LIVIVO - Search results -

Search results

Result 1 - 10 of total 46

Search options

Article ; Online: Triple Arthrodesis for Equinovarus Foot using Ilizarov Technique

RITESH ARVIND PANDEY / RICHA

Journal of Clinical and Diagnostic Research, Vol 15, Iss 9, Pp RC01-RC

A Retrospective Study

2021 Volume 06

Abstract: Introduction: Equinovarus foot deformity is a significant problem in adolescents and its treatment remains challenging. Triple arthrodesis, even though an effective palliative tool in management of complex foot deformity, has its own limitations if it is ...

Abstract	Introduction: Equinovarus foot deformity is a significant problem in adolescents and its treatment remains challenging. Triple arthrodesis, even though an effective palliative tool in management of complex foot deformity, has its own limitations if it is done for acute deformity correction. Ilizarov technique offers gradual deformity correction, fusion and takes care of many known complications of acute correction. However, there are very few studies about effectiveness and functional outcome of triple arthrodesis for equinovarus deformity when done gradually with an Ilizarov fixator. Aim: To study the effectiveness of triple arthrodesis, performed with Ilizarov technique for equinovarus foot deformity in adolescents and adults and to evaluate the early functional outcome and patient satisfaction rate for this procedure. Materials and Methods: A retrospective analysis of 22 feet in 20 patients with equinovarus foot deformity between January 2015 and December 2018 was done. Patients underwent gradual deformity correction and triple fusion with Ilizarov fixator. Foot was assessed for any residual deformity and shortening. Functional outcome and patient satisfaction were assessed by Ankle Hind Foot Scale (AHFS) and Likert scale, respectively using paired t-test. Final analysis was done with Statistical Package for Social Sciences (SPSS) software version 21.0. Results: Twelve males and eight females with mean age of 15.9±3.4 years fulfilled the inclusion criteria and were included for final analysis of results. Fusion rate was 86.1% with mean union time of 12.5 weeks. Mean AHFS improved from 61.27 before surgery to 76.9 which was statistically significant (p<0.0001). One or more complications were seen in 15 (68.1%) feet but were managed satisfactorily without any significant impact on final outcome. Patient satisfaction rate for the procedure was 80%. After a mean follow-up of 18.1 months, plantigrade foot with equal foot length was obtained in all patients. Conclusion: Triple arthrodesis with gradual deformity ...
Keywords	adolescents ; deformity ; fusion ; gradual correction ; ring fixator ; Medicine ; R
Subject code	616
Language	English
Publishing date	2021-09-01T00:00:00Z
Publisher	JCDR Research and Publications Private Limited
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: A study on initiation of postpartum family planning in India based on NFHS-4

Ujjaval Srivastava / Arvind Pandey / Pragya Singh / Kaushalendra Kumar Singh

BMC Women's Health, Vol 22, Iss 1, Pp 1-

does urban poor differ significantly from rural?

2022 Volume 17

Abstract: Abstract Objective To explore the differentials of postpartum contraceptive adoption between rural and urban poor after adjusting for utilization of MCH services and other selected socioeconomic and demographic covariates. Methods The data for this study ...

Abstract	Abstract Objective To explore the differentials of postpartum contraceptive adoption between rural and urban poor after adjusting for utilization of MCH services and other selected socioeconomic and demographic covariates. Methods The data for this study is taken from the 4th round of NFHS survey conducted in India during 2015–16. The analysis is limited to 125,340 currently married women whose menses had returned at the time of survey. Discrete time complementary log–log multilevel model was applied. Results The results clearly indicate that women from rural areas had a lower chance of early initiation of modern spacing methods after having recent birth as compare to that of Urban Poor and Urban non-poor areas. The contributions of several socioeconomic and demographic characteristics that were important for family planning practice were also highlighted in this study. Conclusion There is an urgent need of designing an intervention that will result in effective delivery of services to achieve the greatest impact. Policy planners must focus on targeted interventions for family planning use in the postpartum period than simply focusing on family planning.
Keywords	Postpartum family planning ; NFHS-4 ; Urban poor ; Maternal and child health ; Survival analysis ; Gynecology and obstetrics ; RG1-991 ; Public aspects of medicine ; RA1-1270
Subject code	310
Language	English
Publishing date	2022-11-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Causes of late-presenting developmental dislocation of the hip beyond 12 months of age

Ashok N Johari / Ritesh Arvind Pandey / Sudhir Kumar Mahapatra / Bobby John

Indian Journal of Medical Research, Vol 157, Iss 5, Pp 403-

A pilot study

2023 Volume 411

Abstract: Background & objectives: Developmental dysplasia of the hip (DDH), when detected early, can usually be managed effectively by simple methods. A delayed diagnosis often makes it a complex condition to treat. Late presentation of DDH is fairly common in ... ...

