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Search Results: 1 - 10 of 302615 matches for " Ashok J. Shah "
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Use of Fibula Bridge Graft Technique to Treat a Distal Tibia Non Union- A Case Report
Amyn Rajani,Chandu J Thakkar,Ravi Shah,Ashok Shyam
Journal of Orthopaedic Case Reports , 2013,
Abstract: Introduction: Compound distal tibia fractures have high incidence of nonunions and have varied presentation as far as status of fibula is concerned. If fibula is sufficiently healthy we can use it for bridging the nonunion of tibia.Case Report: We present a case of 20 year old female with compound and segmental tibia fracture. Primary stablisation by external fixation and later cast brace application achieved union at the proximal end of the segmental fragment with non union at the distal end. This was then treated with bridge grafting of fibula and screw fixation of fibula to the tibia. Five years follow shows good clinical and functional outcome without any complications.Conclusion: Its infrequent to find fibula spanning across the tibia nonunion, however when available this can be used as bridge graft to promote healing.
Successful Percutaneous Treatment of Coronary Artery Ectasia with Drug-Eluting Stent  [PDF]
Bhupesh Rajanikant Shah, Ashok S. Thakkar
International Journal of Clinical Medicine (IJCM) , 2014, DOI: 10.4236/ijcm.2014.520161
Abstract: Coronary artery ectasia is well-known but relatively uncommon finding with prevalence ranging from 1.2% to 5.3%. Coronary artery ectasia has been associated with atherosclerosis in approximately half of the cases. Here, we are presenting a case of male patient who experienced myocardial infarction and was diagnosed with coronary artery ectasia in proximal-mid junction of left anterior descending artery with stenotic lesion. The patient was successfully treated with percutaneous transluminal coronary angioplasty.
Metastasis from breast cancer presenting as an epulis in the upper gingiva
Shah Mita,Mehta Ashok
Journal of Oral and Maxillofacial Pathology , 2009,
Abstract: Oral metastasis of breast cancer is less common than metastasis to other sites like the lung and liver. Breast cancer can metastasize to the oral cavity, with presentation like a benign oral lesion. We present an interesting case of breast cancer involving the gingiva with sparing of the underlying bone.
A rare association of deformities with diplopodia, aplasia of the tibia and double fibula: A case report
Shah Khan, Ashok Kumar, Manish Varhney
Journal of Medical Case Reports , 2008, DOI: 10.1186/1752-1947-2-102
Abstract: We present a 4-month-old girl with left tibial agenesis with fibular duplication (mirror foot) and metatarsal diplopodia.The case report highlights the need for an understanding of this rare congenital anomaly which may be seen only once in the working lifetime of an orthopaedic surgeon.Diplopodia, which is an accessory tarsal or metatarsal bone with double fibula, is an extremely rare condition. It has to be differentiated from polydactyly, where accessory tarsal or metatarsal bones are not seen and is a relatively innocuous condition both in terms of diagnosis and management.A four-month-old female child with deformity of her left leg and seven toes on her left foot was brought to the clinic by her parents. She was their first child and there was no obvious family history. The mother gave a non-contributory antenatal history. On examination, the baby had a short left leg with bony prominence laterally around the knee joint. Clinically, the normal bony contours of the knee joint were not palpable. Medially the normal contour of the tibia was not felt. The left foot was short, broad and had an equinovarus deformity and a total of seven toes (Fig. 1). General visceral examination was normal. Her remaining musculoskeletal examination, including that of the right lower limb, was normal. Anteroposterior radiograph (Fig 2) of the left lower limb showed two fibulae, with absence of the tibia, patella and the actual knee joint line. The medial fibula was shorter than the lateral fibula and its inferior end was seen articulating with the talus. The left foot had eight metatarsals with ossification centres for talus, calcaneum, cuboid and navicular. The cuboid was articulating with the 7th and 8th metatarsals. The great toe had two metatarsals articulating with one phalanx medially and three phalanges laterally. The third toe had two extra phalanges and the 7th digit had only one phalanx. Lateral radiograph of the left leg (Fig 3) showed anterior subluxation of the distal en
Aspergilloma formation in cavitary sarcoidosis
Panjabi, Chandramani;Sahay, Sandeep;Shah, Ashok;
Jornal Brasileiro de Pneumologia , 2009, DOI: 10.1590/S1806-37132009000500015
Abstract: pulmonary cavitation is rather uncommon in patients with sarcoidosis, and aspergilloma is even more uncommon in such cases. here, we present the case of a 63-year-old female patient with cavitary lung disease who had been under treatment for tb for 9 months. a diagnosis of pulmonary sarcoidosis was established based on the fiberoptic bronchoscopy finding of noncaseating granuloma. treatment with corticosteroids led to a dramatic improvement in symptoms. while under treatment for sarcoidosis, the patient developed an aspergilloma. she presented immediate skin test reactivity to aspergillus fumigatus, as well as positivity for a. fumigatus serum precipitins. this is the first reported case of aspergilloma formation in a patient with cavitary sarcoidosis in india.
