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Neglected isolated fracture of the trochlea humeri

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Chinese Journal of Traumatology 2010年第4期13卷 247-249页

作者： ajay pal singh ish kumar dhammi anil kumar jain Saurabh jain Department of Orthopaedics Guru Teg Bahadur Hospital University College of Medical Sciences University of Delhi Delhi 110095 India

A 15 years old girl was found to have isolated trochlea fracture 10 weeks after an injury caused by a fall on her left elbow. Movement of the elbow was severely restricted. Radiographs showed a half moon-shaped and anterosuperiorly displaced osteochondral fragment. Medial approach capsulotomy of the elbow and excision of the intraarticular adhesions were done to expose the isolated trochlea fracture. Headless screws were used for fixation, combined with bone grafting. The follow-up showed union and excellent functional recovery of the elbow. Isolated trochlea fracture in adults is rare and usually associated with capitellar fractures and/or elbow dislocations. A neglected trochlea fracture is rarely reported in the English language literature to the best of our knowledge. Recognition of isolated trochlea fracture is vital to apprehend the pathomechanics of the injury and to devise a suitable treatment approach.

关键词： Fractures, bone Humerus Elbow

Nonunion of coronal shear fracture of femoral condyle

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Chinese Journal of Traumatology 2011年第3期14卷 143-146页

作者： ajay pal singh ish kumar dhammi Raju Vaishya anil kumar jain Arun pal singh Prashant Modi Punjab Civil Medical Services Mukerian Punjab India Department of Orthopedics UCMS & GTB Hospital Delhi India Department of Orthopedics and Traumatology Indraprastha Apollo Hospital Delhi India S.P.N. Hospital Mukerian Punjab India

Isolated coronal fractures of femoral condyle are rare in adults and nonunion of Hoffa fracture is reported only a few times in the literature. We analyzed six cases of nonunion of Hoffa fractures over a period of three years. Three patients were treated conservatively and three patients had fixation failures. Delay of presentation was 2 months to one year. Treatment protocol consisted of open reduction, excision of pseudoarthrosis, bone grafting and internal fixation along with knee arthrolysis. Union wasachieved in all patients at mean 16 weeks. The treatment of nonunion of Hoffa fractures requires careful preoperative planning and meticulous surgical technique. The literature regarding the controversies in fracture management and surgical technique are reviewed.

关键词： Femoral fracture Fracture ftxation internal Retrospective studies

Monteggia fracture dislocation equivalents analysis of eighteen cases treated by open reduction and internal fixation

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Chinese Journal of Traumatology 2011年第4期14卷 221-226页

作者： ajay pal singh ish kumar dhammi anil kumar jain Rajeev Raman Prashant Modi Punjab Civil Medical Services-I Mukerian Punjab India Department of Orthopaedics UCMS & GTB HospitalDelhi 110095 India

Objective： Monteggia fracture disloca- tion equivalent, though already described by Bado, is still an unclassified entity. We aimed to retrospectively analyze 18 cases of Monteggia variants and discuss the injury mechanisms, management, and outcome along with a re- view of the literature. Methods： A retrospective record of Monteggia frac- ture dislocation （2003-2008） was reviewed from medical record department of our institute. Classic Monteggia frac- ture dislocation, children below 12 years or adults over 50 years, as well as open grade iI ＆ Ill cases were excluded from this study. Monteggia variant inclusion criteria in- cluded fracture of the proximal ulna together with a fracture of the radial head or neck and skeletal maturity. Totally 26 patients were identified with Monteggia variants and 18 were available for follow-up, including 11 males and 7 fe- males with the mean age of 35 years. The ulna fracture was treated by compression plating along with tension band wiring. Radial head/neck was reconstructed in 12 patients while excised in 6 patients. Results： Follow-up ranged from 1-4 years, mean 2.6 years. Patients were assessed clinicoradiologically. MayoElbow Performance Score outcomes. At final follow-up, was employed to assess the the results were excellent in 10 patients, good in 4, fair in 2 and poor in 2. Mean range of motion of the elbow was 20°, 116°, 50° and 55° for extension, flexion, pronation and supination, respectively. Two patients had complications in the form of heterotopic ossification and stiffness of the elbow. One nonunion ulna, primarily treated by tension band wiring, was managed by refixation with locking reconstruction plate and bone grafting. Bone grafting was only required in this patient for nonunion. Another patient had implants removed on his request. The results in our series closely correlated with extent of intraarticular damage, coronoid fracture and comminuted fractures. Conclusions： Monteggia fracture dislocation equiva-

