1
|
Malay B, Kulkarni P. Impact of COVID-19 on the Indian ICT Industry. CM 2022. [DOI: 10.18137/cardiometry.2022.23.699709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Due to the COVID-19 crisis, a continuation of business has become problematic. Most economic activities have shut down with huge losses. People at home, online businesses, video conferencing, movies on OTT platforms and e-learning, are the new normal. Seamless connectivity solutions are crucial. Living with COVID-19 has substantially reduced the movement of employees from homes to workplaces. Everyone needs telecommunication for business continuity, which has enhanced demand for telecom. While most industries faced a slump, Information and Telecommunication (ICT) industry has taken off. The IT and telecom ecosystems have reached a new symbiotic high to meet the massive demand. This paper discusses the impact of COVID-19 on the ICT industry and ‘Data Consumption’ concerning ‘Average Revenue per User (ARPU)’ and other indicators; it studies the impact of lockdown on Content Delivery Networks and their adaptation to higher usage; it predicts the impact of COVID-19 on the future of the ICT industry in India.
Collapse
|
2
|
Gupta K, Chopra R, Kulkarni P. Use of pulse oximetry during nitrous oxide- oxygen inhalation sedation: mandatory or recommended? Eur Arch Paediatr Dent 2022; 23:647-652. [PMID: 35655051 DOI: 10.1007/s40368-022-00717-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Accepted: 04/28/2022] [Indexed: 11/30/2022]
Abstract
AIM There is skepticism amongst many dentists about the interference of nitrous oxide with the physiological parameters. This commentary attempts to make clear recommendations on the use of pulse oximeter during nitrous oxide inhalation sedation. BACKGROUND Nitrous oxide is used commonly in dentistry as a tool to reduce fear/ anxiety and build a positive dental attitude. Dentists use pulse oximeter to monitor oxygen saturation during the period of administration of nitrous oxide. There is no consensus amongst various guidelines across the world on the necessity of using pulse oximeter during the period of administration of nitrous oxide CONCLUSION: Pulse oximetry may not be considered mandatory when nitrous oxide gas is being administered for minimal sedation to a healthy patient having no pre- existing diseases/illness.
Collapse
Affiliation(s)
- K Gupta
- Children's Dental Center, 8, FF, MGF Megacity Mall, MG Road, Gurugram, 122002, India.
- Sharad Pawar Dental College, Wardha, India.
- Peoples College of Dental Sciences, Bhopal, India.
| | - R Chopra
- Children's Neurology and Dentistry, Ghaziabad, India
| | - P Kulkarni
- Peoples College of Dental Sciences, Bhopal, India
| |
Collapse
|
3
|
Abstract
Healthcare consumer behavior is influenced by the cumulativeimpact of internal/external factors. Individual considerations,and interplay amongst determinants, are both crucial. Today,customers demand more information, greater options, andreal-time interactions. Customer engagement has becomecrucial. Digital Transformation with emerging technologies likeAI, Blockchain, Telemedicine, etc., helps physicians, optimizessystems, improves patient experience, and reduces humanerrors.This paper discusses factors influencing healthcare consumers’behavior and provides insights into digital technologies toenhance the consumer experience. The qualitative method isused by engaging a closed consumer group in discussion andthrough in-depth interviews. The analysis provides an insightinto the behavior of healthcare consumers.The study finds that the new breed of consumers is wellinformed about healthcare providers’ digital readiness. Thefactors influencing consumers to select healthcare providersinclude digital readiness of the healthcare provider,good customer experience, word of mouth, and brand image.
Collapse
|
4
|
Singh J, Yadav AK, Pakhare A, Kulkarni P, Lokhande L, Soni P, Dadheech M, Gupta P, Masarkar N, Maurya AK, Nema S, Biswas D, Singh S. Comparative analysis of the diagnostic performance of five commercial COVID-19 qRT PCR kits used in India. Sci Rep 2021; 11:22013. [PMID: 34759300 PMCID: PMC8580981 DOI: 10.1038/s41598-021-00852-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Accepted: 08/23/2021] [Indexed: 02/07/2023] Open
Abstract
To meet the unprecedented requirement of diagnostic testing for SARS-CoV-2, a large number of diagnostic kits were authorized by concerned authorities for diagnostic use within a short period of time during the initial phases of the ongoing pandemic. We undertook this study to evaluate the inter-test agreement and other key operational features of 5 such commercial kits that have been extensively used in India for routine diagnostic testing for COVID-19. The five commercial kits were evaluated, using a panel of positive and negative respiratory samples, considering the kit provided by National Institute of Virology, Indian Council of Medical Research (2019-nCoV Kit) as the reference. The positive panel comprised of individuals who fulfilled the 3 criteria of being clinically symptomatic, having history of contact with diagnosed cases and testing positive in the reference kit. The negative panel included both healthy and disease controls, the latter being drawn from individuals diagnosed with other respiratory viral infections. The same protocol of sample collection, same RNA extraction kit and same RT-PCR instrument were used for all the kits. Clinical samples were collected from a panel of 92 cases and 60 control patients, who fulfilled our inclusion criteria. The control group included equal number of healthy individuals and patients infected with other respiratory viruses (n = 30, in each group). We observed varying sensitivity and specificity among the evaluated kits, with LabGun COVID-19 RT-PCR kit showing the highest sensitivity and specificity (94% and 100% respectively), followed by TaqPath COVID-19 Combo and Allplex 2019-nCoV assays. The extent of inter-test agreement was not associated with viral loads of the samples. Poor correlation was observed between Ct values of the same genes amplified using different kits. Our findings reveal the presence of wide heterogeneity and sub-optimal inter-test agreement in the diagnostic performance of the evaluated kits and hint at the need of adopting stringent standards for fulfilling the quality assurance requirements of the COVID-19 diagnostic process.
Collapse
Affiliation(s)
- J Singh
- Department of Microbiology, All India Institute of Medical Sciences, Bhopal, 462020, India
- Translational Medicine Centre, All India Institute of Medical Sciences, Bhopal, India
| | - A K Yadav
- Department of Microbiology, All India Institute of Medical Sciences, Bhopal, 462020, India
| | - A Pakhare
- Department of Community & Family Medicine, All India Institute of Medical Sciences, Bhopal, India
| | - P Kulkarni
- Department of Biochemistry, All India Institute of Medical Sciences, Bhopal, India
| | - L Lokhande
- Department of Microbiology, All India Institute of Medical Sciences, Bhopal, 462020, India
| | - P Soni
- Department of Microbiology, All India Institute of Medical Sciences, Bhopal, 462020, India
| | - M Dadheech
- Department of Microbiology, All India Institute of Medical Sciences, Bhopal, 462020, India
| | - P Gupta
- Department of Microbiology, All India Institute of Medical Sciences, Bhopal, 462020, India
| | - N Masarkar
- Department of Biochemistry, All India Institute of Medical Sciences, Bhopal, India
| | - A K Maurya
- Department of Microbiology, All India Institute of Medical Sciences, Bhopal, 462020, India
| | - S Nema
- Department of Microbiology, All India Institute of Medical Sciences, Bhopal, 462020, India
| | - D Biswas
- Department of Microbiology, All India Institute of Medical Sciences, Bhopal, 462020, India.
| | - S Singh
- Department of Microbiology, All India Institute of Medical Sciences, Bhopal, 462020, India.
| |
Collapse
|
5
|
Devendrappa MC, Kulkarni MD, Haidry N, Kulkarni P, Verma F, Pawar DA. Evaluation of surface changes of stainless steel miniplates and screws following retrieval from maxillofacial trauma and orthognathic surgery patients: A comparative study. Natl J Maxillofac Surg 2021; 12:357-360. [PMID: 35153431 PMCID: PMC8820293 DOI: 10.4103/njms.njms_257_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Revised: 03/11/2021] [Accepted: 05/11/2021] [Indexed: 02/01/2023] Open
Abstract
Background Metal implants have the potential to degrade body fluids. Corrosive degradation has been demonstrated in laboratory tests, both under simulated clinical conditions and by electrochemical methods, as well as in studies of retrieved metal implants. The clinical importance of degradation of metal implants is evidenced by particulate corrosion and wear products in tissue surrounding the implant, which may ultimately lead to bone loss. Materials and Methods The present study is to evaluate the surface changes such as corrosion, surface roughness, and microfractures and for the tensile strength of 18 stainless steel miniplates and 18 stainless steel screws which were used as rigid internal fixation in the management of maxillofacial fractures and orthognathic surgeries. Results In this study, surface roughness and microfractures were found in all the miniplates and screws that is 100%. Corrosion degradation was found in 12 of 18 plates that is 66.66%. Conclusion Our results through scanning electron microscopy and stereo electron microscopy showed surface roughness, microfractures, and corrosion. However, tensile strength was not affected when the plates were in situ. Through our study, we recommend their retrieval after the purposes of rigid fixation have been fulfilled.
