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Abstract: One of the important critical care nursing skills is monitoring ECG. It can provide evidence to support a diagnosis, and it is crucial for patient management by helping in diagnosing the abnormal cardiac rhythm.In potentially life threatening situations, the nurse is expected to interpret the rhythm accurately and respond appropriately. To do this the nurse must be well educated in rhythm interpretation. The present study was carried out with the objectives to assess the knowledge of nursing students in ECG monitoring and interpretation,to assess the skill in interpreting ECG among nursing students,to determine the effectiveness of teaching program on ECG monitoring and interpretation, to find out the association between knowledge on ECG monitoring and interpretation andvariables,to find out the association between the skill in interpreting ECG and the variables and to determine the relationship between knowledge and skill of nursing students in ECG monitoring and interpretation.
[1]. Eveloy V,Liu Y.etal. Developments in Ambulatory Electrocardiography.Biomedical Instrumentation and Technology ,40(3),2006,238.
[2]. Dianis NL. Cummings C.An interdisciplinary approach to process performance improvement.Journal of Nursing Care Quality, 12
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[4]. Lamb MJ,Henderson MC.Comparison of two methods for teaching advanced arrhythmiasto nurses. Journal of Continuing Education in
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[6]. Sheilini M. Effectiveness of a competency program on ECG monitoring and interpretation for staff nurses working in critical care areas
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Abstract: IntoductionPrevalence of CHD according to various studies is 8-10 per 1000 live births worldwide.According to status report on CHD ,10% of the present infant mortality in countries may be accounted for by CHD.Pediatric cardiac care in developing countries is still in infancy.MethodsThe present study was conducted on total of 100 patients with acyanotic congenital heart diseases. A detailed clinical history and examination was carried out of every patient.
[1]. Braunwald Eugene:Congenital heart disease in infancy and childhood. Heart diseases;Text book of cardiovascular medicine. W.B.SaunderCo..Philadelphia 8th ed.,2007.
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Abstract:Background: Personal hygiene is the practice of maintaining cleanliness of the body. Primary school days are the best time to learn healthful habits and practice them, because as the child grows older, these habits become permanent. We intended to find out the existing level of knowledge, attitude and practice of personal hygiene and effectiveness of educational intervention among primary school children in a slum area of Kolkata. Methods: A quasi-experimental, controlled educational interventional study was conducted in two Bengali medium primary schools situated in area under service jurisdiction of Urban Health Centre-Chetla, Kolkata. During pre intervention phase, collection of socio-demographic information and assessment of knowledge
[1]. Towards better programming: A Manual on School Sanitation and Hygiene: UNICEF/IRC, Water, Environment and Sanitation Technical Guidelines Series. 1998; No. 5, p 1-2.
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[4]. Kundu, N., ―Understanding of Slums‖ ---case studies for the global reports on human settlements 2003. (Source: http: //www. ucl. ac. uk.) urban slum reports, the case of Kolkata, India.(cited on 13.02.2009)
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Paper Type | : | Research Paper |
Title | : | Aloe vera in dentistry- a review |
Country | : | India |
Authors | : | Monica.B || Monisha.R |
: | 10.9790/0853-131231822 |
Abstract:Aloevera has been long time used for its many beneficial properties. It is still in use for its wide range for ailments. It promotes more rapid wound healing and pain relief. It has anti bacterial, anti viral, antifungal, antioxidant effect. Aloevera has shown multiple uses in dentistry. This review article is about the different use of aloevera in field of dentistry and its side effect.
Keywords: aloevera , a.barbadensis, a.arborescens.
[1]. Current perspectives on the use of aloe Vera in dentistry". Erika tayal; divesh sardana, k.R. indusekar, bhavana G, saraj and neha sheoran.
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[3]. Wintola OA, Summonu TO, afolayan AJ. " the effect of aloe ferox mill in treatment of ioperamide-induced constipation in wistar rats. BMC gasto enterol 2010;10:95
[4]. Richard L. Wynn. Aloevera gel:update for dentistry- general dentistry 2005;
[5]. Richard L. wynn. Aloe vera gel: update for dentistry- general dentistry 2005;jan-feb 6-9.
