101
|
Robinson C, Balentine C, Marshall C, Orcutt S, Solnick R, Kulkarni S, Rahman U, Anaya D, Artinyan A, Awad S, Albo D, Berger D. Socioeconomic Status Does Not Influence Stage Of Presentation For Colorectal Cancer. J Surg Res 2011. [DOI: 10.1016/j.jss.2010.11.597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
102
|
Francis A, Bhojraj TS, Prasad K, Kulkarni S, Montrose D, Eack S, Keshavan MS. Abnormalities of the corpus callosum in non-psychotic high-risk offspring of schizophrenia patients. Psychiatry Res 2011; 191:9-15. [PMID: 21145214 PMCID: PMC3124091 DOI: 10.1016/j.pscychresns.2010.09.007] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2010] [Revised: 08/06/2010] [Accepted: 09/14/2010] [Indexed: 01/10/2023]
Abstract
Alterations in the structure of the corpus callosum (CC) have been observed in schizophrenia. Offspring of schizophrenia parents have 10-15 times higher risk for developing schizophrenia. We examined CC volume in offspring at genetic high-risk (HR) subjects. Since the sub-regions of the CC are topographically mapped to cortical brain regions, we hypothesized that HR subjects may show a decrement in total volume and differential volume decreases in sub-regions of the CC. The offspring of schizophrenia parents (HR; n=70; 36 males) and healthy volunteers with no family or personal history of psychotic disorders (healthy controls (HC); n=73; 37 males) matched for age, gender and education were selected for the study. Magnetic resonance images were collected using a GE 1.5 T scanner and processed using FreeSurfer image analysis software. The CC was divided into five neuroanatomically based partitions. The volume of total CC and the five sub-regions were measured blind to clinical information. With covariation for intracranial volume, HR subjects had significantly reduced total CC, more prominently observed in the anterior splenium. An age-related increase in CC volume was found in the anterior and posterior splenium of healthy controls but not in HR subjects. The volume reduction was greater in male than female HR subjects. The volume reduction in the CC may reflect a reduction in axonal fibers crossing the hemispheres and/or myelination between the left and right temporo-parietal cortices. The absence of an age-related volume increase suggests an abnormal developmental trajectory that may underlie susceptibility to schizophrenia.
Collapse
|
103
|
Kumar S, Nigam A, Choudhary A, Tadakamadla J, Tibdewal H, Duraiswamy P, Kulkarni S. Influence of lifestyle on oral health behavior among rural residents of Udaipur district, India. Med Oral Patol Oral Cir Bucal 2011; 16:e828-33. [DOI: 10.4317/medoral.17062] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2010] [Accepted: 06/18/2010] [Indexed: 11/05/2022] Open
|
104
|
Kulkarni AV, Purandare NC, Kulkarni S, Dua SG. Isolated left innominate vein aneurysm: A rare cause of mediastinal widening. J Postgrad Med 2011; 57:40-1. [DOI: 10.4103/0022-3859.74286] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
105
|
Kumar S, Motwani K, Dak N, Balasubramanyam G, Duraiswamy P, Kulkarni S. Dental health behaviour in relation to caries status among medical and dental undergraduate students of Udaipur district, India. Int J Dent Hyg 2010; 8:86-94. [PMID: 20522130 DOI: 10.1111/j.1601-5037.2008.00346.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To compare the caries status and oral hygiene behaviour of dental and medical students and to assess the influence of oral hygiene behaviour on the caries status. METHODS A questionnaire survey was conducted to assess the knowledge, attitudes and behaviour along with clinical examination to asses the caries status. A total of 403 dental and medical students enrolled with Rajasthan University of Health Sciences of Udaipur district, India were recruited in the study. RESULTS 56.4% of dental students brushed their teeth twice daily compared to 38.5% of medical students. There was no significant difference between the mean decayed components of males and females of dental stream, whereas among medical subjects, males had a higher decayed score than females (P = 0.012). The mean behaviour score obtained by dental students (19.38) was greater than that of medical students (18.34). Moreover, medical students presented a higher decayed, missing and filled teeth (DMFT) score (1.96) than dental students (1.16). Subjects who had a habit of brushing after every meal showed lower DMFT score (1.4) than those who brushed only once a day (1.64). Step-wise linear regression analysis revealed that course of education and final behaviour score were the best predictors for the DMFT status. CONCLUSION This study revealed significant differences between the oral hygiene behaviour and caries status of dental and medical students; furthermore, caries status was significantly influenced by the oral hygiene behaviour.
