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Aragudige N.,Sri Krishna College of Engineering And Technology | Aragudige N.,Rayalaseema University | Vasanthakumar M.,Adichunchanagiri Institute of Medical science
Electronic Library | Year: 2014

Purpose - This paper aims to analyse the impact of open-access (OA) journals in engineering and technology institutions, if libraries are not subscribed to the journals through the All India Council for Technical Education (AICTE) mandatory packages. In India, many engineering colleges do not subscribe to journals through business subscription models or consortia and invariably a majority of them depend on OA journals to fulfil their users' needs. Design/methodology/approach - The paper identifies the impact factors of mandatory journals made in big-deal subscriptions with the impact factors of OA journals available to access in Directory of OA Journals pertaining to engineering and technology. Findings - The study reveals that journals subscribed through big-deal subscriptions have better impact in the scholarly communications than the OA journals. Research limitations/implications - The results of this study cannot be generalized to all disciplines. Impact factors of journals can also be calculated by use of SCImago Journal Rank indicator, which uses the Scopus database. Publish or Perish can also be used to analyse Google Scholar rankings to identify the individual journal's impact. Originality/value - The result of the study is useful for selection of e-journals in big-deal subscriptions and it highlights the implications and impact of OA journals in engineering and technology.

Goel A.,1Cutis Laser Aesthetic Skin Solutions | Krupashankar D.,Manipal Hospital | Aurangabadkar S.,Skin and Laser Clinic | Nischal K.,Adichunchanagiri Institute of Medical science | And 2 more authors.
Indian Journal of Dermatology, Venereology and Leprology | Year: 2011

Introduction: Fractional laser technology is a new emerging technology to improve scars, fine lines, dyspigmentation, striae and wrinkles. The technique is easy, safe to use and has been used effectively for several clinical and cosmetic indications in Indian skin. Devices: Different fractional laser machines, with different wavelengths, both ablative and non-ablative, are now available in India. A detailed understanding of the device being used is recommended. Indications: Common indications include resurfacing for acne, chickenpox and surgical scars, periorbital and perioral wrinkles, photoageing changes, facial dyschromias. The use of fractional lasers in stretch marks, melasma and other pigmentary conditions, dermatological conditions such as granuloma annulare has been reported. But further data are needed before adopting them for routine use in such conditions. Physician qualification: Any qualified dermatologist may administer fractional laser treatment. He/ she should possess a Master′s degree or diploma in dermatology and should have had specific hands-on training in lasers, either during postgraduation or later at a facility which routinely performs laser procedures under a competent dermatologist or plastic surgeon with experience and training in using lasers. Since parameters may vary with different systems, specific training tailored towards the concerned device at either the manufacturer′s facility or at another center using the machine is recommended. Facility: Fractional lasers can be used in the dermatologist′s minor procedure room for the above indications. Preoperative counseling and Informed consent: Detailed counseling with respect to the treatment, desired effects and possible postoperative complications should be provided to the patient. The patient should be provided brochures to study and also adequate opportunity to seek information. A detailed consent form needs to be completed by the patient. Consent form should include information on the machine, possible postoperative course expected and postoperative complications. Preoperative photography should be carried out in all cases of resurfacing. A close-up front and 45-degree lateral photographs of both sides must be taken. Laser parameters: There are different machines based on different technologies available. Choice parameters depend on the type of machine, location and type of lesion, and skin color. Physician needs to be familiar with these requirements before using the machine. Anesthesia: Fractional laser treatment can be carried out under topical anesthesia with eutectic mixture of lidocaine and prilocaine. Some machines can be used without any anesthesia or only with topical cooling or cryospray. But for maximal patient comfort, a topical anesthetic prior to the procedure is recommended. Postoperative care: Proper postoperative care is important in avoiding complications. Post-treatment edema and redness settle in a few hours to a few days. A sunscreen is mandatory, and emollients may be prescribed for the dryness and peeling that could occur.

Malleshappa P.,Adichunchanagiri Institute of Medical science
Dialisis y Trasplante | Year: 2014

IgA nephropathy is a common pattern of glomerulonephritis defined by mesangial IgA deposits. Rapidly progressive renal failure is unusual in IgA nephropathy; it may result from acute tubular necrosis or superimposed crescentic nephritis. In this uncommon situation, the risk-benefit balance is most strongly in favour of intense immunosuppressive therapy because if crescentic IgA nephritis is not treated, there will almost inevitably be rapid progression to end-stage renal disease. We report the clinical and histological features of a patient with crescentic IgA nephropathy treated successfully with intensive immunosuppression. © 2013 SEDYT.

Malleshappa P.,Adichunchanagiri Institute of Medical science | Vankalakunti M.,Manipal Hospital
Nephro-Urology Monthly | Year: 2013

Patients presenting with nephrotic syndrome with or without nephritic illness rarely come across with the diagnosis of 'C1q nephropathy'. This entity is purely diagnosed with the help of immunofluorescence like IgA nephropathy. Clinical presentation is heterogenous, ranging from nephrotic range proteinuria to sub-nephrotic state; and with or without hematuria / renal insufficiency. Similarly, the concept of 'C1q nephroapthy' has periodically evolved since its original description by Jenette and Hipp in 1985. Here the pathophysiology, histologic findings / diagnostic and therapeutic options in patients with C1q nephropathy are discussed. © 2013, Nephrology and Urology Research Center; Published by Kowsar Corp.

Pavan M.,Adichunchanagiri Institute of Medical science
Iranian Journal of Kidney Diseases | Year: 2014

Introduction. The aim of this study was to determine the incidence of acute renocardiac syndrome (cardiorenal syndrome type 3) and its outcome in a suburban population in India. Materials and Methods. In an observational study, 100 patients admitted with acute kidney injury were evaluated. Results. Acute renocardiac syndrome was documented in 29%. Acute gastroenteritis (46%) was the leading cause of acute kidney injury. Cardiogenic pulmonary edema (56%) was the most common cause of acute cardiac dysfunction. Only 42% of the patients with acute renocardiac syndrome had complete recovery of kidney function. Requirement of renal replacement therapy was found to be significantly high in patients with acute renocardiac syndrome (43% versus 9% in those with AKI and no cardiorenal syndrome) and was associated with high rate of mortality (17%). Conclusions. This study shows that the incidence of acute renocardiac syndrome is high and is associated with increased morbidity and mortality. Hence, there is a need for primordial prevention and early intervention on large scale.

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