关键词： Monteggia's fracture Radius fracture Ulna

Nanostructured porous polyaniline(PANI)coated carbon cloth(CC)as electrodes for flexible supercapacitor device

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Journal of Materials Science & Technology 2021年第29期88卷 168-182页

作者： Dinesh J.Ahirrao ajay kumar pal Vikalp singh Neetu Jha Department of Physics Institute of Chemical TechnologyMatunga(E)Mumbai400019India Department of Physics Ramniranjan Jhunjhunwala CollegeGhatkopar(W)Mumbai 400086India

Nanostructured porous polyaniline(PANI)has been synthesized and coated simultaneously on a highly flexible and conductive carbon cloth(CC)substrate using a simple in-situ chemical oxidative polymerization *** coated CC(PANI-CC)based flexible electrodes were further used for the fabrication of flexible supercapacitor *** the comparison purpose,pure PANI has also been synthesized and tested for its electrochemical *** energy storage capacity of PANI and PANI–CC composite was investigated using electrochemical techniques like CV,GCD,and EIS in a potential range from 0 to 0.8 V in 1 M H_(2)SO_(4)***-CC flexible electrodes exhibited the highest specific capacitance of 691 F/g;whereas,pure PANI could only achieve 575 F/g of specific capacitance at 1 A/*** also exhibited outstanding cyclic stability by recollecting 94%of its initial capacitance after 2000 GCD *** actual implementation,a flexible supercapacitor device has been fabricated using stainless steel sheets and PANI-CC flexile *** energy storage performance of the PANI-CC flexible supercapacitor device was tested at several bending angles,which resulted in 72%of capacitance retention at a maximum bending angle of 140°compared to the capacitance obtained at an angle 0°(flat state).PANI-CC exhibited improved electrochemical performance than pure PANI due to the synergistic effect between PANI and ***,CC helped in enhancing the conductivity and stability;whereas,PANI boosted the capacitance owing to its excellent porosity and fast pseudocapacitive charge storage response.

关键词： Polyaniline Carbon cloth Flexible supercapacitor Flexible electrode Composite

palliative surgical bypass for unresectable periampullary carcinoma

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Hepatobiliary & Pancreatic Diseases International 2008年第3期7卷 308-312页

作者： Shivendra singh ajay kumar Sachdev Adarsh Chaudhary anil kumar Agarwal Department of Gastrointestinal Surgery Govind Ballabh Pant Hospital&Maulana Azad Medical CollegeNew Delhi 110002India

BACKGROUND:Around 60%to 80%of patients with periampullary carcinoma are unresectable either due to distant metastasis or local vascular *** the advancement of endoscopic interventional procedures,the role of surgical bypass has ***,surgical bypass is still appropriate in patients with unresectable disease discovered at the time of *** study was conducted to assess the results of palliative surgical bypass for patients with unresectable periampullary carcinoma at our hospital,a tertiary referral center of Northern India. METHOD:The study group comprised 204 patients who had undergone surgical bypass for advanced periampullary carcinoma over the last 15 years. RESULTS:Between January 1990 and December 2004,204 patients(128 males,76 females)consisting of 179 patients with carcinoma of head of the pancreas,14 patients with ampullary carcinoma,8 patients with lower end cholangiocarcinoma and 3 patients with duodenal carcinoma underwent surgical *** average age was 51 years (range 20-78 years).Both biliary and gastric bypasses were done in 158(77.45%),biliary bypass alone in 37(18.13%) and gastric bypass alone in 9(4.32%).Biliary bypass was done by Roux-en-Y hepaticojejunostomy,and gastric bypass by retrocolic *** overall postoperative mortality and morbidity were 0.98%and 26.9%,respectively The patients who died had undergone previously endoscopic *** included wound infection in 12.25%of the patients,bile leak in 5.12%,delayed gastric emptying in 5.38%,ascitic leak from drains in 8.8%,and upper gastrointestinal bleeding in 1.96%.The incidences of wound infection and bile leak both were significantly higher in patients who had had preoperative biliary stenting None of the patients who had undergone Roux-en-Y hepati cojejunostomy+retrocolic gastrojejunostomy required any intervention later in their ***:Surgical bypass is a safe procedure with negligible mortality and minimal mo