Collapse
Affiliation(s)
- Mouneshkumar Chapi Devendrappa
- Department of Oral and Maxillofacial Surgery, School of Dental Sciences, Krishna Institute of Medical Sciences, Deemed University, Karad, Maharashtra, India
| | - Madhura Dattatraya Kulkarni
- Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth Dental College and Hospital, Sangli, Maharashtra, India
| | - Nazia Haidry
- Private Dental Practitioner, Patna, Bihar, India
| | | | - Flora Verma
- Oral and Maxillofacial Pathology, Senior Research Fellow, CDER, AIIMS, New Delhi, India
| | | |
Collapse
|
6
|
Apte A, Shrivastava R, Sanghavi S, Mitra M, Ramanan PV, Chhatwal J, Jain S, Chowdhury J, Premkumar S, Kumar R, Palani A, Kaur G, Javadekar N, Kulkarni P, Macina D, Bavdekar A. Multicentric Hospital-Based Surveillance of Pertussis Amongst Infants Admitted in Tertiary Care Facilities in India. Indian Pediatr 2021; 58:709-717. [PMID: 34465657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
OBJECTIVE To estimate the disease and economic burden of pertussis amongst hospitalised infants in India. DESIGN Multicentric hospital-based surveillance study. PARTICIPANTS Hospitalised infants with clinical suspicion of pertussis based on predefined criteria. OUTCOME MEASURES Proportion of infants with laboratory-confirmed pertussis, economic burden of pertussis amongst hospitalised infants. RESULTS 693 clinically suspected infants were recruited of which 32 (4.62%) infants had laboratory-confirmed pertussis. Progressive cough with post-tussive emesis (50%) and pneumonia (34%) were the common clinical presentations; apnea in young infants was significantly associated with pertussis. Infants with pertussis were more likely to be younger (median age 102.5 days vs.157 days) and born preterm (42.9% vs 24.5%). Almost 30% infants with pertussis had not received vaccine for pertussis with 50% of these infants aged less than 2 months. Pertussis was associated with higher costs of hospitalisation, pharmacy and loss of working days by caregivers as compared to non-pertussis cases. CONCLUSIONS Younger infants, those born preterm and those inadequately immunised against pertussis are at higher risk of pertussis infection. Timely childhood immunisation and introduction of maternal immunisation for pertussis can help in reducing the disease burden.
Collapse
Affiliation(s)
- A Apte
- Department of Pediatrics, KEM Hospital Research Centre, Pune, India
| | - R Shrivastava
- Department of Pediatrics, KEM Hospital Research Centre, Pune, India
| | - S Sanghavi
- Department of Pediatrics, KEM Hospital Research Centre, Pune, India
| | - M Mitra
- Department of Pediatrics, Institute of Child Heath, Kolkata, India
| | - P Venkat Ramanan
- Department of Pediatrics, Sri Ramachandra Medical Centre, Chennai, India
| | - J Chhatwal
- Department of Pediatrics, Christian Medical College and Hospital, Ludhiana, India
| | - S Jain
- Department of Pediatrics, KEM Hospital Research Centre, Pune, India
| | - J Chowdhury
- Department of Pediatrics, Institute of Child Heath, Kolkata, India
| | - S Premkumar
- Department of Pediatrics, Sri Ramachandra Medical Centre, Chennai, India
| | - R Kumar
- Department of Pediatrics, Christian Medical College and Hospital, Ludhiana, India
| | - A Palani
- Department of Pediatrics, Sri Ramachandra Medical Centre, Chennai, India
| | - G Kaur
- Department of Pediatrics, Christian Medical College and Hospital, Ludhiana, India
| | - N Javadekar
- Department of Pediatrics, KEM Hospital Research Centre, Pune, India
| | - P Kulkarni
- Department of Pediatrics, KEM Hospital Research Centre, Pune, India
| | | | - A Bavdekar
- Department of Pediatrics, KEM Hospital Research Centre, Pune, India. Correspondence to: Dr Ashish Bavdekar, Associate Professor, Consultant Pediatric Gastroenterologist, Department of Pediatrics, KEM Hospital, Rasta Peth, Pune, Maharashtra 411 011.
| |
Collapse
|
7
|
Apte A, Shrivastava R, Sanghavi S, Mitra M, Ramanan PV, Chhatwal J, Jain S, Chowdhury J, Premkumar S, Kumar R, Palani A, Kaur G, Javadekar N, Kulkarni P, Macina D, Bavdekar A. Multicentric Hospital-Based Surveillance of Pertussis Amongst Infants Admitted in Tertiary Care Facilities in India. Indian Pediatr 2021. [DOI: 10.1007/s13312-021-2276-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
|
8
|
Kumar S, Jha PC, Negi BS, Haidry N, Kulkarni P, Gulati S, Muttu J. Oral Health Status and Treatment Need in Geriatric Patients with Different Degrees of Cognitive Impairment and Dementia: A Cross-Sectional Study. J Family Med Prim Care 2021; 10:2171-2176. [PMID: 34322409 PMCID: PMC8284228 DOI: 10.4103/jfmpc.jfmpc_2481_20] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Revised: 02/21/2021] [Accepted: 03/17/2021] [Indexed: 12/25/2022] Open
Abstract
Background Health can be defined as more than an absence or lack of disease. It is generally related to personal, physical, social, along with spiritual wellness. However, the importance of good health is comparable with a progressive physical and cognitive limitations due to aging and hence, its clear definition is not possible. Hence, most of the important aims or goals in aging are unrelated to finding a cure but rather toward achieving an optimal function. Thus, a healthy aging process that encompasses physical, mental, psychological, and spiritual well-being is always much desired. Aim and Objectives The aim and objective of this study is to assess the oral health status and degree of cognitive impairment along with dementia, if present. Materials and Methods This is a prospective and cross-sectional analysis comprising of 300 study participants of which 150 are males while 150 are females. Cognitive ability is assessed using the Standardized Mini-Mental State Examination (SMMSE) scoring test. A score value lesser than or equal to 23 is considered as low, whereas a score of 24 and above represents normal cognitive abilities. Subjects with low score are selected for the study. Oral health status is assessed by examining a) total numbers of teeth present; b) presence or absence of denture use; and c) capacity for masticatory or chewing ability (recorded as yes or no). Demographic variables parameters include age, gender, and presence of smoking habit. Clinical parameters or variables are analyzed by employing the independent t-test and Chi-square test. Pearson's correlation analysis is used to test a correlation between impairment of cognitive capacity, oral health status, masticatory capability, and use of dentures, if present. Two-tailed t-test is used to derive a P value for significance. Results The total numbers of teeth present are significantly correlated with a lower SMMSE score (R = + 0.56; P = 0.03) while a significant association is noted between ability for mastication and lower SMMSE score (P = 0.05). Conclusion This study concluded that loss of cognition or dementia is closely related to a poor oral health status.