[6]. Rowe TD, parks LM. A phytochemical study of aloevera leaf. J AM PHARm assoc 1941;30:262-265
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Abstract: Background This prospective randomised study was done to compare effects of epidural bupivacaine with buprenorphine over epidural bupivacaine with fentanyl for lower limb surgeries. Methods 60 patients in the age group 20-60 years belonging to ASA I-II posted for elective lower limb surgeries were divided into two groups of 30 each and studied.Group A received 0.5% Bupivacaine 15ml with 150 ug Buprenorphine.Group B received 0.5% Bupivacaine 15ml with 50ug Fentanyl. Intraoperatively, sensory and motor blockade, quality and duration of Postoperative analgesia, hemodynamic and respiratory parameters, side effects like nausea, vomiting, respiratory depression, pruritus were studied.
[1]. Dr.Nirvik Pal, Dr.Kiran Malhotra, Dr.Chitra et al. Effect of morphine on postoperative respiratory functions: Comparision between systemic and epidural routes. Indian J. Anaesth 2004;48(3):204-207 [2]. RG Wheatley, SA Schug, D. Watson. Combination of local anaesthetic and an opioid combination. Br J Anaesth 2001;87:47
[3]. Zenz M., Pipen brock S., Hubner B., Glocke M: "A double blind comparison of epidural Buprenorphine and epidural morphine in post-operative pain‟. Anaesth - Intensive therapy – Notfallmed, 16(6): 333-9, 1981 [4]. SurajDhale, VaishaliShelgaonkar and VV Akulwar. A comparative study of epidural bupivacaine and epidural bupivacaine with fentanyl for peri operative analgesia. Indian journal anaesthesia 2000;44:35
[5]. D Kumar,Dev Gupta. Comparative study of Epidural Buprenorphine and Ketamine for postoperative pain relief. Ind. Journal Anaesthesia1997; 41:38-49. [6]. Cahill J, Murphy D, O'Brien D, Mulhall J. Epidural buprenorphine for pain relief after major abdominal surgery. A controlled comparison with epidural morphine. Anaesthesia. 1983 Aug;38(8):760-4
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Paper Type | : | Research Paper |
Title | : | Duct Ectasia an Unusual Case Presentation and an Overview |
Country | : | India |
Authors | : | Dr. Anusha A.M., |
: | 10.9790/0853-131232932 |
Abstract: Accessory breast is the presence of breast tissue at any part of the body except the normal breast region. Ectasia of the breast is a condition where the lactiferous ducts are blocked by secretions. Both accessory breast and duct ectasia are very common entities presenting separately but coexistence is rarity with a normal breast finding. In this case report, a 24-year-old female presented with bilateral painful axillary mass of 3 months duration which was excised is presented. Gross examination showed fibrofatty tissue with few areas of fibrosis while microscopic examination revealed breast tissue with duct ectasia. This case is reported for its rarity and to give clinicians a differential diagnosis of simultaneous coexistence of accessory breast with duct ectasia with a normal breast finding and a review of relevant aspects of duct ectasia is also included.
Keywords: Accessory breast, axilla, duct ectasia
[1]. Haagensen CD. Mammary duct ectasia – a disease that may simulate cancer. Cancer 4:749-761, 1951. Azzopardi JG, Cystic disease: duct ectasia: fat necrosis, in Bennington JL (Ed.), Problems in Breast Pathology, (Philadelphia: WB Saunders, 1979) 57-89.
[2]. Webb AJ. Mammary duct ectasia – periductal mastitis complex. Br J Surg 82:1300-1302, 1995.
[3]. Bartsich, Sophie A. M.D. Accessory Breast Tissue in the Axilla: Classification and Treatment. Plastic and reconstructive surgery 128 (1):35-36 2011.
[4]. O'Brien PH, Kreutner A Jr. Another cause of nipple discharge. Mammary duct ectasia with periductal mastitis.
Am J Surg 48:577-578, 1982.
[5]. Rahul RM, de Freitas-Junior R, Paulinelli RR. Risk factors for duct ectasia. Breast J 11:262-265, 2005.
