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Bangalore, India

Kulkarni S.V.,Ms Ramaiah Medical College | Agarwal P.,Ramaiah Medical College | Nagraj K.,Raichur Medical College
Indian Journal of Surgery | Year: 2014

The purpose of study is to analyze the feasibility, utility, and advantage of using alternate methods of anesthesia in patients undergoing surgeries for minor anorectal ailments. A total of 60 cases with proctoscopic findings of low fistula in ano, fissure in ano, hemorrhoids grade II and grade III, were operated between October 2005 and April 2007. Patients were randomized and divided into two groups of 30 each. Group A underwent surgeries under local anesthesia while group B under spinal anesthesia. There was no significant difference in operating time and patient satisfaction score. Postoperative urinary retention was significantly higher in group B—30 % patients in group B versus 6.7 % in group A. Hospital stay was significantly decreased in group A, with 93.3 % patients discharged on day 1 as compared to 70 % in group B (P = 0.02). Surgeries under local anesthesia were beneficial in terms of hospital stay and postoperative complications like urinary retention. No significant difference in patient satisfaction was observed. Hence, compared to spinal anesthesia, local anesthesia is a safe and advantageous technique in performing minor anorectal surgeries. © 2012, Association of Surgeons of India.

Lakshiminarasimhaiah G.,Ramaiah Medical College | Jagannatha A.T.,Ramaiah Medical College | Pai K.R.,Ramaiah Medical College | Varma R.G.,Ramaiah Medical College | Hegde A.S.,MS Ramaiah Institute of Neurosciences
Journal of Clinical and Diagnostic Research | Year: 2013

Neurofibromatosis type 2 is a genetic disorder with autosomal dominant pattern. It can manifest as intracranial, spinal, ocular and cutaneous lesions. The lesions can extend to all the systems. We present an anaesthetic management of a paediatric patient with neurofibromatosis 2 for multiple spinal and thoracic tumour decompression.

Sanghi D.,University of Lucknow | Mishra A.,University of Lucknow | Sharma A.C.,University of Lucknow | Raj S.,Ramaiah Medical College | And 5 more authors.
Journal of the American College of Nutrition | Year: 2015

Background and Objective: Nutritional imbalance, combined with endocrine abnormalities, may be involved in the pathogenesis of osteoarthritis (OA). This study was conducted to determine the association of OA with dietary factors, such as quantity and quality of nutrient intake.Methods: This case-control study enrolled 180 knee osteoarthritis (KOA) subjects who met the American College of Rheumatology definition of KOA, with an equal number of matched controls. Outcome measures, such as dietary nutrient intake and its frequency, were recorded using a food frequency questionnaire.Results: Compared to controls, cases were older individuals with a higher body mass index (BMI). Physical activity scores were lower in female cases compared to male cases and controls. A significantly higher intake of phosphorus and fat was observed in overall cases (fat in females only). A significantly lower intake of vitamin C and vitamin D was observed in overall cases and the significance of vitamin D persisted on gender-wise bifurcation. On multiple logistic regression analysis, the intake of vitamin D (odds ratio [OR] = 0.79) and vitamin C (OR = 0.97) was inversely associated with the presence of KOA in the observation group, especially in females. Generally, the intake of food servings/day, green leafy vegetables (GLVs), and fats/oils was higher, whereas the intake of fruits, milk/milk products, and meat/poultry was lower in cases compared to controls.Conclusion: Low intake of vitamin D and vitamin C is a possible risk factor for KOA. Certain food groups, such as fruits, milk/milk products, and meat/poultry are beneficial for KOA. Further studies are needed to elucidate the associations between diet and KOA. © 2015, Copyright © American College of Nutrition.

Devadoss C.W.,Ramaiah Medical College | Mysorekar V.,Ramaiah Medical College | Kumar S.K.,Sri Jayadeva Institute of Cardiovascular surgery and research
Acta Informatica Medica | Year: 2012

An early neonate with unremarkable antenatal and birth history presented to our hospital on the third postnatal day with cyanosis and features of shock. Differential diagnosis of congenital heart disease and septicaemia were considered. The baby succumbed, despite inotropic and ventilator support, 21/2 hours post admission. Necropsy revealed multiple congenital cardiac anomalies comprised of single inlet univentricular heart (UVH),truncus arteriosus (TA) and atrial septal defect (ASD) without heterotaxy or associated anomaly of other organs. Truly (structurally and functionally) Univentricular hearts of indeterminate morphology are exceedingly rare and more commonly a second rudimentary or hypoplastic accessory ventricle is present. Occurrence of UVH together with rare and distinct defect like truncus arteriosus and atrial septal defect which have different embryogenesis is exceptional. UVH and TA are both total mixing lesions with total admixture of pulmonary and systemic venous return and as pulmonary vascular resistance drops in the early neonatal period the pulmonary blood flow, in the setting of unobstructed pulmonary out flow, markedly increases leading to cardiac failure finally culminating in death. Prenatal diagnosis of CHD's is possible by fetal echocardiography with a high degree of accuracy and termination of pregnancy can be an option for CHD's associated with a dismal outcome. © AVICENA 2012.

John A.A.,Ramaiah Medical College | Sharma S.,Ramaiah Medical College | Madhusudhan B.K.,Ramaiah Medical College | Mahale R.,Ramaiah Medical College | And 2 more authors.
HIV and AIDS Review | Year: 2015

Abstract Amyotrophic lateral sclerosis (ALS) is the most common type of motor neuron disease (MND) [1]. It is usually associated with an irreversible course, and treatable causes of ALS are rare. Here, we present a case report of a 35-year-old male, with progressive weakness and wasting of muscles in all four limbs with fasciculation and electro diagnostic features compatible with a diagnosis of probable ALS. He was later diagnosed to have HIV infection and initiated on anti-retroviral therapy. On 6 months follow-up, he had a weight gain of 8 kg and electro diagnostic studies revealed near total normalization of the neurogenic pattern. Reversible ALS like illness in HIV infection has been documented in literature but most of them are diagnosed cases of HIV infection. This case identifies the importance of identifying reversible causes of ALS and near total response to treatment in a patient who presented to us with MND features as the only manifestation of HIV infection. © 2015 Polish AIDS Research Society.

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