Abstract	Background & objectives: Developmental dysplasia of the hip (DDH), when detected early, can usually be managed effectively by simple methods. A delayed diagnosis often makes it a complex condition to treat. Late presentation of DDH is fairly common in developing countries, and there is scarcity of literature regarding the epidemiology and reason for late presentation. Through this study, we attempted to identify the reasons for late presentation of DDH in children more than 12 months of age. Methods: Fifty four children with typical DDH and frank dislocation of hip in whom treatment was delayed for 12 months or more were included. Parents were interviewed with a pre-structured questionnaire and data were collected for analysis with Microsoft Excel 2016 and SPSS version 26. Results: Diagnostic delay was the most common reason for late presentation and was observed in 52 children (96.2%). The mean age at diagnosis was 24.7 months. The mean age at treatment was 37.3 months with a mean delay of 12.5 months from diagnosis and 22.1 months from initial suspicion. Physician-related factors contributed 55.3 per cent, while family and social issues accounted for 44.7 per cent of overall reasons for diagnostic and treatment delays. Interpretation & conclusions: Late presentation of DDH in walking age is common. Physician- and family-related factors accounted for most of these cases. Failure or inadequate hip screening at birth by the attending physician is a common reason for late diagnosis. The family members were unaware about the disorder and developed suspicion once child started walking with an abnormal gait.
Keywords	children - delayed diagnosis - delayed treatment - developmental dysplasia of the hip - hip dislocation - late presentation - screening ; Medicine ; R
Subject code	610
Language	English
Publishing date	2023-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Efficacy of Epidural Steroid Injection in Management of Lumbar Prolapsed Intervertebral Disc

Ritesh Arvind Pandey

Journal of Clinical and Diagnostic Research, Vol 10, Iss 7, Pp RC05-RC

A Comparison of Caudal, Transforaminal and Interlaminar Routes

2016 Volume 11

Abstract: Introduction: Epidural steroid is an important modality in the conservative management of prolapsed lumbar disc and is being used for over 50 years. However, controversy still persists regarding their effectiveness in reducing the pain and improving the ... ...

Abstract	Introduction: Epidural steroid is an important modality in the conservative management of prolapsed lumbar disc and is being used for over 50 years. However, controversy still persists regarding their effectiveness in reducing the pain and improving the function with literature both supporting and opposing them are available. Aim: To study the efficacy of epidural steroid injection in the management of pain due to prolapsed lumbar intervertebral disc and to compare the effectiveness between caudal, transforaminal and interlaminar routes of injection. Materials and Methods: A total of 152 patients with back pain with or without radiculopathy with a lumbar disc prolapse confirmed on MRI, were included in the study and their pre injection Japanese Orthopaedic Association (JOA) Score was calculated. By simple randomization method (picking a card), patients were enrolled into one of the three groups and then injected methyl prednisone in the epidural space by one of the techniques of injection i.e. caudal, transforaminal and interlaminar. Twelve patients didn’t turn up for the treatment and hence were excluded from the study. Remaining 140 patients were treated and were included for the analysis of the results. Eighty two patients received injection by caudal route, 40 by transforaminal route and 18 by interlaminar route. Post injection JOA Score was calculated at six month and one year and effectiveness of the medication was calculated for each route. The data was compared by LSD and ANOVA method to prove the significance. Average follow-up was one year. Results: At one year after injecting the steroid, all three routes were found to be effective in improving the JOA Score (Caudal route in 74.3%, transforaminal in 90% and interlaminar in 77.7%). Transforaminal route was significantly more effective than caudal (p=0.00) and interlaminar route (p=0.03) at both 6 months and one year after injection. No significant difference was seen between the caudal and interlaminar route (p=0.36). Conclusion: The management of low back pain and radicular pain due to a prolapsed lumbar intervertebral disc by injecting methyl prednisone in epidural space is satisfactory in the current study. All three injection techniques are effective with the best result obtained by transforaminal route.
Keywords	back pain ; joa score ; radiculopathy ; Medicine ; R
Subject code	630
Language	English
Publishing date	2016-07-01T00:00:00Z
Publisher	JCDR Research and Publications Private Limited
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Percutaneous Achilles Tenotomy with a Large Gauge Needle in Ponseti Management of CTEV