Collapse
Affiliation(s)
- Santosh Kumar
- Department of Conservative Dentistry and Endodontics, Patna Dental College and Hospital, Patna, Bihar, India
| | - Prakash C Jha
- Department of Dentistry, Nalanda Medical College Hospital Agamkuan, Patna, Bihar, India
| | - Bhupender S Negi
- Department of Dentistry (MDS, Oral Medicine and Radiology, GDC Calicut), Consultant and Dental Surgeon, Shree Balaji Hospital, Kangra, Himachal Pradesh, India
| | - Nazia Haidry
- Private Dental Practitioner, Patna, Bihar, India
| | | | - Saakshi Gulati
- Department of Oral Medicine and Radiology, Sathyabama Dental College and Hospital, Chennai, Tamil Nadu, India
| | - Jayalakshmi Muttu
- Private Practitioner and Consultant Oral Surgeon Thandalam, Chennai, Tamil Nadu, India
| |
Collapse
|
9
|
Sharma A, Shah M, Sane H, Gokulchandran N, Paranjape A, Khubchandani P, Captain J, Shirke S, Kulkarni P. Intravenous ozonized saline therapy as prophylaxis for healthcare workers (HCWs) in a dedicated COVID-19 hospital in India - A retrospective study. Eur Rev Med Pharmacol Sci 2021; 25:3632-3639. [PMID: 34002840 DOI: 10.26355/eurrev_202105_25847] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE In the current pandemic, Health Care Workers (HCWs) are at a high risk of developing COVID-19. Preventive methods like the use of personal protective equipment, isolation, social distancing, and chemoprophylaxis show limited benefit. Despite standard prophylaxis, many of the HCWs develop COVID-19. Medical ozone therapy has immunomodulatory, antioxidant and antiviral effect, and, therefore, it can be explored as prophylaxis for COVID-19. PATIENTS AND METHODS We conducted a retrospective controlled cohort study. IV ozonized saline was administered once a day for a total of 4 days in one month in addition to standard prophylaxis for COVID-19 to HCWs in a dedicated COVID hospital. Fresh ozonized saline was prepared for every administration and was given over 1 hour. RESULTS There were 235 HCWs, 64 received the ozone prophylaxis and 171 did not. The incidence of COVID-19 was significantly (p=0.04) lesser in HCWs that received ozone prophylaxis (4.6%) as compared to those who did not (14.03%). The benefit was seen irrespective of the risk of exposure. In the red zone, 8.69% of the HCWs who received ozone prophylaxis tested positive as opposed to 15.3% of those who did not. In the orange zone, 4.34% of the HCWs who received ozone prophylaxis tested positive, remarkably lesser than those who did not (20%). In the green zone, none of the HCWs who received ozone prophylaxis tested positive; however, 3.4% of the HCWs who did not receive ozone prophylaxis tested positive. No major adverse events were noted. CONCLUSIONS IV ozonized saline can be used in addition to the standard prophylactic regimen for the prevention of COVID-19 in HCWs. Prospective larger studies are required to establish the potency of IV ozonized saline as prophylaxis.
Collapse
Affiliation(s)
- A Sharma
- Department of Medical Services and Clinical Research, NeuroGen Brain & Spine Institute, Navi Mumbai, Maharashtra, India.
| | | | | | | | | | | | | | | | | |
Collapse
|
10
|
Mouneshkumar CD, Anand S, Shilpa RH, Haidry N, Kulkarni P, Aastha, Gupta A. Dermatoglyphics and Cheiloscopy patterns in hypertensive and type 2 Diabetes mellitus patients: An observational study. J Family Med Prim Care 2021; 10:1177-1182. [PMID: 34041147 PMCID: PMC8140240 DOI: 10.4103/jfmpc.jfmpc_1986_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Revised: 12/02/2020] [Accepted: 12/16/2020] [Indexed: 12/03/2022] Open
Abstract
Background: Essential hypertension is a type of hypertension which bears no etiological reasons. It is found to affect approximately 90 to 95 percent of hypertensive individuals. Similarly, type 2 diabetes or diabetes mellitus is a genetically determined systemic condition with a close relation to familial medical history. Both of these conditions or diseases are closely linked with the process of ageing among various other inherited and genetically determined factors. Importantly, a positive family history increases disease risk manifolds. As there is increased risk of hypertension and development of type 2 diabetes in individuals with family history because of genetic factors, the study of co-relation between dermatoglyphics and hypertension can aid in early identification of individuals with a genetic predisposition towards developing hypertension and type 2 diabetes. Aim: The aim and objectives were as follows: (1) Analyze dermatoglyphic finger patterns; (2) Analyze cheiloscopic patterns; (3) Comparison of cheiloscopic and dermatoglyphic patterns with hypertension and type 2 diabetes; and (4) to determine if dermatoglyphics and/or cheiloscopic patterns can be used as tool(s) for pre-identification of inherited diseases. Materials and Methods: Total 300 study participants age range above 40 years were selected after obtaining informed consent. Lip patterns were recorded using a dark-colored lipstick and a transparent cellophane tape while finger print patterns were recorded using stamp ink-pad and by applying uniform finger pressure on blank paper sheet. Results and Observations: Cheiloscopic patterns analysis showed that the branched, straight, intersected, reticular followed by undifferentiated patterns were present in decreasing frequency among male patients while among female patients, branched, intersected, straight and reticular patterns were observed. However, no undifferentiated pattern was observed in female subjects. These findings were consistent with both diabetic as well as hypertensive patients. On the other hand, finger pattern analysis showed that ulnar loop was most frequently observed in both male and female patients with either hypertension or type 2 diabetes. Also, this was followed in decreasing order by arch type pattern, radial loop pattern and whorl pattern in both genders. Conclusion: It can be surmised from the study that both the finger prints and lip patterns can be used to ascertain predisposition to type 2 diabetes and hypertension.
Collapse
Affiliation(s)
- C D Mouneshkumar
- Department of Oral and Maxillofacial Surgery, School of Dental Sciences, Krishna Institute of Medical Sciences, Deemed University, Karad, Maharashtra, India
| | - Santosh Anand
- Department of Prosthodontics Crown Bridge and Implantology, Patna Dental College and Hospital, Patna, Bihar, India
| | - R H Shilpa
- Oral and Maxillofacial Surgeon, MVJ Medical College and Research Hospital, Bengaluru, Karnataka, India
| | - Nazia Haidry
- Private Dental Practitioner, Patna, Bihar, India
| | | | - Aastha
- Private Practitioner, Bihar, India
| | - Aaysha Gupta
- Private Practitioner, Lucknow, Uttar Pradesh, India
| |
Collapse
|
11
|
Nazeer J, Kumari S, Haidry N, Kulkarni P, Aastha, Gautam A, Gupta P. Comparison of efficacy of lignocaine, ropivacaine, and bupivacaine in pain control during extraction of mandibular posterior teeth. Natl J Maxillofac Surg 2021; 12:238-243. [PMID: 34483583 PMCID: PMC8386260 DOI: 10.4103/njms.njms_14_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Revised: 04/15/2020] [Accepted: 12/10/2020] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND The management of pain during extraction of mandibular third molars is an important requisite to achieve patient comfort and to obtain desired result in an effective manner. There are various anesthetics that can be used to achieve regional or local anesthetic effect in this regard. AIM The aim of this study was to compare the efficacy of 2% lignocaine with 1:80,000 adrenaline, 0.75% ropivacaine and bupivacaine in pain control during extraction of mandibular posterior teeth. MATERIALS AND METHODS This prospective, cross-sectional study included 300 study participants indicated for mandibular third molar surgical extractions. The study subjects were categorized into three broad groups - (a) Group I (n = 100): Third molar extractions performed using 2% Lignocaine with 1: 80,000 epinephrine; (b) Group II (n = 100): This group included subjects who underwent extractions of mandibular third molars using 0.75% ropivacaine and (c) Group III (n = 100): This group included patients who underwent extractions of mandibular third molars with bupivacaine. Inclusion criteria were: (a) partially impacted mandibular third molars which were symptomatic; (b) written informed consent. Exclusion criteria were - (a) any systemic diseases and/or undergoing any medication for same; (b) subjects not willing for extraction after clinical and radiographic examination and opinion and (c) subjects undergoing orthodontic therapy. Subject response for pain was recorded using - (a) visual analog scale (VAS) and (b) Verbal Rating scale (VRS). Postoperative pain was assessed using requirement of analgesics after extraction. SPSS version 21.0 was employed as statistical software. Statistical tool used was the Analysis of Variance test which was used for determining statistical significance which was set at a P value of lesser than 0.05 (significant). RESULTS On analysis of visual analog scale (VAS), it was observed that in Group I (2% Lignocaine with 1:80,000), no pain during the extraction procedure was demonstrated in 30 study participants while minimal or less pain was present in 70 patients, while in Group II (0.75% ropivacaine), 90 patients presented with no pain while ten patients had presented with minimal amount of pain during tooth extraction. While on the other hand, Group III patients whose mandibular third molars were extracted using local anesthesia by injecting bupivacaine, lack of any pain was observed in 69 patients while minimal pain was noted in 31 individuals. While making statistical comparison between three groups, a significant P = 0.03 was observed. Also, postoperative pain was noted in 60% of cases who underwent extraction using 2% lignocaine (Group I), 10% patients who had third molar extractions under Bupivacaine anesthesia presented with pain whereas none of the patients (0%), demonstrated the presence of pain following third molar extraction. CONCLUSION 0.75% Ropivacaine is the most effective local anesthetic agent that can be used for extracting mandibular third molars due to its effective pain control both during and following the procedure when compared to 2% lignocaine and bupivacaine.
