Objective: This study investigates the efficacy and safety of epidural infiltration with drugs and an oxygen-ozone mixture for treating cervicobrachialgia due to disc-radicular conflict or on a degenerative basis, utilizing both retrospective analysis and direct visualization techniques. Methods: A retrospective study involving 10 patients treated with epidural infiltrations of an oxygen-ozone mixture and cortisone was conducted. The procedures were performed under CT guidance to ensure precise delivery and to monitor the diffusion of the injected substances. Pain levels were assessed using the Numerical Rating Scale (NRS) and treatment efficacy was evaluated based on symptom relief and reduction in NSAID intake. Results: Significant pain reduction was observed post-treatment, with median NRS scores decreasing from 9 (baseline) to 2 (follow-up), and a significant decrease in on-demand NSAID intake. Only one minor complication of a headache was reported. The study also demonstrated the ability of ozone to diffuse through the epidural adipose tissue, potentially enhancing treatment efficacy. Conclusion: The combined use of an oxygen-ozone mixture and cortisone for epidural infiltration is an effective and safe treatment for cervicobrachialgia, offering significant pain relief and minimizing the risk associated with traditional epidural injections. This technique presents a viable non-surgical option for patients suffering from disc-radicular conflict or degenerative conditions.
A systemic and synthetic review of the anatomy of the temporomandibular joint in magnetic resonance imaging was developed for its evaluation. The temporomandibular joint is an anatomical structure composed of bones, muscles, ligaments and an articular disc that allows important physiological movements, such as mandibular opening, closing, protrusion, retrusion and lateralization. Magnetic resonance imaging is an imaging technique that does not use ionizing radiation and is more specific for the evaluation and interpretation of soft tissues, due to its high resolution, so it has an important role in the diagnosis of various maxillofacial pathologies, which is why the dentist should have knowledge of the structures and functions of the temporomandibular joint through magnetic resonance imaging. The review demonstrates the importance of magnetic resonance imaging in the study of the anatomy of the temporomandibular joint, in addition to mentioning the advantages provided by this imaging technique such as its good detail of the soft tissues in its different sequences and the non-use of ionizing radiation to obtain its images.
Urban regeneration and gentrification are complex, interconnected processes that significantly shape cities. However, these phenomena in the Middle East and North Africa (MENA) region are often understudied and typically viewed through a Western lens. This systematic review of literature from 2010 to 2024 addresses this gap by synthesizing a comprehensive framework for understanding urban regeneration-led gentrification in MENA countries. The review delves into key themes: Gentrification contexts, the regeneration process, gentrification accelerators, and the aftermath of gentrification. It explores the diverse motives behind urban regeneration, identifies key stakeholders, and analyzes catalysts of gentrification. Findings reveal that informal areas and deteriorated heritage sites in major cities are most susceptible to gentrification. The study also highlights the critical issue of insufficient community participation and proposes a participation evaluation framework. The unique socioeconomic and political factors driving gentrification in the MENA region underscore the necessity of context-specific approaches, facilitating the identification of regional similarities and differences. Conclusively, the review asserts that gentrification is a cyclic process, necessitating core interventions through enhanced regeneration strategies or displacement plans to mitigate its effects.
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