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Chinese Journal of Traumatology 2013年第1期16卷 40-45页

作者： k.mal Bali Nitesh Gahlot Sameer aggarwal Vijay Goni Department of Orthopaedic Surgery Post GraduateInstitute of Medical Education and Research ChandigarhIndia Department of Orthopaedics University of CalgaryAlberta Canada

Objective： Surgical management options for femoral shaft fracture and ipsilateral proximal fe- mur fracture vary from single-implant to double-implant fixation. Cephalomedullary fixation in such fractures has rela- tive advantages over other techniques especially because of less soft tissue dissection and immediate postoperative weight beating with accelerated rehabilitation. However, the surgery is technically demanding and there is a paucity of literature describing the surgical techniques for this fixation. The aim of the study was to describe the surgical technique of cephalomedullary fixation for femoral shaft fracture and ipsilateral proximal femur fracture. Methods： Sixteen cases （10 males and 6 females with a mean age of 41.8 years） of ipsilateral proximal femur and shaft fractures were treated by single-stage cephalomedullary fixation at tertiary level trauma center in northern India. The fractures were classified according to AO classification. An intraoperative record of duration of surgery as well as technical challenges unique to each fracture pattern was k.pt for all the patients. Results： The most common proximal femoral pattern was AO B2.1 observed in 9 of our patients. The AO B2.3 fractures were seen in 4 patients while the AO A1.2 fractures in 3 patients. Four of the AO B2.1 and 2 of the AO B2.3 frac- tures required open reduction with Watson-Jones approach. The mean operative time was around 78 minutes, which tended to decrease as the surgical experience increased. There was only one case of malreduction, which required revision surgery. Conclusion： Combination of ipsilateral femoral shaft fracture and neck.intertrochanteric fracture is a difficult frac- ture pattern for trauma surgeons. Cephalomedullary nail is an excellent implant for such fractures but it requires careful insertion to avoid complications. Surgery is technically demanding with a definite learning curve. Nevertheless, a majority of these fractures can be surgically managed by

关键词： Femoral fractures Fracture fixation, internal Nails

Hypohydrotic Ectodermal Dysplasia Revisited

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海南医学院学报 2009年第12期15卷 1524-1525页

作者： Hema Mittal MMA Faridi Anju aggarwal Tushar Godbole Department of Pediatrics University College of Medical Sciences and Guru Tegh Bahadur Hospital Department of Pediatrics University of Medical SciencesDelhi-110095India

Ectodermal dysplasia is a rare disease with involvement of teeth,sk.n and appendages. We report a 2 year old boy presenting with recurrent fever,scarce facial and scalp hair and absence of sweating. Sk.n and hair biop... 详细信息

关键词：发育异常临床诊断医学

Effect of Perturbations in Coriolis and Centrifugal Forces on the Non-Linear Stability of <i>L</i><sub>4</sub>in the Photogravitational Restricted Three Body Problem

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International Journal of Astronomy and Astrophysics 2015年第4期5卷 275-290页

作者： k.vita Chauhan S. N. Rai Rajiv aggarwal Department of P. G. Department of Mathematics V.K.S. University Ara India Department of Department of Mathematics S.B. College Ara India Department of Mathematics Sri Aurobindo College University of Delhi Delhi India

Effect of perturbations in Coriolis and centrifugal forces on the non-linear stability of the libration point L4 in the restricted three body problem is studied when both the primaries are axis symmetric bodies (triaxial rigid bodies) and the bigger primary is a source of radiation. Moser’s conditions are utilized in this study by employing the iterative scheme of Henrard for transforming the Hamiltonian to the Birk.off’s normal form with the help of double D’Alembert’s series. It is found that L4 is stable for all mass ratios in the range of linear stability except for the three mass ratios μc1, μc2 and μc3, which depend upon the perturbations ε1 and ε1 in the Coriolis and centrifugal forces respectively and the parameters A1,A2,A3 and A4 which depend upon the semi-axes a1,b1,c1;a2,b2,c2 of the triaxial rigid bodies and p, the radiation parameter.

关键词： Restricted Three Body Problem Axis Symmetric Bodies Non-Linear Stability Libration Point L4 Double D’Alembert’s Series Method

Role of angiotensin converting enzyme and angiotensinogen gene polymorphisms in angiotensin converting enzyme inhibitor-mediated antiproteinuric action in type 2 diabetic nephropathy patients

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World Journal of Diabetes 2017年第3期8卷 112-119页

作者： Neerja aggarwal Pawan k.mar k.re Parul Varshney Om Prak.sh k.lra Sri Venk.ta Madhu Basu Dev Banerjee Anil Yadav Alpana Raizada Ashok.k.mar Tripathi Department of Medicine University College of Medical Sciences (University of Delhi) and Guru Teg Bahadur Hospital Department of Biochemistry University College of Medical Sciences (University of Delhi) and Guru Teg Bahadur Hospital Pt. B. D. Sharma University of Health Sciences