Collapse
Affiliation(s)
- Jazib Nazeer
- Department of Oral Pathology and Microbiology, Patna Dental College and Hospital, Patna, Bihar, India
| | - Soni Kumari
- Department of Orthodontics and Dentofacial Orthopedics, Hazaribag College of Dental Sciences and Hospital, Demotand, India
| | - Nazia Haidry
- Private Dental Practitioner, Patna, Bihar, India
| | | | - Aastha
- Private Practitioner, Patna, Bihar, India
| | - Ashesh Gautam
- Department of Pedodontics, Awadh Dental College and Hospital, Jamshedpur, Jharkhand, India
| | - Preeti Gupta
- Private Practitioner, Chandigarh, India,Address for correspondence: Dr. Preeti Gupta, Private Practitioner, Chandigarh, India. E-mail:
| |
Collapse
|
12
|
Kimball A, Kerbusch T, van Aarle F, Kulkarni P, Li Q, Blauvelt A, Papp K, Reich K, Montgomery D. How many people develop anti-drug antibodies to the biologic drug tildrakizumab, and what impact does this have on the effectiveness of their treatment. Br J Dermatol 2020. [DOI: 10.1111/bjd.18662] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
13
|
Kimball A, Kerbusch T, van Aarle F, Kulkarni P, Li Q, Blauvelt A, Papp K, Reich K, Montgomery D. 有多少人开发生物制剂 tildrakizumab 的抗药抗体, 以及这对其治疗有效性产生哪些影响. Br J Dermatol 2020. [DOI: 10.1111/bjd.18679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
14
|
Kimball A, Kerbusch T, van Aarle F, Kulkarni P, Li Q, Blauvelt A, Papp K, Reich K, Montgomery D. Assessment of the effects of immunogenicity on the pharmacokinetics, efficacy and safety of tildrakizumab. Br J Dermatol 2020; 182:180-189. [PMID: 30916381 PMCID: PMC6972989 DOI: 10.1111/bjd.17918] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/19/2019] [Indexed: 12/26/2022]
Abstract
BACKGROUND We evaluated antidrug antibody (ADA) development in patients with chronic plaque psoriasis from three clinical trials of tildrakizumab, a humanized anti-interleukin-23p19 monoclonal antibody (P05495, reSURFACE 1 and reSURFACE 2). OBJECTIVES To determine the effects of immunogenicity on the pharmacokinetics, efficacy and safety of tildrakizumab. METHODS In 1400 (weeks 12-16) and 780 (weeks 52-64) evaluable patients randomized to tildrakizumab 100 or 200 mg, treatment-emergent ADA-positive (TE-POS) patients were identified and characterized for neutralizing antibodies (NAbs). Pharmacokinetics, safety and efficacy were evaluated by ADA status. RESULTS In patients treated with tildrakizumab 100 or 200 mg continuously, < 7% were inconclusive at 52-64 weeks. In long-term data through 52-64 weeks, the incidence of TE-POS was 6·5% (100 mg) and 8·2% (200 mg) and the incidence of TE-POS NAb-POS was 2·5% (100 mg) and 3·2% (200 mg). TE-POS NAb-POS patients had modestly increased median tildrakizumab clearance (36·5%) compared with ADA-NEG patients. Percentage Psoriasis Area and Severity Index improvements in TE-POS NAb-POS vs. ADA-NEG patients on continuous treatment through week 52 were 76% (n = 10) vs. 91% (n = 342) for 100 mg and 77% (n = 12) vs. 87% (n = 299) for 200 mg. The incidence of potential immunogenicity-related adverse events did not indicate a clear trend in any positive ADA patient category compared with ADA-NEG patients through weeks 52-64. The effects of ADA on pharmacokinetics, efficacy and safety at 12-16 weeks were also summarized. CONCLUSIONS ADA development with tildrakizumab treatment for 52-64 weeks was low; around 3% of patients developed TE-POS NAb-POS ADAs and showed lower serum concentrations and corresponding reduced efficacy. No relationship between ADAs and safety was observed. What's already known about this topic? Unwanted immune responses - for example immunogenicity and antidrug antibodies (ADAs) - have been observed with therapeutic monoclonal antibodies and can affect efficacy and safety. Tildrakizumab is a humanized monoclonal antibody targeting interleukin-23 and is currently approved for patients with plaque psoriasis. What does this study add? ADA development in tildrakizumab-treated patients with psoriasis over 52 weeks was low. The small proportion of patients who had treatment-emergent ADAs and had neutralizing antibodies experienced lower serum tildrakizumab concentrations and reduced efficacy. No relationship between ADAs and safety events was observed.
Collapse
Affiliation(s)
| | | | | | | | - Q. Li
- Merck & Co., Inc.KenilworthNJU.S.A
| | - A. Blauvelt
- Oregon Medical Research CenterPortlandORU.S.A
| | - K.A. Papp
- Probity Medical ResearchWaterlooONCanada
| | - K. Reich
- Center for Translational Research in Inflammatory Skin Diseases, Institute for Health Services Research in Dermatology and Nursing, University Medical Center Hamburg‐Eppendorf, and Skinflammation centerHamburgGermany
- DermatologikumBerlinGermany
| | | |
Collapse
|
15
|
Kulkarni P. Calcium hydroxide an efficient catalyst for synthesis of arylethylidene malononitrile. B CHEM SOC ETHIOPIA 2019. [DOI: 10.4314/bcse.v33i2.18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
|
16
|
Kulkarni P, Biswas P, Sikander S, Dehghani H, Burt J, Song S. 3:00 PM Abstract No. 211 Design of an MRI-guided robotic prostate intervention. J Vasc Interv Radiol 2018. [DOI: 10.1016/j.jvir.2018.01.237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
|
17
|
Zheng L, Kulkarni P, Dionysiou DD. Calibration Approaches for Measurement of Aerosol Multielemental Concentration using Spark Emission Spectroscopy. J Anal At Spectrom 2018; 33:404-412. [PMID: 35673324 PMCID: PMC9170181 DOI: 10.1039/c7ja00252a] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
A multivariate calibration approach, using partial least squares regression, has been developed for measurement of aerosol elemental concentration. A training set consisting of 25 orthogonal aerosol samples with 9 factors (elements: Cr, Mn, Fe, Ni, Cu, Zn, Cd, Pb, Ti) and 5 levels (elemental concentrations) was designed. Spectral information was obtained for each aerosol sample using aerosol spark emission spectroscopy (ASES) at a time resolution of 1 minute. Simultaneous filter samples were collected for determination of elemental concentration using an inductively coupled plasma mass spectrometry (ICP-MS) analysis. Two regression models, PLS1 and PLS2, were developed to predict mass concentration from spectral measurements. Prediction ability of the models improved substantially when only signature wavelengths were included instead of the entire spectrum. The PLS1 model with 45 selected spectral variables (PLS1-45 model) presented the lowest relative root mean square error of cross validation (RMSECV; 16 - 35%). The detection limits using the PLS1-45 model, for the nine elements were in the range of 0.16 - 0.50 μg/m3. The performance of both multivariate and univariate regression models were tested for an unknown sample of welding fume aerosol. The multivariate model did not provide significantly better prediction compared to the univariate model. In spite of the difference in matrices of calibration aerosol and the unknown test aerosol, the results from PLS model show good agreement with those from filter measurements. The relative root mean square error of prediction (RMSEP) obtained from PLS1-45 model was 13% for Cr, 23% for Fe, 22% for Mn and 12% for Ni. The study shows that in spite of lower spectral resolution and lack of sample preparation, reliable and robust measurements can be obtained using the proposed calibration method based on PLS regression.
