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Ante-situm liver resection under hypothermic total vascular exclusion is used to resect large tumours that involve the hepatic veins close to the vena cava or the cava itself. This procedure traditionally requires venovenous bypass when it is necessary to clamp the cava, or portocaval shunt when caval continuity is maintained by piggyback dissection of the liver. We present a technique of ante-situm liver resection, operating on one side of the liver at a time while maintaining prograde portal flow through the opposite side of the liver, thereby avoiding venovenous bypass, portacaval shunt and portal vein reconstruction. © H.G.E. Update Medical Publishing S.A. Source


Arif M.,Molecular Biology and Genetics Unit | Vedamurthy B.M.,Molecular Biology and Genetics Unit | Choudhari R.,Molecular Biology and Genetics Unit | Ostwal Y.B.,Molecular Biology and Genetics Unit | And 3 more authors.
Chemistry and Biology | Year: 2010

Altered histone acetylation is associated with several diseases, including cancer. We report here that, unlike in most cancers, histones are found to be highly hyperacetylated in oral squamous cell carcinoma (OSCC; oral cancer) patient samples. Mechanistically, overexpression, as well as enhanced autoacetylation, of p300 induced by nucleophosmin (NPM1) and glyceraldehyde 3-phosphate dehydrogenase (GAPDH) causes the hyperacetylation, which is nitric oxide (NO) signal dependent. Inhibition of the histone acetyltransferase (HAT) activity of p300 by a water-soluble, small molecule inhibitor, Hydrazinocurcumin (CTK7A), substantially reduced the xenografted oral tumor growth in mice. These results, therefore, not only establish an epigenetic target for oral cancer, but also implicate a HAT inhibitor (HATi) as a potential therapeutic molecule. © 2010 Elsevier Ltd. Source


Sellakumar P.,Bangalore Institute of Oncology | James Jebaseelan Samuel E.,Vellore Institute of Technology
Radiation Measurements | Year: 2010

The normoxic polymer gel dosimeter evaluated with X-Ray computed tomography has emerged as a promising tool for measuring the dose delivered during radiotherapy in three dimensions. This study presents the dependence of PAGAT normoxic polymer gel sensitivity to different photon and electron energies. PAGAT polymer gel was prepared under normal atmospheric condition and irradiated with different photon energies of 1.25 MeV from Co-60 and 6 MV and 15 MV from linear accelerator and electron energies of 6, 9, 12, 15, 18 and 21 MeV from linear accelerator. Evaluation of dosimeter was performed with an X-Ray CT scanner. Images were acquired with optimum scanning protocols to reduce the signal-to-noise ratio. The averaged image was subtracted from the unirradiated polymer gel image for background. Central axis depth dose (PDD) curves obtained for each energy and polymer gel dosimeter measurements were in good agreement with diode and film measurements. Hounsfield (HU) - dose response curve for each photon and electron energy were derived from the PDD curve obtained from the gel dosimeter measurements. From the study it was clear that the HU-dose response curve was linear in the region 1-10 Gy. The dosimeter sensitivity was defined as a slope of these linear HU-dose response curves and found that the sensitivity of polymer gel decreases with increase in both photon and electron energies. This trend in dependence of PAGAT gel dosimeter sensitivity to different photon and electron energies was not dosimetrically significant. However, to evaluate the test phantom exposed with one energy using the calibration curve derived at another energy can produce clinically significant error. Crown Copyright © 2009. Source


Lewis S.,Bangalore Medical College and Research Institute | Salins N.,HCG Bangalore Institute of Oncology | Kadam A.,Bangalore Medical College and Research Institute | Rao R.,Bangalore Institute of Oncology
Indian Journal of Palliative Care | Year: 2013

Introduction: Distress is commonly seen in head and neck cancer patients undergoing radiotherapy. Causal factors of distress are multifactorial; which encompasses physical, psychological, spiritual, and existential factors with complex interrelationship among the factors. Materials and Methods: Thirty patients undergoing head and neck radiotherapy were included in the study. Patients were screened for pain scores, distress scores, physical and psychological symptoms, and spiritual and emotional distress. Results: Significant increasing trend seen for pain score, distress score, and total number of symptoms during 2 nd week, 4 th week, and on completion of radiotherapy treatment (all P′s < 0.001) compared to pretreatment. Those who had chemotherapy (CT) along with radiation had significantly greater pain score (t = 5.54, P = 0.03) and distress score (t = 3.9, P = 0.05) at 2 weeks into radiotherapy compared to those who did not receive CT. There was significantly higher grade of skin toxicity in those with spiritual distress (Somers′ d = 0.36, P = 0.02) and higher grade of mucositis in those with existential distress (d = 0.34, P = 0.02) at 4 weeks into radiotherapy. Conclusion: Positive correlation between distress score and pain score and occurrence of physical symptoms. Increasing trend seen for pain score, distress score, and total number of symptoms during 2 nd week, 4 th week, and completion of radiotherapy treatment compared to pretreatment. Increase in distress score in those with existential and spiritual distress. Source


Vallath N.,Bangalore Institute of Oncology
Indian Journal of Palliative Care | Year: 2010

Chronic pain is multi-dimensional. At the physical level itself, beyond the nociceptive pathway, there is hyper arousal state of the components of the nervous system, which negatively influences tension component of the muscles, patterns of breathing, energy levels and mindset, all of which exacerbate the distress and affect the quality of life of the individual and family. Beginning with the physical body, Yoga eventually influences all aspects of the person: vital, mental, emotional, intellectual and spiritual. It offers various levels and approaches to relax, energize, remodel and strengthen body and psyche. The asanas and pranayama harmonize the physiological system and initiate a "relaxation response" in the neuro endocrinal system. This consists of decreased metabolism, quieter breathing, stable blood pressure, reduced muscle tension, lower heart rate and slow brain wave pattern. As the neural discharge pattern gets modulated, hyper arousal of the nervous system and the static load on postural muscle come down. The function of viscera improves with the sense of relaxation and sleep gets deeper and sustained; fatigue diminishes. Several subtle level notional corrections can happen in case the subject meditates and that changes the context of the disease, pain and the meaning of life. Meditation and pranayama, along with relaxing asanas, can help individuals deal with the emotional aspects of chronic pain, reduce anxiety and depression effectively and improve the quality of life perceived. Source

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