Collapse
|
106
|
Yadava G, Kulkarni S, Colon ZR, Thibault J, Hsieh J. TU-A-201B-03: Dose Reduction and Image Quality Benefits Using Model Based Iterative Reconstruction (MBIR) Technique for Computed Tomography. Med Phys 2010. [DOI: 10.1118/1.3469177] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
|
107
|
Kumar S, Gupta A, Dixit A, Solanki K, Balasubramanyam G, Duraiswamy P, Kulkarni S. Factors that effect dental caries status of medical students in Udaipur city, India. Int J Dent Hyg 2010; 8:110-5. [DOI: 10.1111/j.1601-5037.2009.00399.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
108
|
Udgaonkar U, Kulkarni S, Shah S, Bhave S. Asymptomatic, isolated tubercular splenic abscess, in an immunocompetent person. Indian J Med Microbiol 2010; 28:172-3. [PMID: 20404470 DOI: 10.4103/0255-0857.62501] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Tubercular splenic abscess in an immunocompetent person, especially when the patient is without any symptoms, is a rare clinical entity. We report a case of isolated tubercular splenic abscess in a 38-year-old asymptomatic healthy female and emphasize the importance of careful smear examination. The patient had come to the hospital for repair of vaginal vault prolapse. Her abdominal ultra sonography showed normal sized spleen with hypoechoic areas suggesting abscess. Fine needle aspiration of splenic lesion revealed tubercle bacilli on Ziehl Neelsen stain. The organisms also grew on culture. The splenic lesions cleared after six months of treatment with anti tubercular drugs at our Directly Observed Treatment centre under Revised National TB Control Programme. The patient was operated successfully for vault prolapse one year later.
Collapse
|
109
|
Ayyappan AP, Kulkarni S, Crystal P. Pregnancy-associated breast cancer: spectrum of imaging appearances. Br J Radiol 2010; 83:529-34. [PMID: 20335428 DOI: 10.1259/bjr/17982822] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Delay in diagnosis of pregnancy-associated breast cancer (PABC) is common, often attributed to the difficulty in evaluating tumours in the gravid breast, low awareness among physicians and reluctance of patients and physicians to perform imaging or invasive procedures during pregnancy. Familiarity with imaging features of PABC is crucial for prompt diagnosis. This article illustrates imaging findings of PABC and provides an approach for the evaluation of pregnant and lactating women with palpable abnormalities.
Collapse
|
110
|
Hulick PJ, Noonan KM, Kulkarni S, Donovan DJ, Listewnik M, Ihm C, Stoler JM, Weremowicz S. Cytogenetic and array-CGH characterization of a complex de novo rearrangement involving duplication and deletion of 9p and clinical findings in a 4-month-old female. Cytogenet Genome Res 2010; 126:305-12. [PMID: 20068300 PMCID: PMC3711006 DOI: 10.1159/000251966] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/23/2009] [Indexed: 11/19/2022] Open
Abstract
Approximately 15 patients with partial trisomy 9p involving de novo duplications have been previously described. Here, we present clinical, cytogenetic, FISH and aCGH findings in a patient with a de novo complex rearrangement in the short arm of chromosome 9 involving an inverted duplication at 9p24→p21.3 and a deletion at 9pter→p24.2. FISH probes generated from BACs selected from the UCSC genome browser were utilized to verify this rearrangement. It is likely that some previously described duplications of 9p may also be products of complex chromosomal aberrations. This report in which FISH and aCGH were used to more comprehensively characterize the genomic rearrangement in a patient with clinical manifestations of 9p duplication syndrome underscores the importance of further characterizing cytogenetically detected rearrangements.