Collapse
Affiliation(s)
- L. Zheng
- Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Cincinnati, OH 45226, USA
- Environmental Engineering and Science Program, Department of Biomedical, Chemical, and Environmental Engineering, University of Cincinnati, OH, 45221, USA
| | - P. Kulkarni
- Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Cincinnati, OH 45226, USA
| | - D. D. Dionysiou
- Environmental Engineering and Science Program, Department of Biomedical, Chemical, and Environmental Engineering, University of Cincinnati, OH, 45221, USA
| |
Collapse
|
18
|
Bharambe V, Arole V, Vatsalaswamy P, Kulkarni P, Kulkarni P. Knowledge and attitude towards body and organ donation among people in Lanja – A rural town in India. J ANAT SOC INDIA 2016. [DOI: 10.1016/j.jasi.2016.08.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
19
|
Yee JR, Kenkel WM, Kulkarni P, Moore K, Perkeybile AM, Toddes S, Amacker JA, Carter CS, Ferris CF. BOLD fMRI in awake prairie voles: A platform for translational social and affective neuroscience. Neuroimage 2016; 138:221-232. [PMID: 27238726 DOI: 10.1016/j.neuroimage.2016.05.046] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2016] [Revised: 05/14/2016] [Accepted: 05/17/2016] [Indexed: 01/03/2023] Open
Abstract
The advancement of neuroscience depends on continued improvement in methods and models. Here, we present novel techniques for the use of awake functional magnetic resonance imaging (fMRI) in the prairie vole (Microtus ochrogaster) - an important step forward in minimally-invasive measurement of neural activity in a non-traditional animal model. Imaging neural responses in prairie voles, a species studied for its propensity to form strong and selective social bonds, is expected to greatly advance our mechanistic understanding of complex social and affective processes. The use of ultra-high-field fMRI allows for recording changes in region-specific activity throughout the entire brain simultaneously and with high temporal and spatial resolutions. By imaging neural responses in awake animals, with minimal invasiveness, we are able to avoid the confound of anesthesia, broaden the scope of possible stimuli, and potentially make use of repeated scans from the same animals. These methods are made possible by the development of an annotated and segmented 3D vole brain atlas and software for image analysis. The use of these methods in the prairie vole provides an opportunity to broaden neuroscientific investigation of behavior via a comparative approach, which highlights the ethological relevance of pro-social behaviors shared between voles and humans, such as communal breeding, selective social bonds, social buffering of stress, and caregiving behaviors. Results using these methods show that fMRI in the prairie vole is capable of yielding robust blood oxygen level dependent (BOLD) signal changes in response to hypercapnic challenge (inhaled 5% CO2), region-specific physical challenge (unilateral whisker stimulation), and presentation of a set of novel odors. Complementary analyses of repeated restraint sessions in the imaging hardware suggest that voles do not require acclimation to this procedure. Taken together, awake vole fMRI represents a new arena of neurobiological study outside the realm of traditional rodent models.
Collapse
Affiliation(s)
- J R Yee
- Dept. of Psychology, Northeastern University, United States; Kinsey Institute, Indiana University, United States.
| | - W M Kenkel
- Dept. of Psychology, Northeastern University, United States; Kinsey Institute, Indiana University, United States
| | - P Kulkarni
- Dept. of Psychology, Northeastern University, United States
| | - K Moore
- Dept. of Psychology, Northeastern University, United States
| | - A M Perkeybile
- Dept. of Psychology, Northeastern University, United States
| | - S Toddes
- Dept. of Psychology, Northeastern University, United States
| | - J A Amacker
- Dept. of Psychology, Northeastern University, United States
| | - C S Carter
- Kinsey Institute, Indiana University, United States
| | - C F Ferris
- Dept. of Psychology, Northeastern University, United States
| |
Collapse
|
20
|
Kulkarni P, Slavine N, Chiguru S, Alhasan M, Ramezani S, Hao G, Sun X, Bonte F. Improved quantitative accuracy of PET/CT imaging of plaque deposition in transgenic mice with F-18 quinoline for early diagnosis of AD. J Neurol Sci 2015. [DOI: 10.1016/j.jns.2015.08.243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
21
|
Kulkarni P, Kudale A, Arasu K, Lab M, Darby W, Rangan S. Tuberculosis knowledge and awareness in tribal-dominant districts of Jharkhand, India: implications for ACSM. Public Health Action 2015; 4:189-94. [PMID: 26400809 DOI: 10.5588/pha.14.0036] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2014] [Accepted: 06/27/2014] [Indexed: 11/10/2022] Open
Abstract
SETTING Forty hard-to-reach villages in the East and West Singhbhum Districts of Jharkhand State, India. OBJECTIVES To document knowledge and awareness of tuberculosis (TB) among the general population, understand gender differences and inform intervention activities for the improvement of TB control programmes in tribal-dominant hard-to-reach areas in India. DESIGN A cross-sectional community-based survey was carried out among 825 respondents using population proportionate sampling. RESULTS Most of the respondents were in the 18-35 years age group, tribal and married; 44% were illiterate. The study shows poor knowledge about TB symptoms, causes, modes of transmission and moderate awareness about government TB services. Correct knowledge about the cause of TB was negligible: half of the respondents reported local liquor as the cause, 61% considered TB as transmissible and one third considered sharing of food as the mode of transmission. Awareness about the availability of free treatment services at government health facilities was high, but awareness about DOTS was low. Significant gender differences were observed in knowledge and awareness levels. CONCLUSION Study findings point to the importance of urgent intensification of culturally congruent and gender-sensitive advocacy, communication and social mobilisation activities.
Collapse
Affiliation(s)
- P Kulkarni
- The Maharashtra Association of Anthropological Sciences-Centre for Health Research and Development, Pune, India
| | - A Kudale
- The Maharashtra Association of Anthropological Sciences-Centre for Health Research and Development, Pune, India
| | - K Arasu
- Alternative for India Development, India, Jamshedpur, India
| | - M Lab
- Target Tuberculosis, Brighton, United Kingdom
| | - W Darby
- Target Tuberculosis, Brighton, United Kingdom
| | - S Rangan
- The Maharashtra Association of Anthropological Sciences-Centre for Health Research and Development, Pune, India
| |
Collapse
|
22
|
Kulkarni P, Koppikar S, Mahajan A, Deshpande S, Harsulkar A. AB1005 Glycosaminoglycan in Synovial Fluid of Osteoarthritis Patients Validates Kellgren-Lawrence Score as a Useful Indicator for Disease Progression and Cartilage Degradation. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.5154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
23
|
LaHaye NL, Harilal SS, Diwakar PK, Hassanein A, Kulkarni P. The effect of ultrafast laser wavelength on ablation properties and implications on sample introduction in inductively coupled plasma mass spectrometry. J Appl Phys 2013; 114:023103. [PMID: 26640294 PMCID: PMC4668957 DOI: 10.1063/1.4812491] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
We investigated the role of femtosecond (fs) laser wavelength on laser ablation (LA) and its relation to laser generated aerosol counts and particle distribution, inductively coupled plasma-mass spectrometry (ICP-MS) signal intensity, detection limits, and elemental fractionation. Four different NIST standard reference materials (610, 613, 615, and 616) were ablated using 400 nm and 800 nm fs laser pulses to study the effect of wavelength on laser ablation rate, accuracy, precision, and fractionation. Our results show that the detection limits are lower for 400 nm laser excitation than 800 nm laser excitation at lower laser energies but approximately equal at higher energies. Ablation threshold was also found to be lower for 400 nm than 800 nm laser excitation. Particle size distributions are very similar for 400 nm and 800 nm wavelengths; however, they differ significantly in counts at similar laser fluence levels. This study concludes that 400 nm LA is more beneficial for sample introduction in ICP-MS, particularly when lower laser energies are to be used for ablation.
