basis of crystallite size variation, defect density, large strain, oxidation/reduction of Ni and interaction between uncompensated surfaces and particle core with lattice expansion. The obtained results suggest that nanoscale NiO powders with high TC and moderate magnetic moment at room temperature with cubic structure would be useful to expedite for spintronic devices

Larval movement of Helicoverpa armigera (Hübner) under Mosaic or Mixed Refuge Patterns on Bt Cotton

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