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Abstract: Background: In this era, there is a need for new analgesics. Ondansetron is an established antiemetic and Aspirin is a standard and potent analgesic drug. Ondansetron is an 5HT antagonist and aspirin is an non steroidal anti inflammatory drug. Aim & Objective: To compare the analgesic effect of Ondansetron and Aspirin in experimentally induced pain models in animals. Materials and MethodS: The analgesic effect of Ondansetron and Aspirin was evaluated in swiss albino mice(n=8). The methods used to produce pain models of animals were chemical method(by intraperitonial injection of .6% of acetic acid) , mechanical method(by tail clip method) and radiant heat method(by analgesiometer).
[1]. Harper,D. (2001). "Online Etymology Dictionary: Analgesia". Retrieved December 3, 2012.
[2]. Hinz B, Cheremina O, Brune K (2008). "Acetaminophen (paracetamol) is a selective cyclooxygenase-2 inhibitor in man.". The FASEB journal : official publication of the Federation of American Societies for Experimental Biology 22 (2): 383–390. doi:10.1096/fj.07-8506com. PMID 17884974.
[3]. WHO Model List of EssentialMedicines". World Health Organization. October 2013. Retrieved 22 April 2014
[4]. US Food and Drug Administration. (2012). FDA Drug Safety Communication: New information regarding QT prolongation with ondansetron (Zofran). Retrieved fromhttp://www.fda.gov/Drugs/DrugSafety/ucm310190.htm
[5]. "Zorprin, Bayer Buffered Aspirin (aspirin) dosing, indications, interactions, adverse effects, and more". Medscape Reference. WebMD. Retrieved 3 April 2014.
[6]. Sørensen HT; Mellemkjaer L; Blot WJ; Nielsen, Gunnar Lauge; Steffensen, Flemming Hald; McLaughlin, Joseph K.; Olsen, Jorgen H. (2000). "Risk of upper gastrointestinal bleeding associated with use of low-dose aspirin". Am. J. Gastroenterol. 95 (9): 2218–24.doi:10.1111/j.1572-0241.2000.02248.x. PMID 11007221
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Abstract:Successful clinical management of teeth with odontogenic anomalies is quite challenging. Fusion can be defined as a union of two separate tooth buds at some stage in their development. This case report describes a multidisciplinary approach involving endodontic and restorative considerations for a successful, functional and esthetic rehabilitation of fused tooth using cone beam computed tomography (CBCT) as a diagnostic tool.
Keywords: Fusion, Cone Beam Computed Tomography, odontogenic anomalies
[1]. J.Kottoor, R.Murugesan & D.V Albuquerque. A maxillary lateral incisor with four root canals. Int Endod J 2011;1-5
[2]. N. Geethapriya, A. Subbiya, Paramasivam Vivekanandhan and V.G. Sukumaran. An Unusual Case Report of Maxillary Lateral Incisor Fused with a Supernumerary Tooth. Biosci. Biotech. Res. Asia, Vol. 11(1), 99-103 (2014)
[3]. Kavitha Rani A, Sandeep Metgud, Shoe Sheikh Yakuh, Umesh Pai, N.G Toshniwal, Naval Bawaskar. Endodontic and Esthetic management of maxillary lateral incisor fused to a supernumerary tooth associated with a talon cusp by using spiral computed tomography as a diagnostic aid: A Case report. J Endod 2010; 36(2):345-349.
[4]. S.Patel. New dimensions in endodontic imaging: part 2. Cone beam computed tomography. Int Endod J 2009; 1- 13
[5]. Summer.Cone Beam-Computed Tomography in Endodontics. Endodontics: Colleagues for Excellence pages 1-8
[6]. Minoo mahshid, Alireza khoshvaghti, Masoud varshosaz, Naser vallaei. Evaluation of ''Golden Proportion'' in Individuals with an Esthetic Smile. J Esthet Restor Dent 16:185–193, 2004
[7]. Weller RN, Kimbrough WF, Anderson RW. A comparison of Thermoplastic obturation techniques: adaptation to canal walls. J Endod 1997 Nov;23(11):703-6
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Paper Type | : | Research Paper |
Title | : | Conservative versus Surgical Management of Proximal Humerus Fractures |
Country | : | India |
Authors | : | Dr.Vishal Anand || Dr.Ganesan Ganesan Ram |
: | 10.9790/0853-131234345 |
Abstract:Prospective study of 26 patients of proximal humeral fracture admitted in the Department of Orthopaedics between June 2011 to December 2013 whether treated by conservative or surgical method were included in the study. Patients were evaluated for functional result by using The Swanson Shoulder Score and Constant Scoring System (Modified). Final outcome as per Swanson's Shoulder score and modified Constant score was maximum in surgically managed group. With good success rate the indications of operative treatment must be adhered to. The successful results can be attributed to early surgery, good preoperative planning, minimal soft tissue dissection, stable reduction; supervised postoperative exercise and regular follow up.