Collapse
|
111
|
Kulkarni S, Zhou X, Nesline M, Murekeyisoni C, Watroba N, Berry M, Davis W, Ambrosone C, Zheng Y. Genetic Susceptibility as a Possible Risk Factor for Breast Cancer. Cancer Res 2009. [DOI: 10.1158/0008-5472.sabcs-09-6067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Established risk factors for breast cancer (BC) only explain 25% to 47% of BC incidence. The Gail model is commonly used to assess BC risk and determine eligibility for prevention trials. Unfortunately, it has a discriminatory accuracy of 58% at the individual level. A greater understanding of BC risk factors is needed to offer improved risk stratification and prevention. It is plausible that BC risk may be related to deficiencies or abnormalities in DNA repair and cell cycle checkpoints because of their importance in maintaining genomic integrity. Recent epidemiologic studies support this hypothesis. In this pilot project, the bleomycin mutagen sensitivity assay (MSS), a measure of genetic susceptibility was performed on women of low, intermediate, and high risk based on commonly used risk models to determine if there was any correlation between MSS and established BC risk factors.Methods: Women in the Prevention Clinic at RPCI consented to donate blood for this study as part of the Data Bank and BioRepository (DBBR). Gail and Claus Models were calculated using CancerGene. Women were stratified into three groups low (<20%), intermediate (20%-35%), and high (> 35%) lifetime BC risk. For logistic regression analysis, women were grouped into low risk (<20%) and high risk (≥20%). MSS in blood lymphocytes were performed at LCCC using fresh blood samples. The mean values of MSS were compared between low, intermediate, and high risk groups using Wilcoxon-Mann-Whitney tests. Multivariate logistic regression was used to analyze the relationship between BC risk groups and MSS.Results: A total of 78 women were enrolled in the study. MSS were performed on 70 blood samples and 67 had evaluable slides. There were 30, 26 and 11 women in the low, intermediate, and high risk groups respectively. The mean age was 49.1 years. There was no statistical difference between the three groups with respect to age, race, menopausal status, proportion of patients with a family history of BC or another cancer, and smoking status (never, former, or current). The mean MSS score was not significantly different among the three risk groups: mean ±SD = 0.86±0.37, 0.84±0.37 (p=0.565), and 0.76+0.44 (0.361) for low, intermediate and high risk groups respectively. Spearman correlation revealed that MSS score did not correlate with Gail lifetime BC risk score (r=-0.054, p=0.668) or Claus model-10 year risk score (r=-0.057, p=0.722). Using the median in low risk women as a cut point, when women who had higher MSS score were compared with women had lower MSS score, the adjusted OR was 1.16 (95% CI, 0.29 to 4.57), adjusted for age, race, smoking status, BMI and menopausal status. When the MSS score were categorized into quartiles, no significant dose-response relationship was observed.Conclusions: In this pilot study, there was no correlation between commonly used breast cancer risk assessment models based on hormonal, family and biopsy history and the MSS in our study population. Previous case-control studies have consistently shown that MSS is significantly associated with BC risk. The lack of correlation between mutagen sensitivity and Gail or Claus risk score suggests that mutagen sensitivity may measure the host susceptibility factors that are not considered by Gail or Claus risk models.
Citation Information: Cancer Res 2009;69(24 Suppl):Abstract nr 6067.
