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Outcome of repair of chronic tear of the pectoralis major using corkscrew suture anchors by box suture sliding technique

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World Journal of Orthopedics 2016年第10期7卷 670-677页

作者： Deepak Joshi Jitesh Kumar jain Deepak Chaudhary Utkarsh Singh vineet jain Ajay Lal Sports Injury Centre Safdarjung Hospital Sports Injury Centre Safdarjung Hospital and Vardhman Mahavir Medical College

AIM To assess the functional and clinical results of repair of chronic tears of pectoralis major using corkscrew and sliding suture technique. METHODS In this retrospective study, we reviewed the results of pectoralis major repair in 11 chronic cases(> 6 wk) done between September 2011 and December 2014 at our institute. In all cases repair was done by same surgeon using corkscrew suture anchors and box suture sliding technique. At 6 mo, after surgery magnetic resonance imaging was done to see the integrity of the repair. Functional evaluation was done using Penn and ASES scores. Pre and postoperative Isokinetic strength was *** Average follow-up was 48.27 ± 21.0 mo. The Wilcoxon signed rank test was used to evaluate the outcome scores. The average ASES score increased from an average of 54.63 ± 13.0 preoperatively to 95.09 ± 2.60 after surgery at their last follow-up. The average Penn score also increased from 5.72 ± 0.78, 2.81 ± 1.32 and 45.81 ± 1.72 to 9.36 ± 0.80, 8.27 ± 0.90 and 59 ± 1.34 for pain, satisfaction and function respectively. Follow up magnetic resonance imaging(MRI)(at 6 mo) showed continuity and the bulk of pectoralis major muscle in all cases. Average isokinetic strength deficiency in horizontal adduction at 60° was 13.63% ± 6.93% and at 120° was 10.18% ± 4.93% and in flexion at 60° was 10.72% ± 5.08% and at 120° was 6.63% + 3.74%. Results showed that both ASES and Penn score improved significantly(2 tailed P value = 0.0036).CONCLUSION We could conclude from this series that pectoralis major repair even in chronic cases using 5.5 mm corkscrew anchors give excellent functional and cosmetic results. In chronic cases the repairable length of the tendon is not available and sliding suture technique allows for fixation of worn out tendomuscular junction to bone without letting cutting through the muscle.

关键词： Pectoralis major tear Corkscrew suture anchors Chronic tears Bench press Tendon repair

A six months old neglected anterior shoulder dislocation managed by closed reduction and Latarjet procedure

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Chinese Journal of Traumatology 2016年第5期19卷 295-297页

作者： Deepak Chaudhary Deepak Joshi vineet jain Mukul Mohindra Nitin Mehta Sports Injury Center Safdarjung Hospital and VMM College New Delhi India

A neglected shoulder dislocation is a rarer entity and only few cases are reported in the literature. An anterior dislocation of the shoulder is rarely missed as patients present with limb in abduction and external rotation, an attitude very familiar to orthopaedic surgeon. Occasionally such cases are missed when they present with fracture of proximal humerus or when they receive treatment from unqualified practitioners who commonly practise in rural areas. Owing to very few reports there is paucity of literature and no standard treatment protocol exists for neglected anterior dislocation of the shoulder. though most such chronic cases are managed by open reduction. This case report describes a six months old neglected anterior dislocation with a significant Hill Sachs lesion, which was managed by closed reduction and Latarjet procedure.

关键词： Shoulder dislocation Humeral fractures Latarjet procedure

Viremia and clinical manifestations in acute febrile patients of Chikungunya infection during the 2016 CHIKV outbreak in Delhi,India

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Infectious Medicine

Infectious Medicine 2024年第1期3卷 39-44页

作者： Rohit Sagar Siva Raghavendhar vineet jain Naushad Khan Anmol Chandele Ashok Kumar Patel Murali Kaja Pratima Ray Neera Kapoor Department of Biotechnology School of Chemical and Life SciencesJamia HamdardNew Delhi 110062India Department of Life Sciences School of SciencesIGNOUNew Delhi 110068India Kusuma School of Biological Sciences Indian Institute of TechnologyNew Delhi 110016India HAH Centenary Hospital Jamia HamdardNew Delhi 110062India ICGEB-Emory Vaccine Center ICGEBNew Delhi 110067India Department of Pediatrics Emory University School of Medicine30322 AtlantaGAUSA

Background:Chikungunya virus(CHIKV)is an infectious agent that caused several outbreaks among different countries and affected approximately 1.3 million Indian *** is transmitted by Aedes mosquito–either *** or ***,the clinical manifestations of CHIKV infection involve high-grade fever,joint pain,skin rashes,headache,and *** present study aims to investigate the relationship between the CHIKV virus load and clinical symptoms of the CHIKV infection so that better patient management can be done in the background of the CHIKV outbreak as there is no licensed anti-viral drug and approved vaccines available against ***:CHIKV RTPCR positive samples(n=18)(Acute febrile patients having D.O.F≤7 days)were taken for the quantification of CHIKV viremia by Real-Time *** features of the febrile patients were recorded during the collection of blood ***:The log mean virus load of 18 RT-PCR-positive samples was 1.3×10^(6) copies/mL(1.21×10^(3)–2.33×10^(8) copies/mL).Among the observed clinical features,the log mean virus load(CHIKV)of the patients without skin rash is higher than in the patients with skin rash(6.61 vs.5.5,P=0.0435).Conclusion:The conclusion of the study was that the patients with skin rashes had lower viral load and those without skin rashes had higher viral load.