Keywords: Proximal humerus, Plating, Conservative, Shoulder score, Neer's classification.
[1]. Court-Brown CM, Caesar B: Epidemiology of adult fractures: A review. Injury. 2006 Aug; 37(8): 691-7. Epub 2006 Jun 30.
[2]. Szyskowitz R, Seggl W, Schleifer P.Proximal humeral fractures management techniques and expected results. Clin-Orthop 1993: 292: 13-25.
[3]. Hawkins RJ, Kiefer Gin: Internal fixation for proximal humeral fractures. Clin-Orthop- 1987: 223:77-85.
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[5]. Neer C.S: Displaced proximal humeral fractures Part-II Treatment of three and four part displacement .JBJS (am) 1970: 52: 1090-1101.
[6]. Herscovici, Dolfi Jr DO, Derrick's. DO, Saunders, Marie.P. LPN, Johnson, et al: Percutaneous fixation of proximal humeral fractures. Clin- Orthop 2000: 375: 97-104.
[7]. Steven.H. Rose Joseph Melton Bernard. F. Morrey et al. Epidemiological features of humeral fractures. Clin-Orthop-1982: 168: 24-30.
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Abstract: Bacterial vaginosis (BV) is an ecological disorder of the vaginal microbiota that affects millions of women annually, and is associated with numerous adverse health outcomes including pre-term birth and the acquisition of sexually transmitted infections. This study aimed to compare between the different methods (Amsel's, Nugent's, Spiegel's and PAP smears) of BV diagnosis. The results revealed that from the 100 patients It was observed that 48 (48 %) were BV positive, they met three or four of Amsel's criteria . 56(56%) were diagnosed with BV and 45(45%) had normal vaginal flora based on Nugents' score . comparison between Nugent's score and Amsel's criteria for diagnosis of BV showed a sensitivity 81% and specificity 75% . when diagnosis bacterial vaginosis by Spiegel's criteria observed that 24 (24 %) of the 100 cases, were BV positive while 76 (76 %) cases were BV negative while 57 (57 %) cases were BV negative by using pap smear including presence of Bacterail vaginosis with Trichomonas & candida 16 (16%) , Bacterail vaginosis with Trichomonas 20(20%) and Bacterail vaginosis only 7 (7%) in BV positive cases. The comparison between Nugent's score and Pap smears for diagnosis of BV had a sensitivity of 62% and a specificity of 81% .
Key words: Bacterial vaginosis, Amsel's criteria, Nugent's score, Spiegel's criteria and Papanicolaou smears .
[1]. Zhou, X.; Bent, S.; Schneider, M.; Davis, C.; Islam, M.& Forney, L. (2003).Characterization of vaginal microbial communities in adult healthy women using cultivation-independent methods. Microbiol. 150: 2465-2573.
[2]. Vitali, B.; Pugliese, C.; Biagi, E.;Candela, M.; Turroni, S.; Bellen, G.; Donders G Brigidi P. Dynamics of Vaginal Bacterial Communities in Women Developing Bacterial Vaginosis, Candidiasis, or No Infection, Analyzed by PCR-Denaturing Gradient Gel Electrophoresis and Real-Time PCR. Appl Environ Microbiol 2007; 73: 5731 5741.
[3]. Bradshaw, S.; Morton, A.; Garland, M.; Morris, B.; Moss, L.& Fairley, K. (2005). Higher-Risk behavioral practices associated with bacterial vaginosis compared with vaginal candidiasis. Obstet Gynecol. 106:105-114.