AIM To investigate the role of genetic variants of angiotensin converting enzyme(ACE) and angiotensinogen(AGT) genes in the antiproteinuric efficacy of ACE inhibitor therapy in diabetic nephropathy(DN) *** In the present study, 270 type 2 diabetes mellitus patients with nephropathy were enrolled and treated with ACE inhibitor(ramipril) and followed at 6 mo for renal function and albumin excretion by estimating serum creatinine, end stage renal disease, and albumin/creatinine ratio(ACR) in urine. Genotyping of ACE I/D and AGT M235 T polymorphisms were performed by using primer specific polymerase chain reaction(PCR) and PCR-RFLP techniques, respectively. RESULTS Forty-eight percent of DN patients(responders) benefited with respect to proteinuria from ACE inhibitor therapy at 6 mo follow-up. A significant reduction in ACR was observed after 6 mo treatment with ACE inhibitor irrespective of whether DN patients were micro-albuminuric(≥ 30 and < 300 mg/g creatinine) or macro-albuminuric(≥ 300 mg/g creatinine) at the time of enrollment. However, macro-albuminuric patients(55%) showed better response to therapy. A reduction in urinary ACR was found independent of genotypes of ACE I/D and AGT M235 T polymorphisms although macro-albuminuric patients having TT genotype showed statistically insignificant increased response(72%). CONCLUSION ACE inhibitor therapy reduced urinary ACR by ≥ 30% in 50% of DN patients and the response is independent of ACE I/D and AGT M235 T polymorphisms.

关键词： Diabetic nephropathy Angiotensin converting enzyme inhibitor therapy Renin-angiotensin-aldosterone system gene polymorphisms Responder Urinary albumin/creatinine ratio Albuminuria

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为什么减少空气污染是值得去做的事

世界环境 2024年第4期 50-50页

作者：谢拉·阿格瓦尔·汗联合国环境规划署工业和经济司

打开新闻,雾霾笼罩的城市、停工停学的学校、被取消的体育赛事……空气污染的严重后果令人触目惊心——这一全球性灾害每年导致800多万人死亡,并正在毒害我们的经济。现在,全球99%的人呼吸着劣质空气,污染正在成为气候变化的帮凶。空气... 详细信息

打开新闻,雾霾笼罩的城市、停工停学的学校、被取消的体育赛事……空气污染的严重后果令人触目惊心——这一全球性灾害每年导致800多万人死亡,并正在毒害我们的经济。现在,全球99%的人呼吸着劣质空气,污染正在成为气候变化的帮凶。空气污染对公共卫生、经济和环境造成的巨大代价是显而易见的,全球健康损害成本每年总计达8.1万亿美元,占全球生产总值的6%以上。然而,解决空气污染的行动仍然不够,资金投入也远远不足。目前仅有1%的国际发展资金用于清洁空气项目,尽管每投资1美元用于清洁空气举措就有可能带来高达30美元的经济效益。

关键词：空气污染生产总值全球健康公共卫生气候变化清洁空气资金投入体育赛事

Increase in optic nerve sheath diameter predicts early cerebral involvement in fat embolism syndrome

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Chinese Journal of Traumatology 2021年第3期24卷 180-182页

作者： Arnab Banerjee Richa aggarwal k.pil dev Soni Anjan Tirk.a Critical and Intensive Care Jay Prakash Narayan Apex Trauma CenterAll India Institute of Medical SciencesNew DelhiIndia Department of Anaesthesiology Critical Care and Pain MedicineAll India Institute of Medical SciencesNew DelhiIndia

Early diagnosis of cerebral fat embolism in a patient with contradiction to MRI is *** we report an interesting case,where the raised optic nerve sheath diameter helped us to predict the early cerebral involvement with fat emboli in a left femoral shaft fracture *** scan could not be performed due to the presence of a metallic implant in the patient from a previous *** was later diagnosed as an atypical presentation of fat embolism *** nerve sheath monitoring also helped us to guide further management of the patient.

关键词： Embolism,fat Optic nerve sheath diameter Cerebral fat embolism Ultrasonography

Indirect Solar Drier with Electric Back.up System for Quality Hill Products

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Isolated gonadotropin deficiency with primary empty sella: Causal or casual association?

Natural Resources（自然资源） 2010年第2期

作者： rajeev k.mar aggarwal Madan Mohan Sharma Ashwani k.mar Sharma

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Open Journal of Obstetrics and Gynecology 2012年第3期2卷 276-278页

作者： Shashank.Shek.ar Chanderdeep Sharma Muk.sh Surya Neeti aggarwal Department of Obstetrics & Gynecology Dr RPGMC Tanda Kangra India Department of Radiodiagnosis Dr RPGMC Tanda Kangra India Indira Gandhi Medical College (IGMC) Shimla India

Empty sella is a radiological-anatomical entity characterised by a sella turcica filled partially or completely with cerebrospinal fluid, leading to varying degrees of pituitary flattening. Literature reports a 5% - 20% incidence of empty sella in unselected autopsies leading many to argue that its an extreme normal variant. Endocrine dysfunction varies from 8% - 25% with primary empty sella with growth hormone deficiency being most common. However isolated gonadotropin deficiency with normal sized primary empty sella are rare if any. We are reporting a case of isolated gonadotropin deficiency with primary empty sella unable to confirm or refute the association as causal or casual.

关键词： Empty Sella Empty Sella Syndrome Gonadotropin Deficiency

First and Second Order Statistics Features for Classification of Magnetic Resonance Brain Images

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