关键词： CHIKV Clinical features Viral load Febrile patients Outbreak

Prominent myalgia-an important clue in the diagnosis of a muscle disorder

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World Journal of Pediatrics 2017年第3期13卷 282-282页

作者： Puneet jain vineet Sehgal Department of Neonatal Pediatric and Adolescent MedicineDivision of Pediatric NeurologyBL Kapur(BLK)Super Speciality HospitalPusa RoadNew Delhi 110005India Division of Neurology Department of PediatricsThe Hospital for Sick ChildrenTorontoOntarioCanada Department of Pediatrics Max Super Speciality HospitalShalimar BaghNew DelhiIndia

Adevelopmentally normal,15-year-old boy presented with complaint of gait abnormalities since 8 years of *** child complained of difficulty in climbing stairs and *** could not climb stairs without the support of *** w... 详细信息

关键词： Prominent diagnosis disorder

Co-relation of SARS-CoV-2 related 30-d mortality with HRCT score and RT-PCR Ct value-based viral load in patients with solid malignancy

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World Journal of Clinical Oncology 2022年第5期13卷 339-351页

作者： Satya Narayan vineet Talwar Varun Goel Krushna Chaudhary Anurag Sharma Pallavi Redhu Satyajeet Soni Arpit jain Department of Medical Oncology Rajiv Gandhi Cancer Institute and Research CentreNew Delhi 110085India Department of Research Rajiv Gandhi Cancer Institute and Research CentreNew Delhi 110085India

BACKGROUND Coronavirus disease 2019(COVID-19)patients with malignancy are published worldwide but are lacking in data from *** To characterize COVID-19 related mortality outcomes within 30 d of diagnosis with HRCT score and RT-PCR Ct value-based viral load in various solid *** Patients included in this study were with an active or previous malignancy and with confirmed severe acute respiratory syndrome coronavirus 2(SARS-CoV-2)infection from the institute *** collected data on demographic details,baseline clinical conditions,medications,cancer diagnosis,treatment and the COVID-19 disease *** primary endpoint was the association between the mortality outcome and the potential prognostic variables,specially,HRCT score,RT-PCR Ct value-based viral load,*** logistic regression analyses treatment received in 30 *** Out of 131 patients,123 met inclusion criteria for our *** median age was 57 years(interquartile range=19-82)while 7(5.7%)were aged 75 years or *** most prevalent malignancies were of GUT origin 49(39.8%),hepatopancreatobiliary(HPB)40(32.5%).109(88.6%)patients were on active anticancer treatment,115(93.5%)had active(measurable)*** analysis on May 20,2021,26(21.1%)patients had *** logistic regression analysis,independent factors associated with an increased 30-d mortality were in patients with the symptomatic *** in the last 4 wk,number of comorbidities(≥2 vs none:3.43,1.08-8.56).The univariate analysis showed that the risk of death was significantly associated with the HRCT score:for moderate(8-15)[odds ratio(OR):3.44;95%confidence interval(CI):1.3-9.12;P=0.0132],severe(>15)(OR:7.44;95%CI:1.58-35.1;P=0.0112).CONCLUSION To the best of our knowledge,this is the first study from India reporting the association of HRCT score and RT-PCR Ct value-based 30-d mortality outcomes in SARS-CoV-2 infected cancer patients.

关键词： SARS-CoV-2 COVID-19 Cancer HRCT Viral load

All ileo-cecal ulcers are not Crohn's:Changing perspectives of symptomatic ileocecal ulcers

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World Journal of Gastrointestinal Endoscopy 2017年第7期9卷 327-333页

作者： Jay Toshniwal Romesh Chawlani Amit Thawrani Rajesh Sharma Anil Arora Hardik L Kotecha Mohan Goyal Vijendra Kirnake Pankaj jain Pankaj Tyagi Naresh Bansal Munish Sachdeva Piyush Ranjan Mandhir Kumar Praveen Sharma Vikas Singla Rinkesh Bansal vineet Shah Sunita Bhalla Ashish Kumar Department of Gastroenterology Dr.Toshniwal’s Gastro-Liver Care Department of Gastroenterology Sir Gangaram Hospital Department of Histo-pathology Sir Gangaram Hospital

To investigated clinical, endoscopic and histopathological parameters of the patients presenting with ileocecal ulcers on colonoscopy. METHODSConsecutive symptomatic patients undergoing colonoscopy, and diagnosed to have ulcerations in the ileocecal (I/C) region, were enrolled. Biopsy was obtained and their clinical presentation and outcome were recorded. RESULTSOut of 1632 colonoscopies, 104 patients had ulcerations in the I/C region and were included in the study. Their median age was 44.5 years and 59% were males. The predominant presentation was lower GI bleed (55, 53%), pain abdomen ± diarrhea (36, 35%), fever (32, 31%), and diarrhea alone (9, 9%). On colonoscopy, terminal ileum was entered in 96 (92%) cases. The distribution of ulcers was as follows: Ileum alone 40% (38/96), cecum alone 33% (32/96), and both ileum plus cecum 27% (26/96). The ulcers were multiple in 98% and in 34% there were additional ulcers elsewhere in colon. Based on clinical presentation and investigations, the etiology of ulcers was classified into infective causes (43%) and non-infective causes (57%). Fourteen patients (13%) were diagnosed to have Crohn’s disease (CD). CONCLUSIONNon-specific ileocecal ulcers are most common ulcers seen in ileo-cecal region. And if all infections are clubbed together then infection is the most common (> 40%) cause of ulcerations of the I/C region. Cecal involvement and fever are important clues to infective cause. On the contrary CD account for only 13% cases as a cause of ileo-cecalulcers. So all symptomatic patients with I/C ulcers on colonoscopy are not Crohn’s.

关键词： Ileocecal Crohn’s disease Diffuse large B-cell non-hodgkin’s lymphoma