Collapse
|
112
|
Kulkarni S, Kulkarni S, Johnson A, O'Rourke K, Madarnas Y, Madarnas Y, Madarnas Y, Madarnas Y. A Population Based Patterns of Care Study for Male Breast Cancer in Ontario. Cancer Res 2009. [DOI: 10.1158/0008-5472.sabcs-09-2108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Tamoxifen has been the standard endocrine treatment for both early breast cancer (EBC) and metastatic breast cancer (MBC) in women for over 30 years(y). Over the last decade the third generation aromatase inhibitors (AIs) have proven effective in the treatment of MBC and are incorporated into adjuvant therapy for EBC. Due to the rarity of male breast cancer there are no trials to guide therapy and treatment decisions in men are made by extrapolation from the existing published data for women. We set out to conduct a population based cohort study in the most populous Canadian province to describe contemporary patterns of Tamoxifen and AI use for male breast cancer from 1992-2007.Methods: In the province of Ontario cancer reporting is mandatory and date of diagnosis (Dx) and death are collected by the Ontario Cancer Registry (OCR), but stage information is not uniformly available. The government of Ontario subsidizes drugs for individuals >65y through the Ontario Drug Benefits (ODB) program and maintains electronic prescription records for all eligible citizens. Linkage of these administrative databases allowed us to assemble a cohort of male breast cancer cases in order to describe patterns of endocrine therapy and outcomes.Results: Through OCR we identified 845 cases of invasive male breast cancer (ICD9 175) with a date of Dx between 03Jan1992 and 27Dec2007. Mean age at the time of Dx was 66.9 ±12.6y, median age was 68y, range 16-97y respectively. A total of 490 men were ≥66y at Dx. Using ODB prescription records between 01Jan1992 and 31Dec2008 we looked for a first prescription for any of the following drugs: Tamoxifen(T), Anastrozole(A), Letrozole(L), or Exemestane(E). As stage information is not uniformly available in OCR, prescription <12 months from Dx was used as a surrogate for therapy with adjuvant intent (EBC group) and those with a first prescription for T or an AI >12 months from Dx were classified as MBC. Using these criteria, 172 cases received no prescription for endocrine therapy (35.0% stage unknown), 297 cases were EBC (271 prescribed T (55.3%) and 26 prescribed an AI (5.3%) < 1 y of Dx and 21 (4.3%) were MBC being prescribed either T or an AI > 1 y post Dx. Prescription of endocrine therapy increased over time: 60% (92-99) vs. 68% in (00-08) At a median follow up of 46.3 months overall survival(OS) is 64.96% for the entire group, 53.27% for stage unknown, 72.17% for EBC and 60.53% for MBC and has not changed significantly over time; 66.33% for 92-99 and 64% for 00-08 for the group as a whole.Conclusions: In this provincial cohort of male breast cancer spanning a 15 y period we observed that: 1) most men are prescribed some form of adjuvant endocrine therapy and in keeping with the paucity of data for AIs in male breast cancer, Tamoxifen was the most commonly prescribed agent; 2) use of endocrine therapy increased over time; 3) overall survival has not changed significantly over time. This study is limited by its use of administrative data, retrospective nature, and by the surrogate assignation of stage. That said, it does represent the largest cohort of male breast cancer and describes trends in modern endocrine therapy.
Citation Information: Cancer Res 2009;69(24 Suppl):Abstract nr 2108.
