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"Pain diease model induction (PinPrick)"
Bootstrap 4.1.1 Snippet by
Daniel3007
4.1.1
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<link href="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/js/bootstrap.min.js"></script> <script src="//cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script> <!------ Include the above in your HEAD tag ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Pain Disease Model Induction (PinPrick)</legend> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="selectbasic">What is the type of pain model?</label> <div class="col-md-4"> <select id="selectbasic" name="selectbasic" class="form-control"> <option value="1">SNI (Decosterd_Woolf_2000)</option> <option value="2">Plantar incision</option> <option value="">Plantar incision+muscle</option> <option value="">CFA</option> <option value="">Carrageenan</option> <option value="">Naive</option> <option value="">Transgene</option> <option value="">Trigeminal neuralgia</option> <option value="">CCI</option> <option value="">IOCCI</option> <option value="">IOCFA</option> <option value="">Diabetes (Strain)</option> <option value="">STZ_Diabetis</option> <option value="">SNL</option> <option value="">Chronic post-ischemia pain</option> <option value="">Osteoarthritis</option> <option value="">Hemisected at T13</option> <option value="">SCT Transection S3-4</option> <option value="">SNI</option> <option value="">Cisplatin</option> <option value="">Spinal cord injury</option> <option value="">Periperhal neuropathy (Vincristine)</option> <option value="">Peripheral neuropathy (Vincristine) + CCI</option> <option value="">Periperhal neuropathy</option> <option value="">Periperhal neuropathy (TST)</option> <option value="">Compression of the trigeminal nerve root</option> <option value="">LPA-induced trigeminal neuropathic pain</option> <option value="">IOCCI + Stress</option> <option value="">PSNL</option> <option value="">NGF-induced</option> <option value="">Root constriction</option> <option value="">Compression of the trigeminal ganglion</option> <option value="">IOCCI + sciatic CCI</option> <option value="">CCI + SNI</option> <option value="">CCI + CFA</option> <option value="">Formalin</option> <option value="">Nerve Crush</option> <option value="">Back Hairy incision</option> <option value="">CCI + partial axotomy</option> <option value="">Needlestick DNI (distal nerve injury, tibial)</option> </select> </div> </div> <!-- Search input--> <div class="form-group"> <label class="col-md-4 control-label" for="searchinput">Search Input</label> <div class="col-md-4"> <input id="searchinput" name="searchinput" type="search" placeholder="placeholder" class="form-control input-md"> <p class="help-block">help</p> </div> </div> <!-- Multiple Radios --> <div class="form-group"> <label class="col-md-4 control-label" for="radios">Was the model sugically induced?</label> <div class="col-md-4"> <div class="radio"> <label for="radios-0"> <input type="radio" name="radios" id="radios-0" value="1" checked="checked"> yes </label> </div> <div class="radio"> <label for="radios-1"> <input type="radio" name="radios" id="radios-1" value="2"> no </label> </div> </div> </div> <!-- Multiple Radios --> <div class="form-group"> <label class="col-md-4 control-label" for="radios">Control Procedure?</label> <div class="col-md-4"> <div class="radio"> <label for="radios-0"> <input type="radio" name="radios" id="radios-0" value="" checked="checked"> yes </label> </div> <div class="radio"> <label for="radios-1"> <input type="radio" name="radios" id="radios-1" value=""> no </label> </div> </div> </div> </fieldset> </form>
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