RITESH ARVIND PANDEY / BOBBY JOHN

Journal of Clinical and Diagnostic Research, Vol 11, Iss 11, Pp RC01-RC

A Modified Technique

2017 Volume 04

Abstract: Introduction: Tenotomy of tendo achilles for clubfoot deformity is routinely done percutaneously with a surgical blade. This method though safe and effective, carries risk of complications such as excessive bleeding and injury to nearby neurovascular ... ...

Abstract	Introduction: Tenotomy of tendo achilles for clubfoot deformity is routinely done percutaneously with a surgical blade. This method though safe and effective, carries risk of complications such as excessive bleeding and injury to nearby neurovascular structures. Alternatively, sectioning of achilles tendon can be done safely by a large gauge needle percutaneously. Aim: To study the safety and effectiveness of the modified technique. Materials and Methods: A total of 37 children with 51 congenital clubfoot were included in this observational study. After successful correction of forefoot adduction and heel varus using the Ponseti technique, tendo achilles was sectioned percutaneously with a 16/18 gauge needle. Any complication occurring during the procedure was noted. Completeness of the tenotomy was checked by Thompson’s test and gain in passive dorsiflexion at ankle. Results: Complete division of tendon was achieved in all 51 feet. No incidence of excessive bleeding, neurovascular injury or formation of pseudoaneurysm was found. However, minor bleeding from the surgical site was noticed in three cases and was managed by applying mild pressure over the involved area. Conclusion: Percutaneous tenotomy of tendo achilles with a wide gauge needle is simple, safe and effective technique. It causes less morbidity and carries lesser risk of complications when compared to a surgical blade.
Keywords	clubfoot ; equinus ; tendo achilles ; Medicine ; R
Subject code	600
Language	English
Publishing date	2017-11-01T00:00:00Z
Publisher	JCDR Research and Publications Private Limited
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Lessons from SARS-CoV-2 Pandemic

Saurabh Pandey / Bharat Yadav / Arvind Pandey / Takshashila Tripathi / Masuma Khawary / Sashi Kant / Deeksha Tripathi

Biology, Vol 9, Iss 141, p

Evolution, Disease Dynamics and Future

2020 Volume 141

Abstract: The COVID-19 pandemic is rising at an unprecedented rate. The surging number of deaths every day, global lockdown and travel restrictions have resulted in huge losses to society. The impact is massive and will leave a historical footprint. The Spanish ... ...

Abstract	The COVID-19 pandemic is rising at an unprecedented rate. The surging number of deaths every day, global lockdown and travel restrictions have resulted in huge losses to society. The impact is massive and will leave a historical footprint. The Spanish Flu of 1918, which was the last pandemic that had a similar impact, was shadowed under the consequences of World War I. All the brilliance, strength and economies of countries worldwide are aimed at fighting the COVID-19 pandemic. The knowledge about coronavirus dynamics, its nature and epidemiology are expanding every day. The present review aims to summarize the structure, epidemiology, symptoms, statistical status of the disease status, intervention strategies and deliberates the lessons learnt during the pandemic. The intervention approaches, antiviral drug repurposing and vaccine trials are intensified now. Statistical interpretations of disease dynamics and their projections may help the decision-makers.
Keywords	COVID-19 ; SARS-CoV-2 ; pandemic ; Biology (General) ; QH301-705.5
Language	English
Publishing date	2020-06-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Predicting Distribution and Range Dynamics of Three Threatened Cypripedium Species under Climate Change Scenario in Western Himalaya

Naveen Chandra / Gajendra Singh / Ishwari Datt Rai / Arun Pratap Mishra / Mohd. Yahya Kazmi / Arvind Pandey / Jeewan Singh Jalal / Romulus Costache / Hussein Almohamad / Motrih Al-Mutiry / Hazem Ghassan Abdo

Forests, Vol 14, Iss 633, p

2023 Volume 633

Abstract: Climate change and anthropogenic pressure have significantly contributed to the decline of biodiversity worldwide, particularly in mountain ecosystems such as the Himalaya. In addition to being relatively sensitive to disturbances, orchids may also ... ...

