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https://www.selleckchem.com/products/pirfenidone.html Introduction Carpal tunnel syndrome is one of the most common peripheral neuropathies. Only a few studies evaluate the efficacy of "nutraceuticals" on peripheral nerves and neuropathic pain. The aim of the present investigation is to evaluate the role of Alfa-Lipoic Acid-R (ALA-R) on clinical and functional outcomes in patients affected by mild to moderate carpal tunnel syndrome. Material and Methods The present investigation is a prospective randomised controlled open label study, performed at our Hand Surgery Department (Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome) from October 2018 to March 2019. The enrolled patients were divided in two groups Group A (ALA-R 600mg once day for 60 days) and Group B (control Group, no drug administration). Results 134 patients (74 F, 60 M) met the inclusion and exclusion criteria. In Group A, there was a statistically significant pain reduction compared to the control Group. Using the Boston Carpal Tunnel Questionnaire, there were no significant improvements in the other symptoms and function. Conclusion ALA-R full dose administration for two months leads to positive short term results in terms of symptoms and function improvement, even if the surgical carpal tunnel release remains the treatment of choice. © 2020 Malaysian Orthopaedic Association (MOA). All Rights Reserved.The oxidation state, coordination, and local environment of sulfur in alkali silicate (R2O-SiO2; R = Na, Li) and alkali/alkaline-earth silicate (Na2O-MO-SiO2; M = Ca, Ba) glasses have been investigated using neutron diffraction and Raman spectroscopy. With analyses of both the individual total neutron correlation functions and suitable doped-undoped differences, the S-O bonds and (O-O)S correlations were clearly isolated from the other overlapping correlations due to Si-O and (O-O)Si distances in the SiO4 tetrahedra and the modifier-oxygen (R-O and M-O) distances. Clear evidence was obtained t

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