关键词： surgical bypass periampullary carcinoma

Outcome of surgical treatment of type Ⅳ capitellum frac- tures in adults

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Chinese Journal of Traumatology 2012年第4期15卷 201-205页

作者： ajay pal singh ish kumar dhammi Vipul Garg Arun pal singh Punjab Civil Medical Services-I Mukerian PunjabIn-dia Department of Orthopaedics UCMS&GTB HospitalDelhiIndia Swami Pramanand Hospital MukerianPunjabIndia

Objective： Fractures of the capitellum and trochlea constitute less than 1% of all elbow fractures and a shear fracture involving the capitellum and extending medially into most of the trochlea is rarely reported. Type Ⅳ capitellum fracture is still controversial in regard to its ra- diographic appearance, surgical approach and osteosynthesis. We report 10 cases of type Ⅳ capitellum fracture with a view to elucidating its clinical features and treatment outcome. Methods： We treated 10 patients of type Ⅳ capitellum fracture with a mean age of 32 years. A uniform surgical approach and postoperative rehabilitation were followed. Results： Nine patients presented to us after a mean of 4 days of injury and one patient was nonunion after 6 months of injury who had been treated conservatively by a bone setter. Double arc sign was absent in 6 cases. Intraopera- tively 6 capitellotrochlear fragments were devoid of soft tissue attachments. By Mayo Elbow Performance Score evaluation, 7 patients got excellent, 2 good and 1 fair results. One patient with associated elbow dislocation developed heterotopic ossification. There was no case of avascular necrosis, osteoarthrosis or fixation failures. Conclusions： Type Ⅳ capitellum fractures are rare and belong to complex articular injuries. A good functional out- come can only be achieved with open reduction and stable internal fixation followed by early mobilization. Preopera- tive radiographic assessment and computed tomography help surgeons in choosing the right surgical approach and implants. Good surgical technique and stable internal fixa- tion are the keys to early mobilization and good functional outcome.

关键词： Fractures, bone Elbow joint Fracture location, internal Bone wires

Analysis of isoquinoline alkaloids from Mahonia leschenaultia and Mahonia napaulensis roots using UHPLC-Orbitrap-MSn and UHPLC-QqQ LIT-MS/MS

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Journal of Pharmaceutical Analysis 2017年第2期7卷 77-86页

作者： Awantika singh Vikas Bajpai Sunil kumar ajay kumar singh Rawat Brijesh kumar Sophisticated Analytical Instrument Facility Division CSIR-Central Drug Research InstituteLucknow 226031India Academy of Scientific and Innovative Research New Delhi 110001India Pharmacognosy and Ethnopharmacology Division CSIR-National Botanical Research InstituteLucknow 226001India

