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B A Chaudhary T K Chaudhary R C Kolbeck J D Harmon W A Speir 《Southern medical journal》1986,79(9):1061-1063
Four patients with mild to moderate obstructive sleep apnea were monitored first in the supine posture to establish a diagnosis of obstructive sleep apnea (apnea indices 33, 12, 22, 36). A second polysomnogram, obtained while the patients slept in the lateral posture, showed a dramatic decrease in apnea (apnea indices 5, 0, 0.2, and 0) and snoring. Each patient had an enlarged uvula, which moved to the side in the lateral posture. We conclude that sleeping in the lateral posture may be therapeutic in some patients with obstructive sleep apneas. 相似文献
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Adarsh Chaudhary 《Indian journal of gastroenterology》2006,25(4):199-201
Management of post-cholecystectomy bile duct strictures can be complex.Traditional treatment has been surgical reconstruction. In recent years endoscopic stenting has been successful in a selected subgroup of patients with iatrogenic bile duct strictures. Adequate information about long-term results of endoscopic stenting as definite treatment for such strictures is still awaited. Surgery is a reliable and time-tested method and results of numerous studies show its long-term success in relieving biliary obstruction with minimal morbidity. 相似文献
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Patel Shyam Kakouri Agni Chaudhary Shweta Knepper Paul A. Pfahler Nicholas M. Samples John Giovingo Michael 《Lasers in medical science》2021,36(3):605-609
Lasers in Medical Science - To evaluate the effect of various media and Iridex MicroPulse P3 (MP3) probe angles on the power output from the Cyclo G6 Glaucoma Laser (G6) System. A laser power meter... 相似文献
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Sandeep K. Jha Imtiakum Jamir Kshitij Sisodia Niteen Kumar Gaurav Sood Nitin Shanker Sachin Anand Gaurav Dubey Vinod Choudhary Pankaj Lohia Amit Singhal Manav Wadhawan Ajay Kumar Abhideep Chaudhary 《Transplantation proceedings》2021,53(4):1118-1125
IntroductionLiving-donor liver transplantation (LDLT) has been mostly suspended and deceased-donor living transplantation activity has been considerably reduced because of coronavirus disease 2019 (COVID-19). We modified our protocols and procedures in line with COVID-19 guidelines. Since the restructuring, we have performed 20 LDLTs. Our study reports the outcomes of these cases and demonstrates the feasibility of LDLT during this pandemic.Materials and MethodsThe changes were influenced by experiences and communications from across the globe. A month-long self-imposed moratorium was spent in restructuring the program and implementing new protocols. Twenty LDLTs were performed between April 18 and September 15 using the new protocols. Our experience includes 2 simultaneous liver-kidney transplants, 1 ABO-incompatible LDLT, and 1 pediatric case (age 11 months).ResultsNineteen patients recovered and 1 patient died. We maintained our postoperative immunosuppression protocol without many changes. Major complications were observed in 30% of recipients but none of the donors. One recipient was infected with COVID-19 during the postoperative period. A donor-recipient couple contracted COVID-19 after discharge from the hospital. All patients recovered from COVID-19 and liver enzymes were unaffected.ConclusionThis study represents a microcosm of experience in LDLT during the COVID-19 era. Outcomes of LDLT are not affected by COVID-19 per se, provided that we make necessary changes. 相似文献
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A rare case of splenic abscess occurring after blunt abdominal trauma in a previously healthy boy is reported. The diagnosis
was made by ultrasonography. The patient recovered after splenectomy and drainage of subphrenic and intraperitoneal pus. 相似文献
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Chaudhary S 《Indian journal of pediatrics》1996,63(4):433-436
Otitis media is a common pediatric problem. It is well established that over half of infants and children with acute otitis
media may have spontaneous recovery. Since it is difficult to predict the course (self-limited versus serious disease) all
the children with acute suppurative otitis media need to be treated with antibiotics. Amoxicillin is still the initial antibiotic
of choice. There are several alternate antibiotics available with activity against beta-lactamase positive bacteria. These
agents have no advantage over amoxicillin in infections due to penicillin resistant pneumococci. Recent use of beta-lactam
antibiotics and/or attendance in a day care where there is frequent use of antibiotics are predisposing factors for penicillin
resistant pneumococcal infection. In such cases after tympanocentesis, higher dose of amoxicillin, clindamycin or intramuscular
ceftriaxone should be considered. Secretory otitis media does not need to be treated with antibiotics unless the patient is
in high risk group. Prophylactic use of antibiotics should be actively discouraged. Influenza and pneumococcal vaccination
(2 years or older) should be encouraged in children with recurrent episodes of acute otitis media. Breast feeding should be
encouraged. 相似文献
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