Juniper Publishers: Post Disaster Housing Reconstruction after 2014 Ga...

Juniper Publishers: Post Disaster Housing Reconstruction after 2014 Ga...: Civil Engineering Research Journal Abstract Housing reconstruction projects are complex in nature because of the many stages and als...

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“T" For Tuberculosis, “T" For Tumour, “T" For Tension- Juniper Publishers

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 Juniper Online Journal of Orthopedics & Orthoplastic Surgery- Juniper Publishers Editorial Low back ache is one of the most common complain of patients reporting to any Orthopaedic outpatient department. After exclusion of post traumatic, osteopenic and inflammatory arthropathy for chronic back ache, the bulk of the etiology is either tuberculosis or anaplastics (metastasis being the most common anaplastic condition).In my country, due to the increased prevalence of Tuberculosis and the practical acceptance of trial first line Anti Tubercular Therapy, it is the first diagnosis that comes to our mind while anaplastic conditions are our last bet. More often than not, on getting the traid of constitutional symptoms, spondylodiscitis and raised ESR, we start trial first line ATT, forgetting that the features of TB and anaplastics may mimic each other. Only after failure to respond to trial first line ATT, we go for Gene Xpert test (for Drug resistance tuberculosis), biopsy (for tu...
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The Use of Negative Pressure Wound Therapy in Patients with Skin Grafts and Flaps-Juniper-Publishers

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Juniper Online Journal of Orthopedic & Orthoplastic Surgery  Introduction Increasing the healing rate of a wound by applying an externally controlled negative pressure is known as Negative Pressure Wound Therapy (NPWT). Negative pressure drains serve as an excellent atmospheric bandage [ 1 , 2 ] and NPWT can be used for treating wounds which usually take a long time to heal or do not heal at all when treated using conventional treatment methods [ 3 ] and also diabetic foot disease which has become a major global burden [ 2 ]. Though, international organizations have already developed NPWT machines, their cost is around 7 to 8 thousand [ 4 ], which is unbearable to a developing country like India. Increasing healthcare costs and the growing burden of non-healing wounds is a challenging issue in India. Due to their high cost, NPWT devices are not available in Indian civil hospitals [ 5 - 7 ]. As a result, the patients with non-healing wounds Increases the...
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Using Large Femoral Head as A Bearing Surface in Total Hip Arthroplasty - Juniper Publishers

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 Juniper Online Journal of Orthopedics & Orthoplastic Surgery Background Owing to recent improvements in the quality, shape and surface area of the implants for total hip arthroplasty, wear problems, which is one of the chronic complications of total hip arthroplasty, have been solved up to a certain level. However, instability and dislocation of the implants, which is the second most common complication after component loosening, remain unsolved, negatively affecting quality of life and furtherly causing failure of implants. Using femoral head implants smaller than the patient’s natural femoral head is a major cause of dislocation. We would like to discuss several issues of using large head implants as a bearing surface. Wear Contact surface and sliding distance are major factors in the occurrence of wear particles. As the diameter of the femoral head increases, contact area and the sliding distance of the articular su...
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