Mahonia leschenaultia（ML） and Mahonia napaulensis（MN） are less known and unexplored medicinal plants of the family Berberidaceae. They are used by the Todas of Nilgiris in their religious and medical practices but chemically less identified. Hence, we decided to do extensive phytochemical analysis to explore the potential of these plant extracts. An ultrahigh performance electrospray tandem mass spectrometry（UHPLC-ESI-MS/MS）method was successfully developed for qualitative analysis of the bioactive components in Mahonia species using Orbitrap Velos Pro mass spectrometer. Sixteen compounds were identified by comparison of their retention times and mass spectra（MS） with authentic standards and reported literature. Multi-stage mass spectra（MS（2-8）） for the identification of protoberberine and aporphine alkaloids showed the sequential expulsion of all the substituents attached with their basic skeleton followed by CO loss. Eight of the identified compounds（berberine, jatrorrhizine, palmatine, magnoflorine, isocorydine, glaucine, tetrahydropalmatine and tetrahydroberberine） were simultaneously determined by another UHPLC-ESI-MS/MS method under the multiple reactions monitoring（MRM） mode quantitatively using triple quadrupole linear ion trap mass spectrometer. The analytical method was validated for 8 bioactive compounds with overall recovery in the range98.5%-103.6%（RSD≤2.2%）, precise（RSD≤2.07%） and linear（r≥0.9995） over the concentration range of 0.5-1000 ng/mL and successfully applied in ML and MN roots, which suggests the suitability of the proposed approach for the routine analysis of Mahonia species and their quality control.

关键词： Orbitrap-MS QqQLIT-MS Mahonia leschenaultia Mahonia napaulensis Isoquinoline alkaloids

Hopf bifurcation in a delayed prey-predator model with prey refuge involving fear effect

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International Journal of Biomathematics 2024年第5期17卷 1-32页

作者： Ankit Parwaliya Anuraj singh ajay kumar Department of Applied Sciences ABV-Indian Institute of Information Technology and ManagementGwalior 474015India

This work investigates a prey-predator model featuring a Holling-type II functional response,in which the fear effect of predation on the prey species,as well as prey refuge,are ***,the model assumes that the growth rate of the prey population decreases as a result of the fear of ***,the detection of the predator by the prey species is subject to a delay known as the fear response delay,which is incorporated into the *** paper establishes the preliminary conditions for the solution of the delayed model,including positivity,boundedness and *** paper discusses the existence and stability of equilibrium points in the *** particular,the paper considers the discrete delay as a bifurcation parameter,demonstrating that the system undergoes Hopf bifurcation at a critical value of the delay *** direction and stability of periodic solutions are determined using central manifold and normal form ***,the global stability of the model is established at axial and positive equilibrium *** extensive numerical simulation is presented to validate the analytical findings,including the continuation of the equilibrium branch for positive equilibrium points.

关键词： Hopf bifurcation fear effect prey refuge periodic solutions time delay branch off

Ebola virus disease: past, present and future

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Asian Pacific Journal of Tropical Biomedicine 2015年第5期5卷 337-343页

作者： Harish Rajak Deepak kumar jain Avineesh singh ajay kumar Sharma Anshuman Dixit Institute of Pharmaceutical Sciences Guru Ghasidas University Department of Pharmacy G.S.V.M. Medical College Institute of Life Sciences

Ebola virus disease is one of the most deadly ailments known to mankind due to its high mortality rate(up to 90%) accompanying with the disease. Ebola haemorrhagic fever(EHF) is an infectious disease of animal that can be transmitted to both human and non-human primates. The first epidemic of EHF occurred in 1976 in the Democratic Republic of the Congo. The incubation period of ebola is less than 21 days. Ebola virus infections are depicted by immune suppression and a systemic inflammatory response that leads to damage of the vascular, coagulation and immune systems, causing multi-organ failure and shock. Five genetically distinct members of the Filoviridae family responsible for EHF are as follows: Zaire ebolavirus, Sudan ebolavirus, C?te d'Ivoire ebolavirus, Bundibugyo ebolavirus and Reston ebolavirus. The ongoing 2014 West Africa ebola epidemic has been considered as the most serious panic in the medical field with respect to both the number of human cases and death toll. The natural host for ebola virus is unknown, thus it is not possible to carry out programs to regulate or abolish virus from transmission to people. The ebola virus infection provides little chance to develop acquired immunity causing rapid progression of the disease. It is pertinent to mention that at present, there is no antiviral therapy or vaccine that is helpful against ebola virus infection in humans. The impediment of EHF necessitates much better understanding of the epidemiology of the disease, particularly the role of wildlife, as well as bats, in the spread of ebola virus to humans.

关键词： Ebola virus disease Ebola haemorrhagic fever Ebola virus Filoviridae