Relation Between Physico-chemical Limnology and Crustacean Community in Wular Lake of Kashmir Himalaya
Javaid Ahmad Shah,Ashok K. Pandit
Pakistan Journal of Biological Sciences , 2013,
Abstract: The present study scrutinizes the seasonal variation in the distribution of crustacean zooplankton in relation to physico-chemical liminology of Wular lake. Water samples were collected from five study sites during September 2010-August 2011. Remarkable spatial and temporal variations were observed among the different study sites. Among the parameters recorded water temperature showed positive correlation with pH (p<0.01) and orthophosphate (p<0.05).Transparency showed a significant negative correlation with total alkalinity (p<0.01), free carbon dioxide (p<0.01) and ammonical nitrogen (p<0.01). Crustacean zooplankton were collected by filtering 100 L lake water through a 30 μm nytal mesh and preserved in 4% formalin. A total of 42 taxa of crustacean were recorded, among them 23 species belonged to Cladocera, 16 to Copepoda and only 3 to Ostracoda. Species diversity and density depicted an abrupt up surge on the advent of warmer period (extending from March). Among the various sites a maximum of 40 species were recorded from a single biotope (site III) against the minimum of only 17 species being recorded from site I. Bray-Curtis cluster analysis showed close similarity (0.928-0.944%) between summer and autumn in terms of species diversity. Pearson correlation coefficient of the various physico-chemical parameters of water with crustacean zooplankton depicted that not only a single but multiple factors govern over the distribution and diversity of crustacean in the lake.
Evaluation of salivary cortisol and psychological factors in patients with oral lichen planus
Shah Bina,Ashok L,Sujatha G
Indian Journal of Dental Research , 2009,
Abstract: Background and Objectives: Lichen planus is a relatively common chronic inflammatory disease of oral mucosa and skin. Cortisol, also called as "stress hormone", has been used as an indicator in various stress evaluation studies. Salivary cortisol measurement is an indicator of free cortisol or biologically active cortisol in human serum and provides noninvasive and easy technique. Recent studies have been conflicting, and hence, in the present study, evaluation of salivary cortisol levels and psychosocial factors in oral lichen planus (OLP) patients was done. Materials and Methods: A total of 30 patients with clinically and histopathologically proven cases of OLP, along with the age and sex-matched healthy controls were included in the study. Samples of stimulated saliva were collected, centrifuged and analyzed for the level of cortisol with cortisol enzyme linked immunosorbent assay. Psychosocial factors of study and control groups were measured by depression anxiety and stress scale. Student′s t-test was used to compare the psychological factors and salivary cortisol levels between patients with the OLP and the control group. Results: Irrespective of sex, significantly higher depression (83.4 ± 15.4%), anxiety (80.5 ± 11.3%), and stress (94.2 ± 6.2%) scores were observed in OLP patients compared to controls. Increased cortisol levels were observed among 17 (56.6%) OLP patients in the study group. A positive correlation was found between psychological factors and salivary cortisol levels in the OLP patients. The values of Pearson′s correlation coefficient "r", between depression, anxiety, and stress with salivary cortisol was: +0.42,S; +0.27,NS; and +0.65,HS, respectively among the study group.