[4]. Atashili, J.; Poole, C.; Ndumbe, P.; Adimora, A.& Smith, J. (2008). Bacterial vaginosis and HIV acquisition: a meta-analysis of published studies. AIDS (London, England). 22(12):1493.
[5]. Mitchell, H. (2004) Vaginal discharge—causes, diagnosis, and treatment. BMJ. 328(7451):1306.
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Abstract: Aim: To three dimensionally compare the homogeneity of root canals obturated with three different thermoplasticized obturating systems using Spiral Computed Tomography Materials and Methods: 30 single rooted premolars were collected and decoronated, the root canals were prepared by using rotary files. The roots were randomly allocated into 3 groups, and each group was obturated by using three different thermoplasticized obturation systems namely Obtura III, Calamus Dual 3D and BeeFill 2 in1 .The specimens were then analysed in both horizontal and vertical sections from the apex to the cemento-enamel junction of each specimens with section thickness of 0.6mm using Spiral Computed tomography. All the experimental groups were compared statistically using ONE WAY ANOVA test & the sub groups were compared using TUKEYS HSD test. The results showed no significant difference between the homogeneity of the obturation among the groups both in horizontal and vertical sections. Conclusion: Obturation done with any of the three thermoplasticized obturation system does not compromise in obtaining apical seal when properly used.
Key words: Obtura III, Calamus Dual 3D, Bee Fill 2 in 1, Spiral Computed Tomography, Homogeneity.
[1]. Epley SR, Fleischman J, Hartwell G, Cicalese C. Completeness of root canal obturations: Epiphany techniques versus gutta-percha techniques. J Endod 2006;32: 541–4.
[2]. Michaud R, Burgess J, Barfield R, Cakir D, McNeal S, Eleazer P. Volumetric expansion of gutta-percha in contact with eugenol. J Endod 2008;34:1528–32.
[3]. James BL, Brown CE, Legan JJ, Moore BK, Vail MM. An in vitro evaluation of the contents of root canals obturated with gutta percha and AH-26 sealer or Resilon and Epiphany sealer. J Endod 2007;33:1359–63.
[4]. Paque F, Sirtes G. Apical sealing ability of Resilon/Epiphany versus gutta-percha/AH Plus: immediate and 16-months leakage. Int Endod J 2007;40:722–9
[5]. Schilder H. Filling root canals in three dimensions. J Endod 2006;32:281–90.
[6]. Kontakiotis EG, Tzanetakis GN, Loizides AL. A l2-month longitudinal in vitro leakage study on a new silicon-based root canal filling material (Gutta-Flow). Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103:854–9.
[7]. van der Sluis LW, Wu MK, Wesselink PR. An evaluation of the quality of root fillings in mandibular incisors and maxillary and mandibular canines using different methodologies.
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Abstract: Introduction: Carbapenems are considered to be the last choice for drug resistant Gram- negative bacteria but emergence of carbapenem resistant Gram-negative bacteria worldwide due to the production of carbapenemase has jeopardize their use. Aims and objectives: To detect the prevalence of carbapenem resistance in Gram-negative bacteria and carbapenemase production by Modified Hodge Test. Materials and Methods: A total of 160 isolates of Gram-negative bacteria from November 2012 to October 2014, from different clinical samples were included in the study. Those isolates with intermediate or resistant zone to meropenem and doripenem by disc diffusion methods according to CLSI guidelines were confirmed by E-test and were again tested for carbapenemase production by Modified Hodge Test (MHT).
[1]. Lee K, Lim YS, Yong D, Yum JH, Chong Y. Evaluation of the Hodge Test and the Imipenem-EDTA Double-Disk Synergy Test for Differentiating Metallo-β-Lactamase-Producing Isolates of Pseudomonas spp. and Acinetobacter spp. J Clin Microbiol 2003;41(10):4623–629.
[2]. Priya D, Varsha G, Shivani G, Jagdish C. Phenotypic method for differentiation of carbapenemases in Enterobacteriaceae: Study from north India.Indian Journal of Pathology and Microbiology. 2012; 55 (3): 357-360.
