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  1. Article: Non operative management of fractures of the humerus Evaluation of a new extension casting method.

    Prakash, L / Dhar, Shabir A

    Acta orthopaedica Belgica

    2022  Volume 88, Issue 1, Page(s) 151–159

    Abstract: Fractures of the humeral shaft represent 2-4% of all fractures and functional bracing is the gold standard in conservative management. Complications like restricted shoulder range of motion and malunion of the proximal shaft fractures have however been ... ...

    Abstract Fractures of the humeral shaft represent 2-4% of all fractures and functional bracing is the gold standard in conservative management. Complications like restricted shoulder range of motion and malunion of the proximal shaft fractures have however been reported. We conducted a retrospective chart re- view of patients treated with the extension casting method over a period of 16 years. Topographically, Garnavos P, M, D, PM and MD fractures and morphologically Simple, Complex and Intermediate fractures were included. Between 2003 and 2019, 74 patients were treated with extension casting. The fractures united at a mean of 10 weeks and there was no case of non-union. Humerus is one of the bones where conservative methodology is still very pertinent. Extension casting gives reproducible and good results. It also addresses patient comfort issues to a considerable extent by allowing shoulder motion and easier maintenance of personal hygiene.
    MeSH term(s) Fracture Healing ; Humans ; Humeral Fractures/diagnostic imaging ; Humeral Fractures/surgery ; Humerus/surgery ; Retrospective Studies ; Shoulder ; Shoulder Fractures/diagnostic imaging ; Shoulder Fractures/surgery ; Treatment Outcome
    Language English
    Publishing date 2022-05-05
    Publishing country Belgium
    Document type Journal Article
    ZDB-ID 210367-9
    ISSN 0001-6462 ; 1784-407X
    ISSN 0001-6462 ; 1784-407X
    DOI 10.52628/88.1.19
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 37: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Early mobilisation after pain relief for conservative management for intertrochanteric fractures: a pandemic enforced innovation and its results.

    Prakash, Laxmanan / Dhar, Shabir A

    Hip international : the journal of clinical and experimental research on hip pathology and therapy

    2022  Volume 33, Issue 3, Page(s) 544–549

    Abstract: Background: The COVID pandemic challenged the orthopaedic mind on several fronts. 1 of them was in the management of intertrochanteric fractures. A subset of these patients refused surgical intervention during the pandemic for related reasons. Faced ... ...

    Abstract Background: The COVID pandemic challenged the orthopaedic mind on several fronts. 1 of them was in the management of intertrochanteric fractures. A subset of these patients refused surgical intervention during the pandemic for related reasons. Faced with the goal of early verticalisation, the senior author used pain relief as a method to facilitate early mobilisation in 23 patients with peritrochanteric fractures.
    Methods: 23 patients with stable intertrochanteric fractures received a β 6 distal sodium channel block (DSCB) and were allowed to walk from day 1 without surgery, traction or spica. The goal was to prevent complications of recumbency in this subset of patients. The basic idea of immediate mobilisation from the time of fracture was based on Sarmiento's sausage theory.
    Results: All the fractures united. There were no major complications. No shortening was seen in more than 50% cases and the shortening did not exceed 2 cm in any case. All patients were satisfied with the outcome and had good to excellent Harris Hip Scores.
    Conclusions: The block and walk method is a surprisingly satisfactory method of treatment for stable intertrochanteric fractures. It circumvents the risks of surgery whilst allowing immediate mobilisation preventing complications associated with the other modalities of fracture management.
    MeSH term(s) Humans ; Arthroplasty, Replacement, Hip/methods ; Conservative Treatment ; Early Ambulation ; Pandemics ; COVID-19 ; Hip Fractures/surgery ; Pain/surgery ; Treatment Outcome ; Fracture Fixation, Intramedullary
    Language English
    Publishing date 2022-04-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1162513-2
    ISSN 1724-6067 ; 1120-7000
    ISSN (online) 1724-6067
    ISSN 1120-7000
    DOI 10.1177/11207000221085490
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3810: Show issues Location:
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  3. Article ; Online: Orthopedic readiness for future pandemics: Time to revive Socrates?

    Prakash, L / A Dhar, Shabir

    Injury

    2020  Volume 51, Issue 7, Page(s) 1413

    MeSH term(s) Humans ; Motivation ; Pandemics ; Psychometrics
    Keywords covid19
    Language English
    Publishing date 2020-05-21
    Publishing country Netherlands
    Document type Editorial
    ZDB-ID 218778-4
    ISSN 1879-0267 ; 0020-1383
    ISSN (online) 1879-0267
    ISSN 0020-1383
    DOI 10.1016/j.injury.2020.05.021
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 778: Show issues Location:
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  4. Article: Prognostic value of hematological parameters in older adult patients with acute coronary syndrome undergoing coronary intervention: a single centre prospective study.

    Khan, Umar Hafiz / Pala, Murtaza Rashid / Hafeez, Imran / Shabir, Afshan / Dhar, Amrit / Rather, Hilal Ahmad

    Journal of geriatric cardiology : JGC

    2023  Volume 20, Issue 8, Page(s) 596–601

    Abstract: Background: Cardiovascular disease is a significant contributor to the disease burden in geriatric patients. Underlying systemic inflammation is thought to be the cause of age-related changes in the bone marrow and a major risk factor for ... ...

