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11.
David L. Penn MS Benjamin M. Zussman BS Chengyuan Wu MD Ashwini D. Sharan MD 《Neuromodulation》2012,15(6):581-585
Objectives: To illustrate a new surgical revision strategy for malfunctioning spinal cord stimulation (SCS) paddle electrodes. Background: SCS is a treatment for chronic neuropathic pain that delivers therapeutic doses of electric current to the dorsal columns resulting in dermatomal paresthesia and pain reduction. Reasons for SCS failure include hardware malfunction or breakage and medical complications. Case Report: A 34‐year‐old woman presented with a two‐year history of intractable pain in the left upper extremity and thoracic region which was previously controlled by SCS. Imaging demonstrated breakage of the cervical electrode wire that had been advanced in the caudal direction from the C1 spinal level. Revision of the broken electrode was performed by hemilaminectomy of C3‐C4 and the replacement electrode was advanced in the cephalad direction. Results: Ideal and exact paresthesia pattern was confirmed intraoperatively and the patient maintained successful pain reduction at five‐year follow‐up. Conclusion: Advancing SCS electrodes into the upper cervical spine in the cephalad direction, using the previously formed scar capsule, offers an alternate strategy for revision of malfunctioning SCS paddle electrodes. 相似文献
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Janis E. Blair Ashwini Gotimukul Fangfang Wang Syeda A. Mina Helen C. Bartels Mark W. Burns Amy E. Kole Holenarasipur R. Vikram Juan C. Gea-Banacloche M. Teresa Seville Skye A. Buckner Petty Avinash Vikram Robert Orenstein 《Medicine》2021,100(24)
Most patients with coronavirus disease 2019 (COVID-19) have mild to moderate illness not requiring hospitalization. However, no study has detailed the evolution of symptoms in the first month of illness.At our institution, we conducted remote (telephone and video) visits for all adult outpatients diagnosed with COVID-19 within 24 h of a positive nasopharyngeal polymerase chain test for SARS-CoV-2. We repeated regular video visits at 7, 14, and 28 days after the positive test, retrospectively reviewed the prospective data collected in the remote visits, and constructed a week by week profile of clinical illness, through week 4 of illness.We reviewed the courses of 458 symptomatic patients diagnosed between March 12, 2020, and June 22, 2020, and characterized their weekly courses. Common initial symptoms included fever, headache, cough, and chest pain, which frequently persisted through week 3 or longer. Upper respiratory or gastrointestinal symptoms were much shorter lived, present primarily in week 1. Anosmia/ageusia peaked in weeks 2 to 3. Emergency department visits were frequent, with 128 visits in the 423 patients who were not hospitalized and 48 visits among the 35 outpatients (7.6%) who were eventually hospitalized (2 subsequently died). By the fourth week, 28.9% said their illness had completely resolved. After the 4-week follow up, 20 (4.7%) of the 423 nonhospitalized patients had further medical evaluation and management for subacute or chronic COVID-19 symptoms.Mild to moderate outpatient COVID-19 is a prolonged illness, with evolving symptoms commonly lasting into the fourth week of illness. 相似文献
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Background
Neck pain is a common musculoskeletal complaint in computer users due to prolonged static or awkward work postures. It has been shown that pathogenesis of neck pain is associated with scapular movement impairment syndromes. However, there is a dearth of literature in treatment based on these syndromes.Aim
To identify the effects of movement impairment-based treatment in the management of mechanical neck pain, in computer users.Methods
In the present study, twenty-seven subjects were recruited. Based on the identified scapular impairment syndrome, they were trained with scapular movement impairment-based exercises for four weeks. Pain, disability and cervical range of motion were measured with numeric pain rating scale, neck disability index and inclinometer, respectively, at baseline and at four weeks.Results
Twenty-one subjects completed the study. After four weeks, a significant difference of 4.81 points for numeric pain rating scale and 24.47% for neck disability index at 95% CI were found. The cervical range of motion showed a significant change (p < 0.05) of 10.09° for flexion, 24.47° for extension, 7.42° for right lateral flexion, 6.23° for left lateral flexion, 15.52° for right rotation and 14.95° for left rotation at 95% CI.Conclusions
Exercises based on scapular impairment syndromes were given for four weeks. It was found to be effective in relieving pain and reducing dysfunction in computer users with mechanical neck pain 相似文献16.
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Darpan Bhargava Megha Jain Ashwini Deshpande Ajita Singh Jagdish Jaiswal 《Journal of maxillofacial and oral surgery》2015,14(2):454-459
Temporomandibular joint (TMJ) disc derangement is defined as a malpositioning of the articular disc relative to the condyle and eminence. Arthrocentesis of the TMJ is a minimally invasive chair side procedure for the patients with TMJ internal derangement. This case report presents convincing results to keep arthrocentesis as an imperative procedure to relieve such patients of their acute symptoms. TMJ dynamics has also been discussed for an in-depth understanding of the pathology in cases with internal derangement. 相似文献
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Kristine Yaffe MD Manjula Kurella‐Tamura MD MPH Lynn Ackerson PhD Tina D. Hoang MSPH Amanda H. Anderson PhD Mark Duckworth MPH Alan S. Go MD Marie Krousel‐Wood MD MSPH John W. Kusek PhD James P. Lash MD Akinlolu Ojo MD PhD Nancy Robinson PhD Ashwini R. Sehgal MD James H. Sondheimer MD Susan Steigerwalt MD Raymond R. Townsend MD the CRIC Study Investigators 《Journal of the American Geriatrics Society》2014,62(9):1623-1629
19.
Ashwini Naveen Shankar Vemanna Naveen Shankar Nidarsh Hegde Rajendra Prasad 《Journal of cranio-maxillo-facial surgery》2012,40(8):675-679
Aim of the present study was to report on the survey of fractures, frequency of presentation, sex and age distributions, aetiology, site distributions, associated injuries & modalities of treatment rendered at muticentres treated by the division of oral and maxillofacial surgery between 2000 and 2005 in Karnataka state of India. Study revealed that the common cause for the facial fractures was found to be traffic accidents (72.7%) with a male preponderance and peak incidence during 20–30 years of age. Isolated mandibular fractures were most frequent [1035 patients (41.7%)] followed by isolated mid face fractures [526 patients (21.2%)]. Among mid face fractures, zygomatic bone and arch were most frequently involved. Open reduction and internal fixation and closed method were used in almost the same frequency. Traffic accidents are the leading cause of the maxillofacial fractures from the observation made from the study. Legislations preventive measures to be enforced and abided by every citizen. 相似文献
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