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[4]. Andre B, Philippe B, Nathalie G, Catherine D, Dominique D, Guillaume A, Edouard B. Phenotypic Screening of Carbapenemases and Associated β-Lactamases in Carbapenem-Resistant Enterobacteriaceae. J Clin Microbiol. 2012 Apr; 50(4): 1295–1302.Clinical and Laboratory Standards Institute. Performance Standards for Antimicrobial Susceptibility Testing: Twenty First Informational Supplement M100-S21. CLSI, Wayne, PA: USA; 2011. Available from: https://www.health.gov.au/internet/main/...nsf/.../cda-cdi3503c.htm . Accessed on Jan 18, 2014.
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Abstract: To evaluate the treatment and long term follow up supracondylar femoral fracture using retrograde nail Method: Between September 2012 to January 2015, 40 distal femoral fractures on 40 patients were operated using retrograde intramedullary nail .There were 30(75%)males and 10(25%) were females. Age was ranging 18-75 years, with an average of 43.4 years.26 patients were due to polytrauma.Fractures were classified according to Muller's .5% were Type A1,15% were Type A2,50% were Type A3,5% were Type C1,10% were Type C2,15% were Type C3.All the cases were operated with retrograde intramedullary nailing using patellar splitting approach. Result: All fractures healed by 4 month range 3 to 5.5 months. The mean knee range of movement was 90(80 to 140).There was deep infection in 2 cases shortening more than 2 cm in 2 cases, valgus angulation in 2 cases, anterior knee pain in 4cases and implant in knee joint in 2cases. there were no late mechanical failure of the implant. Neer's knee rating system was used to evaluate the function,there were 16(40%) excellent ,20(50%) satisfactoty results,2(5%) unsatisfactory results,2(5%) of the cases failed. The result correlated with age of the patient and presence of an intra articular fracture.
[1]. Hierholzer c,von Rüden C, Pötzel T, Woltmann A,Bühren V: "out come analysis of retrograde nailing and less invasive stabilization system in the distal femoral fractures, retrospective analysis" .Indian journal of orthopedics 2011/May-Jun 45,(3)243 to250.
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[5]. Mosheiff R, : "Treatment of type C supraconylar femoral fractures using a retrograde supracondylar nail., JBJS, Volume 83-B Supplement III,2001, p 290,
[6]. Henry SL, et al. Management of Supracondylar Fractures of the Femur with the GSH Supracondylar Nail: The Percutaneous Technique. Tech Orthop 1994;9:189.
[7]. Patterson, Brendan M. MD; Routt, M. L. Chip Jr., MD et al "Retrograde Nailing of Femoral Shaft Fractures". The Journal of Trauma, Injury infection & Critical Care, Volume 38(1): Jan 1995,38-43.
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Abstract: Giant cell tumour of tendon sheath of tendo-achilies is not a common tumour, it has high rate of recurrence. In this article we present one such tumour treated by is excision with no recurrence after 6 months of follow up.
Keywords: Giant cell tumour, Tendoachilies, excision
[1]. giant cell tumour of tendon sheath: case series and reviewOf literatures. s. Suresh & hosam zaki
[2]. giant cell tumour of the tendon sheath in theknee of an 11-year-old girlarifaizad abdullah, shalimar abdullah*, nor hazla mohd haflah, sharaf Ibrahim department of orthopaedics, faculty of medicine, university kebangsaan malaysia, kuala lumpur, malaysia.
[3]. giant-cell tumour of the tendon sheath is radiotherapy indicated to prevent recurrence after surgery?prakash p. kotwal, vikas gupta, rajesh malhotra from the all india institute of medical sciences, new delhi, india
[4]. giant cell tumor of the flexor tendon sheath of the hand mazheruddin ali khan and mohammed mateen department of orthopedics, owaisi hospital and research centre, deccan college of medical sciences, hyderabad 500 058, andhra pradesh, india. case reportgiant cell tumor of the tendon sheath composed largely ofepithelioid histiocytes tadashi teradadepartments of pathology, shizuoka city shimizu hospital, shizuoka, japan
[5]. case report giant cell tumor of the tendon sheath composed largely of epithelioid histiocytes tadashi terada departments of pathology, shizuoka city shimizu hospital, shizuoka, japan