Critical thinking is one of the most important requirements for an appropriate medical practise. This cannot be brought about by verbosity or lengthy titles. Please see below for a list of Dr. Ravanbod’s published works that demonstrate his level of critical thinking and collaborative effort to provide the best care possible to his patients.
subject:
Analgesic efficacy of local versus proximal nerve blocks after hallux valgus surgery: a systematic review
Abstract
Background: Hallux valgus (HV) surgery is an orthopaedic procedure that commonly causes mild to moderate postoperative pain. Effective management of this pain has become an important element of modern hallux valgus surgical treatment. A local anaesthetic (LA) with an antinociceptive effect can control this pain. However, relatively few papers have evaluated this strategy in depth. The objective of the current systematic review was to address this demand by comparing the efficacy of proximal and local blocks in controlling postoperative pain following hallux valgus surgery.
subject:
Serious infections in Rheumatoid Arthritis and strategies for their prevention: A review and discussion of implications for clinical practice
Abstract
Serious infections (SIs) in rheumatoid arthritis (RA) are common and may be life-threatening or fatal. The goal of this review was to assess the spectrum of SIs in RA, review potential causes for these SIs and to formulate strategies for prevention. Methods: We performed a systematic review that included multiple databases viz. PubMed, Medline, Scopus, and Google Scholar. Search terms used were ‘Rheumatoid Arthritis AND infection’. Searches were limited to the title of articles, human subjects and non-juvenile arthritis and to those articles published in English. Results: In total, 3,324 articles, identified through PubMed, Medline, Scopus and Google Scholar repository were found. After removing duplicates, 825 articles remained for further screening from which 141 articles were selected. These were further assessed and 110 were then excluded because 31 articles were case reports, 35 focused on young subjects (<16 years) and 44 studies focused on non-serious infection. Overall, only 31 studies met our selection criteria. Conclusion: SIs are far more common in RA than in the general population. Corticosteroids are associated with an appreciable increase in SI risk. Most commonly used and currently favored synthetic DMARDs confer a small or no risk, biologic DMARDs confer moderate risk in the first year of therapy and then a diminishing risk thereafter, and higher dose biologic or combination biologic therapy should be avoided since the SI risk is unacceptably high. Undetectable Mannose Binding Lectin (MBL) is a major risk factor for SI in RA, comparable to Prednisolone.
subject:
Posterior tibialis tendon rupture associated with closed medial malleolus fracture and avulsion of anterior talofibular ligament: A case report and review of the literature
Abstract
We demonstrate our experience in the management of a complete posterior tibialis tendon (PTT) rupture and anterior talofibular ligament avulsion fracture from the talus in association with medial malleolus fracture in a 30-year-old male motorcyclist without any open wounds.This particular case demonstrates the importance of assessing for PTT injury in situations where high velocity impact to the ankle results in malleolar fracture.
Abstract
Background: In addition to biochemical gradients and transcriptional networks, the behaviour of cells is controlled by endogenous bioelectrical signals resulting from the action of ion channels and pumps. Both biochemical and transcription network modifications can have their impacts through bioelectric modifications, and bioelectric modifications by producing polarity can act as precursor patterns for future genetic evolutions and biochemical modifications.