Abstract	Climate change and anthropogenic pressure have significantly contributed to the decline of biodiversity worldwide, particularly in mountain ecosystems such as the Himalaya. In addition to being relatively sensitive to disturbances, orchids may also respond more quickly to climate change impacts than other plant species. Because of their complex biology and anthropogenic pressures on their habitat in the Himalayan region, lady’s slipper orchids are considered to be a highly vulnerable group of orchids. In the present study, we examine the effect of climate change on the distribution of three threatened Cypripedium species ( Cypripedium cordigerum , Cypripedium elegans , and Cypripedium himalaicum ), utilizing ecological niche modeling for present and future climatic scenarios to identify key environmental determinants and population parameters. A community climate system model (CCSM ver. 4) was used to identify suitable distribution areas for future scenarios. Based on the least correlated characteristics of the species bioclimatic, topographical, and physiological characteristics, the species’ climatic niche was determined. According to the results, the true skill statistic (TSS), area under the receiver operating characteristic curve (AUC), and Cohen’s kappa provide more reliable predictions. Precipitation during the wettest month and precipitation during the coldest quarter are the primary climatic variables that influence the distribution of suitable areas. A total of 192 km 2 of the area was estimated to be suitable for all three species under current climate conditions. Under future climate conditions, the model predicts a trivial increase in suitable habitat areas with a shift toward the northwest. However, highly suitable habitat areas will be severely diminished. There are currently highly suitable habitats in Tungnath and the Valley of Flowers, but due to climatic factors, the habitats will become unsuitable in the future. Additionally, under future climatic scenarios, viable habitats will be identified ...
Keywords	potential distribution ; range expansion ; anthropogenic pressure ; climate change ; Plant ecology ; QK900-989
Subject code	333
Language	English
Publishing date	2023-03-01T00:00:00Z
Publisher	MDPI AG
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Multivariate statistical algorithms for landslide susceptibility assessment in Kailash Sacred landscape, Western Himalaya

Arvind Pandey / Mriganka Shekhar Sarkar / Sarita Palni / Deepanshu Parashar / Gajendra Singh / Saurabh Kaushik / Naveen Chandra / Romulus Costache / Ajit Pratap Singh / Arun Pratap Mishra / Hussein Almohamad / Motrih Al-Mutiry / Hazem Ghassan Abdo

Geomatics, Natural Hazards & Risk, Vol 14, Iss

2023 Volume 1

Abstract: AbstractLandslide susceptibility mapping plays an imperative role in mitigating hazards and determining the future direction of developmental activities in mountainous regions. Here, we used 518 landslide occurrences and nine landslide-conditioning ... ...

Abstract	AbstractLandslide susceptibility mapping plays an imperative role in mitigating hazards and determining the future direction of developmental activities in mountainous regions. Here, we used 518 landslide occurrences and nine landslide-conditioning parameters to build landslide vulnerability models in the Kailash Sacred Landscape (KSL), India. Four multivariate statistical models were applied, namely the generalized linear model (GLM), maximum entropy (MaxEnt), Mahalanobis D2 (MD), and support vector machine (SVM), to calibrate and compare four maps of landslide susceptibility. The results demonstrated the outperformance of Mahalanobis D2 for predictability compared to other models obtained from the area under the receiver operating characteristic curve (ROC). The ensemble model data shows that 10.5% of the landscape has susceptible conditions for future landslides, whereas 89.50% of the landscape falls under the safe zone. The occurrence of landslides in the KSL is linked to the middle elevations, vicinity to water bodies, and the motorable roads. Furthermore, the observed patterns and the resulting models exhibit the major variables that cause landslides and their respective significance. The current modelling approach could provide baseline data at the regional scale to improve the developmental planning in the KSL.
Keywords	Landslide susceptibility modelling ; landslide conditioning ; landscape vulnerability ; Boyce Index ; risk assessment ; Himalaya ; Environmental technology. Sanitary engineering ; TD1-1066 ; Environmental sciences ; GE1-350 ; Risk in industry. Risk management ; HD61
Subject code	710
Language	English
Publishing date	2023-12-01T00:00:00Z
Publisher	Taylor & Francis Group
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: Responsiveness to hemophilia joint health score and functional independence score in patients with hemophilia with intermittent factor support and physiotherapy

Ripudaman Singh / Mullai Dinakaran / G D Vandhiyadevan / Santhosh Mathangi / Ritesh Arvind Pandey / M Joseph John

CHRISMED Journal of Health and Research, Vol 8, Iss 3, Pp 187-

2021 Volume 191

Abstract: Introduction: Hemophilia is a hereditary bleeding disorder with significant consequences involving the joints, leading to debilitating functions. Prophylactic replacement therapy is limited in lower-middle-income countries, and often it is the episodic ... ...