Collapse
|
113
|
Bishnoi M, Kulkarni S, Chopra K. P2.070 Activation of striatal inflammatory mediators and caspase-3 is central to haloperidol-induced orofacial dyskinesia. Parkinsonism Relat Disord 2009. [DOI: 10.1016/s1353-8020(09)70421-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
114
|
Chang J, Kulkarni S, Meier A, Lindsay RJ, Bazner S, Lifson JD, Bosch RJ, Carrington M, Altfeld M. OA011-05. TLR-mediated pDC responses to HIV-1 ligands. Retrovirology 2009. [PMCID: PMC2767531 DOI: 10.1186/1742-4690-6-s3-o11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
|
115
|
Karande S, Kulkarni S. Quality of life of parents of children with newly diagnosed specific learning disability. J Postgrad Med 2009; 55:97-103. [PMID: 19550053 DOI: 10.4103/0022-3859.52839] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Poor school performance in children causes significant stress to parents. AIMS To analyze the quality of life (QOL) of parents having a child with newly diagnosed specific learning disability (SpLD) and to evaluate the impact of clinical and socio-demographic characteristics on their QOL. DESIGN Cross-sectional questionnaire-based study. SETTING Learning disability clinic in tertiary care hospital. MATERIALS AND METHODS From June 2006 to February 2007, 150 parents (either mother or father) of children consecutively diagnosed as having SpLD were enrolled. Parent's QOL was measured by the WHOQOL-100 instrument which is a generic instrument containing 25 facets of QOL organized in six domains. STATISTICAL ANALYSIS USED Independent samples t-test, one-way analysis of variance, and multiple regression analysis were carried out for statistical significance. RESULTS Mean age of parents was 42.6 years (SD 5.5); mothers to fathers ratio 1.3:1; and 19 (12.7%) were currently ill. Only four WHOQOL-100 domains (psychological > social relationships > environment > spiritual) and five WHOQOL-100 facets (leisure > feel > energy > esteem > sex) contributed significantly to their "overall" QOL. Female gender, being currently ill, being in paid work, and having a male child were characteristics that independently predicted a poor domain/facet QOL score. CONCLUSIONS The present study has identified domains and facets that need to be addressed by counselors for improving overall QOL of these parents. Initiating these measures would also improve the home environment and help in the rehabilitation of children with SpLD.
Collapse
|
116
|
Deshpande M, Kulkarni S, Ghormade V, Kapoor M, Chavan S, Kulkarni G, Shouche Y. Development of mycoinsecticide for the control of insect pests: comparative evaluation of Metarhizium isolates to identify strains for commercialization. N Biotechnol 2009. [DOI: 10.1016/j.nbt.2009.06.360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
117
|
Bharucha K, Kulkarni S, Nair S, Ghosh K, Mohanty D, Walvekar V, Raut V. Functional and fibrinogen receptor studies in platelets in pre-eclamptic toxaemia of pregnancy. Platelets 2009; 10:197-202. [PMID: 16801092 DOI: 10.1080/09537109976022] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
It is believed that platelets play a key role in the production of pre-eclamptic toxaemia and toxaemia of pregnancy. Toxaemia of pregnancy is described as a condition of chronic DIC where there is thrombocytopenia as well as raised fibrin degradation products. Since fibrinogen receptors are involved in the final stage of the platelet aggregation reaction, we wanted to investigate the platelet receptors for fibrinogen in normal and abnormal pregnancy. Thirty-six normal pregnant women (12 in their 2nd trimester, 24 in their 3rd trimester), 24 pregnant pre-eclamptic toxaemia cases and 16 non-pregnant controls were included in the present study. All patients with pre-eclamptic toxaemia had oedema, proteinuria and hypertension. Flow cytometric study of platelets was undertaken utilizing fluorescein isothiocyanate (FITC)-labelled anti-human fibrinogen antibody in unstimulated and ADP-stimulated (final concentration 0.02 M) platelets. The intensity of platelet fluorescence was classified into three groups and expressed in arbitrary units. The results indicate that there are a higher number of stimulated platelets expressing fibrinogen receptors in the circulation of patients with pre-eclampsia. Thus, it is possible to hypothesize that platelets showing increased fibrinogen receptors aggregate and form microthrombi in smaller vessels in women with pre-eclamptic toxaemia.
Collapse
|
118
|
Kumar S, Sharma J, Duraiswamy P, Kulkarni S. Determinants for oral hygiene and periodontal status among mentally disabled children and adolescents. J Indian Soc Pedod Prev Dent 2009; 27:151-7. [PMID: 19841546 DOI: 10.4103/0970-4388.57095] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
AIM To assess the impact of socio-demographic and clinical variables on the oral hygiene and periodontal status in a sample of mentally disabled subjects. MATERIALS AND METHODS Study sample comprised of 171 mentally disabled subjects attending a special school in Udaipur, India. Oral hygiene status was assessed by Simplified Oral Hygiene Index (OHI-S) and periodontal status by Community Periodontal Index. RESULTS Stepwise linear regression analysis revealed that the best predictors in the descending order for oral hygiene index were disabled sibling, medical diagnosis, IQ level, education of mother and father. Having Down syndrome, less educated parents, poor economic status and a disabled sibling were the most important predictors for poor periodontal status. CONCLUSIONS The present study highlighted that the oral hygiene and periodontal status of the present study population is poor and was influenced by medical diagnosis, IQ level, disabled sibling, parent's level of education and economic status.