    Abstract Background: Cardiovascular disease is a significant contributor to the disease burden in geriatric patients. Underlying systemic inflammation is thought to be the cause of age-related changes in the bone marrow and a major risk factor for atherosclerosis. The purpose of the study was to assess the accuracy of these hematological biomarkers in predicting 30-day mortality in older patients with acute coronary syndrome (ACS).
    Methods: This was a prospective observational study of 601 older adult patients (age > 60 years) with ACS who underwent percutaneous coronary intervention over two years (2017-2019). The relationship between baseline hematological parameters and mortality was assessed during the 30-day follow-up. Logistic regression analysis and receiver operating characteristic curve analysis were done to evaluate for diagnostic accuracy of various hematological parameters.
    Results: The mean age of presentation was 77 ± 17 years. The mean neutrophil-lymphocyte ratio (NLR) value was 5.07 ± 4.90 and the mean platelet-lymphocyte ratio (PLR) value was 108.65 ± 85.82. On univariate analysis, total leucocyte count [odds ratio (OR) = 0.85,
    Conclusions: For the risk classification of all elderly ACS patients, we highly advise using NLR rather than the total white blood cell count.
    Language English
    Publishing date 2023-09-01
    Publishing country China
    Document type Journal Article
    ZDB-ID 2421391-3
    ISSN 1671-5411
    ISSN 1671-5411
    DOI 10.26599/1671-5411.2023.08.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: My fear, my morals: a surgeon's perspective of the COVID crisis.

    Dhar, Shabir A / Wani, Zaid A

    Philosophy, ethics, and humanities in medicine : PEHM

    2020  Volume 15, Issue 1, Page(s) 10

    MeSH term(s) COVID-19 ; Delivery of Health Care/ethics ; Fear ; Morals ; SARS-CoV-2 ; Surgeons/psychology
    Keywords covid19
    Language English
    Publishing date 2020-10-14
    Publishing country England
    Document type Letter
    ZDB-ID 2229777-7
    ISSN 1747-5341 ; 1747-5341
    ISSN (online) 1747-5341
    ISSN 1747-5341
    DOI 10.1186/s13010-020-00094-3
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  6. Article ; Online: Will trust survive the COVID pandemic?

    Dhar, Shabir A / Wani, Zaid A / Shiekh, Shanoo

    Tropical doctor

    2020  Volume 50, Issue 3, Page(s) 176–177

    Keywords covid19
    Language English
    Publishing date 2020-08-02
    Publishing country England
    Document type Editorial
    ZDB-ID 193169-6
    ISSN 1758-1133 ; 0049-4755
    ISSN (online) 1758-1133
    ISSN 0049-4755
    DOI 10.1177/0049475520938172
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1056: Show issues Location:
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  7. Article: Tuberculosis of Finger Presenting As Non-healing Ulcer of Digit: A Case Report.

    Dhar, Amrit / Khan, Umar H / Shabir, Afshan / Mantoo, Suhail / Mehfooz, Nazia

    Cureus

    2022  Volume 14, Issue 9, Page(s) e29426

    Abstract: Tuberculosis (TB) is a chronic granulomatous infection which most often localises to the respiratory system. Extra-pulmonary tuberculosis is prevalent in immunocompromised individuals, of which cutaneous tuberculosis is exceedingly rare (0.5-2%). ... ...

    Abstract Tuberculosis (TB) is a chronic granulomatous infection which most often localises to the respiratory system. Extra-pulmonary tuberculosis is prevalent in immunocompromised individuals, of which cutaneous tuberculosis is exceedingly rare (0.5-2%). Cutaneous TB presents with varied clinical morphologies, either acquired exogenously via direct inoculation on the skin or endogenously due to systemic dissemination. Diagnosis is particularly challenging due to the multitude of differential diagnoses of skin lesions. Microbiological evidence from biopsy and histopathological findings suggestive of granulomatous inflammation are needed to make a definitive diagnosis. Herein we present a rare case of tuberculosis of the finger in a middle-aged man who presented with an ulcerating and erythematous lesion. As cutaneous TB is usually misdiagnosed at the earlier stages, dermatologists and primary care physicians should keep high suspicion for cutaneous TB in any non-healing ulcers which are otherwise unexplained.
    Language English
    Publishing date 2022-09-21
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.29426
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: A Rare Case of Brucellosis With Spontaneous Splenic Rupture Presenting as an Acute Abdomen.

    Siraj, Farhana / Dhar, Amrit / Shabir, Afshan / Mantoo, Suhail / Khan, Umar H

    Cureus

    2022  Volume 14, Issue 9, Page(s) e28753

    Abstract: Brucellosis is a common zoonotic infection worldwide caused by the bacterial species Brucella. It has a wide range of presentations from asymptomatic infection to multisystem involvement. Splenomegaly is seen in around 30-60% of cases, however, ... ...

    Abstract Brucellosis is a common zoonotic infection worldwide caused by the bacterial species Brucella. It has a wide range of presentations from asymptomatic infection to multisystem involvement. Splenomegaly is seen in around 30-60% of cases, however, atraumatic spontaneous splenic rupture is extremely rare. We present a case of a 45-year-old man who presented with acute left upper quadrant pain and fever of five days duration without a history of antecedent trauma. He was hemodynamically stable with examination revealing left upper quadrant tender palpable mass. Ultrasonography followed by computed tomography revealed subcapsular hematoma with perisplenic and perihepatic free fluid. Viral markers (hepatitis B and C, cytomegalovirus {CMV}, Epstein-Barr virus {EBV}, HIV, and dengue) were negative. The autoimmune profile was negative. Brucella serum agglutination test was positive (1: 640) and blood cultures grew
    Language English
    Publishing date 2022-09-03
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.28753
    Database MEDical Literature Analysis and Retrieval System OnLINE

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