Collapse
Affiliation(s)
- N L LaHaye
- Center for Materials under Extreme Environment, School of Nuclear Engineering Purdue University, West Lafayette, Indiana 47907, USA
| | - S S Harilal
- Center for Materials under Extreme Environment, School of Nuclear Engineering Purdue University, West Lafayette, Indiana 47907, USA
| | - P K Diwakar
- Center for Materials under Extreme Environment, School of Nuclear Engineering Purdue University, West Lafayette, Indiana 47907, USA
| | - A Hassanein
- Center for Materials under Extreme Environment, School of Nuclear Engineering Purdue University, West Lafayette, Indiana 47907, USA
| | - P Kulkarni
- Centers for Disease Control and Prevention, National Institute of Occupational Safety and Health, Cincinnati, Ohio 45213, USA
| |
Collapse
|
24
|
Affiliation(s)
- P Kulkarni
- Department of Pathology, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Andhra Pradesh, India
| | | | | | | | | |
Collapse
|
25
|
Kulkarni P, Uppin MS, Prayaga AK, Das U, Dakshinamurthy KV. Authors' reply. Indian J Nephrol 2012; 22:234-5. [PMID: 23087571 PMCID: PMC3459540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Affiliation(s)
- P. Kulkarni
- Department of Pathology, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Andhra Pradesh, India
| | - M. S. Uppin
- Department of Pathology, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Andhra Pradesh, India
| | - A. K. Prayaga
- Department of Pathology, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Andhra Pradesh, India,Address for correspondence: Dr. Aruna K. Prayaga, Department of Pathology, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad- 500 082, Andhra Pradesh, India. E-mail:
| | - U. Das
- Department of Nephrology, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Andhra Pradesh, India
| | - K. V. Dakshinamurthy
- Department of Nephrology, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad, Andhra Pradesh, India
| |
Collapse
|
26
|
Kulkarni P, Uppin MS, Prayaga AK, Das U, Dakshina Murthy KV. Renal allograft pathology with C4d immunostaining in patients with graft dysfunction. Indian J Nephrol 2011; 21:239-44. [PMID: 22022083 PMCID: PMC3193666 DOI: 10.4103/0971-4065.85481] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Renal allograft biopsy is the gold standard for diagnosis of rejection. Incorporation of C4d as a marker for humoral rejection is a major addition for Banff Schema, 2005. We evaluated the pattern of C4d staining in indicated renal allograft biopsies from January 2005 to December 2009. Of the 67 biopsies analyzed, 21 were C4d-positive. They were 11 cases of acute rejection, seven chronic rejection and one biopsy each of acute tubular necrosis, BK virus nephropathy and normal biopsy. Morphologic features like peritubular capillary dilatation, tubulitis and interstitial inflammation were seen more frequently in C4d-positive biopsies and this was statistically significant. C4d positivity was noted in 50% of the chronic rejection cases indicating a humoral component in the pathogenesis of chronic rejection. There was no significant difference in the serum creatinine levels of C4d-positive and -negative patients, either at the time of biopsy or during the follow-up. This study supports the role of C4d immunostaining in confirming histologically diagnosed acute and chronic humoral rejections and in detecting histologically unsuspected cases.
Collapse
Affiliation(s)
- P Kulkarni
- Department of Pathology, Nizam's Institute of Medical Sciences, Hyderabad, India
| | | | | | | | | |
Collapse
|
27
|
Kharkar V, Kotrashetti S, Kulkarni P. Comparative evaluation of dento-alveolar distraction and periodontal distraction assisted rapid retraction of the maxillary canine: a pilot study. Int J Oral Maxillofac Surg 2010; 39:1074-9. [DOI: 10.1016/j.ijom.2010.06.012] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2009] [Revised: 03/09/2010] [Accepted: 06/09/2010] [Indexed: 01/27/2023]
|
28
|
Reynoso F, Gultepe E, Jhaveri A, Kulkarni P, Gershman B, Ferris C, Campbell R, Harisinghani M, Sridhar S. TH-D-201C-08: Multi-Modal MRI SPECT and CT Imaging of Theranostic Nanoplatforms. Med Phys 2010. [DOI: 10.1118/1.3469556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
|
29
|
Pascoli L, Napier NJ, Wray M, Mc Carron M, Mc Allister C, Rooney ME, Gibson DS, Pascoli L, McAlilister C, Scaife C, Dunn M, Pennington S, Rooney M, Pascoli L, Wright S, Mc Allister C, Rooney ME, Hinks A, Martin P, Flynn E, Eyre S, Packham J, Barton A, Worthington J, Thomson W, McErlane F, Kulkarni P, Nicholl K, Foster HE, Pain C, Baildam E, Foster H, Harrison M, Symmonds D, Hinks A, Martin P, Flynn E, Eyre S, Packham J, Barton A, Worthington J, Thomson W, Hinks A, Martin P, Flynn E, Eyre S, Packham J, Barton A, Worthington J, Thomson W. Paediatric and Adolescent Rheumatology [143-150]: 143. Knee Joint in JIA: A Prospective Evaluation of Clinical Examination, Ultrasound and Mri Assessment. A Newly Developed Knee MRI Scoring System in JIA. Rheumatology (Oxford) 2010. [DOI: 10.1093/rheumatology/keq724] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
30
|
Joshi CV, Ghormade V, Kunde P, Kulkarni P, Mamgain H, Bhat S, Paknikar KM, Deshpande MV. Flocculation of dimorphic yeast Benjaminiella poitrasii is altered by modulation of NAD-glutamate dehydrogenase. Bioresour Technol 2010; 101:1393-1395. [PMID: 19833508 DOI: 10.1016/j.biortech.2009.09.052] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/21/2009] [Revised: 09/14/2009] [Accepted: 09/16/2009] [Indexed: 05/28/2023]
Abstract
A strategy to control flocculation is investigated using dimorphic yeast, Benjaminiella poitrasii as a model. Parent form of this yeast (Y) exhibited faster flocculation (11.1 min) than the monomorphic yeast form mutant Y-5 (12.6 min). Atomic force microscopy revealed higher surface roughness of Y (439.34 rms) than Y-5 (52 rms). Also, the former had a zeta potential of -65.97+/-3.45 as against -50.21+/-2.49 for the latter. Flocculation of both Y and Y-5 could be altered by supplementing either substrates or inhibitor of NAD-glutamate dehydrogenase (NAD-GDH) in the growth media. The rate of flocculation was promoted by alpha-ketoglutarate or isophthalic acid and decelerated by glutamate with a statistically significant inverse correlation to corresponding NAD-GDH levels. These interesting findings open up new possibilities of using NAD-GDH modulating agents to control flocculation in fermentations for easier downstream processing.