Exacerba o da asma por hipersensibilidade imediata ao consumo de manga Immediate hypersensitivity to mango manifesting as asthma exacerbation
Richa Sareen,Ayush Gupta,Ashok Shah
Jornal Brasileiro de Pneumologia , 2011, DOI: 10.1590/s1806-37132011000100020
Ellis-van Creveld syndrome: A case report
Shah B,Ashok L,Sujatha G
Journal of the Indian Society of Pedodontics and Preventive Dentistry , 2008,
Abstract: Ellis-van Creveld syndrome (EvC) is a disease complex, where all the three embryonic layers appear to be involved. This disorder is also called as Chondroectodermal dysplasia. EvC is an autosomal recessive disorder resulting from mutations in these patients. Mutations in the two genes EVC and EVC2, have been identified to cause the condition. It has been considered as a skeletal dysplasia with an incidence of approximately 1 out of 1,50,000 live births. A high prevalence has been reported among certain populations like Amish and Arabs of Gaza strip. There are more than 300 cases of EvC reported into the literature. About 50-60% of cases have been reported with congenital cardiac malformations.
Female Sex Workers and Their Association with Self-Help Groups in Thane, Maharashtra, India: A Comparative Analysis in the Context of HIV Program Outcome  [PDF]
Awdhesh Yadav, Saravanamurthy P. Sakthivel, Shaikh Tayyaba, Uma Shah, Ashok Agarwal
World Journal of AIDS (WJA) , 2016, DOI: 10.4236/wja.2016.64021
Abstract: Objectives: Understanding the role of Self-Help Group (SHG) in light of the evolving dynamics of sex work needs to be delved into to strategize HIV interventions among FSWs in India. This paper aims to study the HIV program outcome among the FSWs associated with SHGs and FSWs not associated with SHGs in Thane, Maharashtra. Study Design: This cross-sectional study was undertaken from the Behavioral Tracking Survey (BTS) conducted among 503 FSWs in Thane in 2015. Two-stage probability based conventional sampling was done for selection of brothel and bar based FSWs, while Time Location Cluster (TLC) sampling was done for home, lodge and street based sex workers. Methods: Bivariate and multivariate logistic regression were performed to compare and contrast between FSWs associated with SHG and those not associated with SHG with respect to the utilization of HIV related services by them. “Condom use”, “consistent condom use”, “contact with peer-educators”, “counseling sessions” and “HIV testing” were chosen as indicators on HIV service utilization. Results: 8% (38) of FSWs are registered with SHG; 92% aged ≥25 years, 47% illiterate, and 71% are currently married. The likelihood of utilizing HIV services including, knowledge on HIV/AIDS and its mode of transmission (OR: 5.54; CI: 1.87 - 16.60; p < 0.05), accessed drop-in Centre (OR: 6.53; CI: 2.15 - 19.88; p < 0.10), heard about joint health camps (OR: 4.71; CI: 2.12 - 10.46); p < 0.05), negotiated or stood up against police/broker/local goonda/clients (OR: 2.26; CI: 1.08 - 4.73; p < 0.05), turned away clients when they refused to use condom during sex (OR: 3.76; CI: 1.27 - 11.15; p < 0.05) and heard of ART (OR; 4.55; CI: 2.18 - 9.48; p < 0.01) were higher among FSWs associated with SHG in comparison to FSWs not associated with SHG. Conclusions: Considering the improved HIV program outcomes among FSWs associated with SHG, HIV interventions among FSWs could consider facilitating the formation of SHGs with FSWs as one of the key strategies to empower the community for ensuring better program outcomes.
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