Abstract	Introduction: Hemophilia is a hereditary bleeding disorder with significant consequences involving the joints, leading to debilitating functions. Prophylactic replacement therapy is limited in lower-middle-income countries, and often it is the episodic or intermittent factor replacement which is feasible. Although many tools are available to evaluate the assessment of joints at the time of initial contact, its utility in response evaluation to intervention is limited. Materials and Methods: In this quasi-experimental study, we compared the Hemophilia Joint Health Score (HJHS) and Functional Independence Score in Hemophilia (FISH) scores pre and postphysiotherapy with intermittent factor support. Results: Forty-eight patients with hemophilia (PwH) were screened, and 18 PwH consented and completed the treatment protocol. The mean duration of physiotherapy was 11 days, with an average total factor consumption of 120 U/Kg. The pre and postphysiotherapy HJHS was 40 ± 18.8 and 19.5 ± 11.9 with a standardized response mean (SRM) of −2.41 (95% confidence interval [CI] −3.25–−1.53) and FISH, 16.89 ± 3.44 and 22.33 ± 3.36 with SRM of 1.78 (195% CI.29–2.23). Both the SRMs were statistically significant (both the P values were 0.000). Conclusion: This study highlights the utility of HJHS and FISH in assessing responsiveness to intermittent prophylaxis and physiotherapy.
Keywords	factor viii ; functional independence score in hemophilia ; hemophilia ; hemophilia joint health score ; intermittent ; responsiveness ; Medicine ; R ; Nursing ; RT1-120
Subject code	306
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

Article ; Online: National sample survey to assess the new case disease burden of leprosy in India

Kiran Katoch / Abha Aggarwal / Virendra Singh Yadav / Arvind Pandey

Indian Journal of Medical Research, Vol 146, Iss 5, Pp 585-

2017 Volume 605

Abstract: A national sample survey of leprosy was undertaken in partnership with Indian Council of Medical Research (ICMR) institutions, National Leprosy Eradication Programme (NLEP), Panchayati Raj members, and treated leprosy patients to detect new cases of ... ...

Abstract	A national sample survey of leprosy was undertaken in partnership with Indian Council of Medical Research (ICMR) institutions, National Leprosy Eradication Programme (NLEP), Panchayati Raj members, and treated leprosy patients to detect new cases of leprosy in India. The objectives of the survey were to estimate the new leprosy case load; record both Grade 1 and Grade 2 disabilities in the new cases; and to assess the magnitude of stigma and discrimination prevalent in the society. A cluster based, cross-sectional survey involving all States was used for the door-to-door survey using inverse sampling methodology. Rural and urban clusters were sampled separately. The population screened for detecting 28 new cases in rural and 30 in urban clusters was enumerated, recorded and analyzed. Data capture and analysis in different schedules were the main tools used. For quality control three tiers of experts were utilized for the confirmation of cases and disabilities. Self-stigma was assessed in more than half of the total new patients detected with disabilities by the approved questionnaire. A different questionnaire was used to assess the stigma in the community. A population of 14,725,525 (10,302,443 rural; 4,423,082 urban) was screened and 2161 new cases - 1300 paucibacillary (PB) and 861 multibacillary (MB) were detected. New case estimates for leprosy was 330,346 (95% Confidence limits, 287,445-380,851). Disabilities observed in these cases were 2.05/100,000 population and 13.9 per cent (302/2161) in new cases. Self-stigma in patients with disabilities was reduced, and the patients were well accepted by the spouse, neighbour, at workplace and in social functions.
Keywords	Deformities - leprosy - national sample survey (NSS) - new case detection rate - stigma ; Medicine ; R
Subject code	310
Language	English
Publishing date	2017-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

Full text online

Full text

Inter-library loan at ZB MED

Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

To top

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED

Full text online

More links

Kategorien

Inter-library loan at ZB MED