Collapse
Affiliation(s)
- C V Joshi
- Biochemical Sciences Division, National Chemical Laboratory, Dr. Homi Bhabha Road, Pune 411008, India
| | | | | | | | | | | | | | | |
Collapse
|
31
|
Lal S, Kulkarni P, Singh A. Parametric Decomposition of Sample Space for Classification. Journal of Intelligent Systems 2010. [DOI: 10.1515/jisys.2010.19.2.163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
|
32
|
Lim Y, Kulkarni P, Shaw R, Tay E. P1054 Case report on chylous ascites in recurrent gynaecological malignancies. Int J Gynaecol Obstet 2009. [DOI: 10.1016/s0020-7292(09)62540-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
|
33
|
Inoue T, Maeno A, Kulkarni P, Zeng Y, Yeater D, Leman E, Ogawa O, Getzenberg R. POD-04.01: Purine-Rich Element Binding Protein Alpha Induces Cell Stress and Differentiation Pathways in Prostate Cancer Cells. Urology 2009. [DOI: 10.1016/j.urology.2009.07.1177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
34
|
Bhanich Supapol W, Remis R, Raboud J, Millson M, Tappero J, Kaul R, Kulkarni P, McConnell M, Mock P, McNicholl J, Vanprapar N, Asavapiriyanont S, Shaffer N, Butera S. Mother‐to‐Child Transmission of GB Virus C in a Cohort of Women Coinfected with GB Virus C and HIV in Bangkok, Thailand. J Infect Dis 2009; 200:227-35. [DOI: 10.1086/599793] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
|
35
|
Shah AS, Knoll MD, Sharma PR, Moisi JC, Kulkarni P, Lalitha MK, Steinhoff M, Thomas K. Invasive pneumococcal disease in Kanti Children's Hospital, Nepal, as observed by the South Asian Pneumococcal Alliance network. Clin Infect Dis 2009; 48 Suppl 2:S123-8. [PMID: 19191607 DOI: 10.1086/596490] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
BACKGROUND Pneumonia accounts for approximately 2 million deaths annually among children aged <5 years, with most of these deaths occurring in Africa and southern Asia. The South Asian Pneumococcal Alliance (SAPNA) network in Nepal is generating local epidemiological data to assist in the development of national and regional policies for prevention of pneumococcal and Haemophilus influenzae (Hib) disease. METHODS Children aged 2 months to 5 years with suspected invasive bacterial disease were recruited from Kanti Children Hospital, Kathmandu, Nepal. Specimens of blood, CSF, and normally sterile body fluids were cultured, and analysis of antimicrobial susceptibility patterns and serotyping of Streptococcus pneumoniae isolates were performed. CSF specimens were also tested for S. pneumoniae and Hib antigens by a latex agglutination test and an immunochromatographic test of pneumococcal antigen (NOW S. pneumoniae Antigen Test; Binax). RESULTS A total of 2528 children with suspected invasive bacterial disease were recruited, of whom 82% had pneumonia, 9.6% had meningitis, 2% had very severe disease, and 0.4% had bacteremia; the remainder received another diagnosis. Before hospitalization, 26.7% had received antibiotic treatment. Fifty children had S. pneumoniae identified as the etiological agent of invasive disease. Of 2461 blood cultures performed, 22 were positive for S. pneumoniae. Of 33 cases of S. pneumoniae meningitis, 11 were detected by CSF culture, and 21 were detected by latex agglutination and pneumococcal antigen tests. The rate of detection of S. pneumoniae in CSF was 3.6% by culture, compared with 7.8% by latex agglutination and 10% by pneumococcal antigen testing. The rate of detection of H. influenzae in CSF was 1.7% by culture and 6.5% by latex agglutination. The most common serotypes found were 1, 5, 2, and 7F, followed by 12A, 19B, and 23F. Of all the invasive isolates, 3.8% were resistant to penicillin, and 68% were resistant to trimethoprim-sulfamethoxazole. CONCLUSIONS The SAPNA network has identified Hib and pneumococci as causes of significant disease in Nepal.
Collapse
Affiliation(s)
- A S Shah
- Institute of Medicine and Kanti Children's Hospital, Kathmandu, Nepal.
| | | | | | | | | | | | | | | |
Collapse
|
36
|
Mitra S, Thomas K, Balaji V, Kulkarni P, Steinhoff M. Characteristics of Invasive Pneumococcal Disease (IPD) in Adults in South India. Int J Infect Dis 2008. [DOI: 10.1016/j.ijid.2008.05.573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
|
37
|
Tai DF, Kulkarni P, Wang Y, Gill J, Obasaju C. Effect of race on the safety and efficacy of pemetrexed (P) therapy in locally advanced and metastatic non-small cell lung cancer (NSCLC). J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.18082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
18082 Background: P is a multitargeted antifolate active in NSCLC. While a number of clinical trials have evaluated P safety and efficacy in general patient populations, little is known of the possible impact of race on the utility of P therapy in NSCLC. The objective of this post-hoc analysis was to evaluate the effect of race on the safety and efficacy of P (single-agent or in combination) in patients with locally advanced and metastatic NSCLC. Methods: Data from 6 trials with at least 5% non-Caucasian patients were pooled for analyses. One Phase III trial evaluated P in a second-line setting. All other trials used P in Phase II first-line settings. Patients were given at least one dose of P (single-agent or in combination) at 600 mg/m2 (59 patients) or 500 mg/m2 (469 patients) every 21 days. Demographic, safety, and efficacy data were stratified broadly by race, to either Caucasian or non-Caucasian groups. Kaplan-Meier method was used to estimate median survival. The Cox model was used to calculate the hazard ratio (HR) for survival, adjusting for significant prognostic factors, including disease stage, performance status, gender, and line of treatment. Results: Results are summarized in the data table below. The adjusted HR for survival (non-Caucasian versus Caucasian) was 0.89 (p=0.365). Conclusions: In this post-hoc analysis of results from clinical trials using P therapy in NSCLC, race did not have a statistically significant impact on response rate, disease control rate, or survival. However, P therapy appeared to be better tolerated by non-Caucasian patients. [Table: see text] No significant financial relationships to disclose.
Collapse
Affiliation(s)
- D. F. Tai
- Eli Lilly and Company, Indianapolis, IN
| | | | - Y. Wang
- Eli Lilly and Company, Indianapolis, IN
| | - J. Gill
- Eli Lilly and Company, Indianapolis, IN
| | | |
Collapse
|
38
|
Volavka J, Lindenmayer J, Liu-Seifert H, Kulkarni P, Kinon B, Stauffer V, Edwards B, Chen L, Adams D, Buckley P, Citrome L. The role of adherence to medication in the effectiveness of long-term treatment of schizophrenia. Eur Psychiatry 2007. [DOI: 10.1016/j.eurpsy.2007.01.213] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
|
39
|
Ferris CF, Febo M, Luo F, Schmidt K, Brevard M, Harder JA, Kulkarni P, Messenger T, King JA. Functional magnetic resonance imaging in conscious animals: a new tool in behavioural neuroscience research. J Neuroendocrinol 2006; 18:307-18. [PMID: 16629829 PMCID: PMC1448699 DOI: 10.1111/j.1365-2826.2006.01424.x] [Citation(s) in RCA: 50] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Affiliation(s)
- C F Ferris
- Center for Comparative Neuroimaging, Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA 01655, USA.
| | | | | | | | | | | | | | | | | |
Collapse
|
40
|
Biswas G, Khadwal A, Kulkarni P, Bakshi A, Nair C, Kurkure P, Muckaden M, Parikh P. Ewing′s sarcoma with cutaneous metastasis - a rare entity: Report of three cases. Indian J Dermatol Venereol Leprol 2005; 71:423-5. [PMID: 16394487 DOI: 10.4103/0378-6323.18950] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Ewing's sarcoma (ES) is a small round cell tumor, usually arising from flat bones and diaphyseal region of long bones. It is commonly found in the first two decades of life. It is curable when diagnosed in the localized stage and requires multimodality treatment. ES is a chemosensitive tumor. It metastasizes commonly to lung, pleura and other bones. Less common sites of metastasis are lymph nodes, CNS and liver. Skin metastasis is extremely uncommon. It occurs in up to 9% of all patients with cancer. Growth pattern of cutaneous metastasis is unpredictable and may not reflect that of primary tumor. We hereby report three cases of Ewing's sarcoma that developed skin metastasis.
Collapse
Affiliation(s)
- G Biswas
- Department of Medical Oncology, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India.
| | | | | | | | | | | | | | | |
Collapse
|
41
|
Biswas G, Kurkure P, Banavali S, Achrekar S, Kulkarni P, Bhagwat R, Sharma L. Challenges in management of advanced neuroblastoma: Experience at Tata Memorial Hospital, Mumbai, India. J Clin Oncol 2004. [DOI: 10.1200/jco.2004.22.90140.8562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- G. Biswas
- TATA MEMORIAL HOSPITAL, MUMBAI, India
| | | | | | | | | | | | - L. Sharma
- TATA MEMORIAL HOSPITAL, MUMBAI, India
| |
Collapse
|
42
|
|
43
|
Abstract
The search for new drugs against fungal infections is a major challenge to current research in mycotic diseases. The present article reviews the current types of antifungal infections, the current scenario of antifungal antibiotics, and the need and approaches to search for newer antifungal antibiotics and antifungal drug targets.
Collapse
Affiliation(s)
- M Gupte
- Food and Fermentation Technology Division, University Department of Chemical Technology, Matunga, Mumbai, India.
| | | | | |
Collapse
|
44
|
Cowan T, Op't Holt TB, Gegenheimer C, Izenberg S, Kulkarni P. Effect of inner cannula removal on the work of breathing imposed by tracheostomy tubes: a bench study. Respir Care 2001; 46:460-5. [PMID: 11309185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
Abstract
BACKGROUND Tracheotomy has been used to assist in weaning patients from mechanical ventilation. Some patients fail to be weaned from the ventilator despite tracheostomy. We hypothesized that removing the inner cannula from the tracheostomy tube would decrease the tube's imposed work of breathing (WOB(IMP)). METHODS The hypothesis was tested using a lung model, by measuring the change in WOB(IMP) when the inner cannula was removed. A mechanical lung model was developed using a test lung to simulate a spontaneously breathing patient. WOB(IMP) was measured with a commercially available lung mechanics monitor. Shiley size 6, 8, and 10 nonfenestrated tracheostomy tubes were tested with the inner cannula in and out. Breathing conditions were simulated using tidal volumes (V(T)) of 300 and 500 mL matched with breathing frequencies of 12, 24, and 32 breaths per minute, by using a ventilator to simulate spontaneous breathing through one side of the test lung. RESULTS Under all the tested breathing conditions, WOB(IMP) for each of the 3 tracheostomy tubes was significantly reduced (p < 0.05) when the inner cannula was removed. Also, as simulated spontaneous inspiratory flow demand increased (ie, as V(T) and/or frequency were increased), WOB(IMP) also increased, and vice versa. With the cannula removed, WOB(IMP) was not significantly different between the size 6 and 8 tubes nor between the size 8 and 10 tubes when V(T) was 300 mL and frequency was 12 breaths per minute. CONCLUSIONS There was a significant decrease in WOB(IMP) with each tube when the inner cannula was removed. WOB(IMP) increased with an increase in inspiratory flow demand (ie, increase in V(T) and/or frequency), as well as when tube size decreased. In weaning a tracheostomized patient from mechanical ventilation, increasing the internal diameter of the tube by removing the inner cannula may be beneficial. Further study is needed to determine if these findings are clinically important.
Collapse
Affiliation(s)
- T Cowan
- Department of Cardiorespiratory Care, University of South Alabama, Mobile, USA.
| | | | | | | | | |
Collapse
|
45
|
Abstract
Uveitis, inflammation of the eye, is a common occurring disease resulting from a wide variety of traumatic and immunogenic insults and, in most cases, can be treated successfully by corticosteroids. However, corticosteroids have severe side effects. Alternative therapy is using nonsteroidal anti-inflammatory agents like indomethecin, diclofenac and flurbiprofen. The uveitic cases are prominent in the third world countries, and many of the patients are not responsive or become refractory to steroidal or nonsteroidal therapy. Therefore, there is another class of compounds "immunosuppressive drugs" found to be successful in treating uveitis. These include cyclosporin A, tacrolimus, and sirolimus. However, being immunosuppressive they also have side effects. Therefore, the effective therapy with lower side effects is the treatment with combination of these drugs in lower dosages. Cyclosporin A plus sirolimus or tacrolimus in threshold doses alleviate signs of uveitis with lower incidence of side effects.
Collapse
Affiliation(s)
- P Kulkarni
- Department of Ophthalmology anld Visual Sciences, University of Louisville School of Medicine, Kentucky Lions Eye Research Institute, 40202, USA
| |
Collapse
|
46
|
Withington D, Menard G, Harris J, Kulkarni P, Donati F, Varin F. Vecuronium pharmacokinetics and pharmacodynamics during hypothermic cardiopulmonary bypass in infants and children. Can J Anaesth 2000; 47:1188-95. [PMID: 11132740 DOI: 10.1007/bf03019867] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
PURPOSE To determine the effect of moderate and deep hypothermic cardiopulmonary bypass (CPB) on the pharmacokinetic and pharmacodynamic behaviour of vecuronium in infants and children. METHODS We studied 12 patients undergoing surgery for congenital heart disease under narcotic-nitrous oxide anesthesia. Neuromuscular blockade was maintained constant (TI 4-10% by Datex electromyograph) by adjusting a vecuronium infusion. Plasma vecuronium concentrations (Cpss) were analysed by HPLC to describe a pseudosteady-state during each of the pre-CPB, CPB and post-CPB phases. Paired arterial blood samples were taken 20 min apart after at least 20 min of constant infusion. RESULTS Nine cases were analysed, mean age 20 mo, mean weight 9 kg. Three patients had deep and six moderate hypothermia. In the pre-CPB phase Cpss fell into two groups (mean +/- SD: 330 +/- 42 ng x ml(-1); 127 +/- 27 ng x ml(-1); P < 0.001); similarly the clearances showed a bimodal distribution (mean +/- SD: 5.08 +/- 0.94; 11.51 +/- 0.2 ml x min(-1) x kg(-1) P < 0.001), although in different patients. During CPB this bimodal distribution disappeared. Vecuronium infusion rate (VIR) decreased by 84% and 92% from pre-CPB to CPB phase in deep and moderate hypothermia groups respectively (P < 0.05), paralleled by decreases in Cpss of 36% (P > 0.05) and 52% (P < 0.05). CONCLUSION Changes in vecuronium requirements and plasma concentrations during CPB demonstrate that vecuronium pharmacokinetics and pharmacodynamics are both affected by hypothermic CPB in infants. The finding of bimodal distributions for plasma vecuronium and vecuronium clearance highlights the need for individual monitoring of neuromuscular blockade in this age group.
Collapse
Affiliation(s)
- D Withington
- Department of Anaesthesia, McGill University, Montreal Children's Hospital, Quebec, Canada.
| | | | | | | | | | | |
Collapse
|
47
|
Kulkarni P. Relationship between glucose metabolism and pancreatic cancer. JAMA 2000; 284:1512; author reply 1512-3. [PMID: 11000633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
|
48
|
Vowles R, Loney E, Williams H, Gormley-Fleming E, Kulkarni P, Ryan R. Is paediatric day case tonsillectomy desirable? The parents' perspective. Int J Clin Pract 2000; 54:225-7. [PMID: 10912310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/17/2023] Open
Abstract
Tonsillectomy is the most commonly performed otolaryngological procedure in most units. There is considerable financial pressure to perform paediatric tonsillectomy as a day case. Responding to concern that day case tonsillectomy might not be welcomed by parents or felt to be in the best interests of the patients, we carried out an audit of paediatric tonsillectomy, by means of a questionnaire for parents and nursing staff to complete while 32 consecutive patients underwent tonsillectomy as inpatients. Although eight parents (25%) felt that day surgery should be an option, none of those surveyed felt that on this occasion their child was well enough to be discharged home six hours postoperatively. Furthermore, no child in the audit fulfilled all the essential discharge criteria at six hours. In this area, at least, it appears parents do not uniformly welcome paediatric day case tonsillectomy.
Collapse
Affiliation(s)
- R Vowles
- Department of Otolaryngology, Head and Neck Surgery, Northwick Park Hospital, Harrow, Middlesex
| | | | | | | | | | | |
Collapse
|
49
|
|
50
|
Fechtner RD, Khouri AS, Zimmerman TJ, Bullock J, Feldman R, Kulkarni P, Michael AJ, Realini T, Warwar R. Anterior uveitis associated with latanoprost. Am J Ophthalmol 1998; 126:37-41. [PMID: 9683147 DOI: 10.1016/s0002-9394(98)00071-3] [Citation(s) in RCA: 129] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
PURPOSE To report the association of anterior uveitis with the use of latanoprost. METHODS We studied four patients with complicated open-angle glaucoma who had anterior uveitis associated with the use of latanoprost. The uveitis was unilateral and occurred only in the eye receiving latanoprost in three patients. In one patient, latanoprost was used in both eyes, and the uveitis was bilateral. Four of five eyes had a history of prior inflammation and/or prior incisional surgery. All patients were rechallenged with the drug. RESULTS The uveitis improved after cessation of latanoprost with or without topical corticosteroids. It recurred after rechallenging with latanoprost in all eyes. CONCLUSION There is a possible association between latanoprost and anterior uveitis. Topical prostaglandin analogs may be relatively contraindicated in patients with a history of uveitis or prior ocular surgery. This association may also be possible in eyes that have not had previous uveitis or incisional surgery.
Collapse
Affiliation(s)
- R D Fechtner
- Department of Ophthalmology, University of Medicine and Dentistry of New Jersey, Newark 07103, USA.
| | | | | | | | | | | | | | | | | |
Collapse
|