Collapse
|
119
|
Kumar S, Dagli RJ, Mathur A, Jain M, Prabu D, Kulkarni S. Perceived sources of stress amongst Indian dental students. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2009; 13:39-45. [PMID: 19196292 DOI: 10.1111/j.1600-0579.2008.00535.x] [Citation(s) in RCA: 42] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
INTRODUCTION Dental students have to face the additional stress of their studies in addition to the stresses related to dentistry as a profession. Furthermore, increasing stress may result in declining student performance. The aim of the present study was to assess perceived sources of stress amongst dental undergraduate students at a private dental institution in India. MATERIALS AND METHODS A modified dental environment stress (DES) questionnaire which consisted of 38 questions was used to assess the levels of stress. RESULTS The first major stressor for all the students was examination and grades with a mean score of 2.86 (SD 1.06) followed by full working day, receiving criticism from supervisors about academic or clinical work, amount of cheating in dental faculty, rules and regulations of the faculty and fear of unemployment after graduation. Amongst the six highest stressors in each year, at least three were dental faculty related. There was a significant difference in stress perception between genders with a predilection for males. Twelve of the 38 questionnaire items had significant differences across the year groups including clinical DES items. CONCLUSION The primary sources of stress as perceived by nearly 275 students at one private dental school in India were examinations and grades followed by full working day and receiving criticism from supervisors about academic or clinical work. It appears there is a need for the establishment of student advisors and counsellors combined with a faculty advising system in addition to student-oriented programmes.
Collapse
|
120
|
Joshi SR, Vasantha K, Iyer YS, Kulkarni S, Jadhav S. Studies on the ABH-Iso-Agglutinins in serum, saliva and milk from mothers with "Bombay" (Oh) phenotype. Asian J Transfus Sci 2009; 3:3-5. [PMID: 20041088 PMCID: PMC2798774 DOI: 10.4103/0973-6247.44478] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Background: ABO blood group iso-antibodies are naturally occurring antibodies found in serum and other body fluids. Methods: Serum, saliva and milk samples from 5 mothers identified as “Bombay” phenotype were tested for ABH-iso-antibodies by routine serological techniques. Results: All the five mothers showed presence of iso-antibodies in the samples tested. Higher titer values in milk than their serum were observed on subjects whose samples were collected in immediate post-partum phase as compared to those whose samples were collected after a lapse of a few months. Conclusion: High titer iso-agglutinins against ABH antigens were detected in milk samples besides their presence in saliva as well as serum.
Collapse
|
121
|
Joshi SN, Dutta S, Kumar BK, Katti U, Kulkarni S, Risbud A, Mehendale S. Expanded safety study of Praneem polyherbal vaginal tablet among HIV-uninfected women in Pune, India: a phase II clinical trial report. Sex Transm Infect 2008; 84:343-7. [DOI: 10.1136/sti.2007.029207] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
122
|
Dungarwalla M, Appiah-Cubi S, Kulkarni S, Saso R, Wotherspoon A, Osuji N, Swansbury J, Cunningham DC, Catovsky D, Dearden CE, Matutes E. High-grade transformation in splenic marginal zone lymphoma with circulating villous lymphocytes: the site of transformation influences response to therapy and prognosis. Br J Haematol 2008; 143:71-4. [PMID: 18671706 DOI: 10.1111/j.1365-2141.2008.07301.x] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
123
|
Roy D, Kulkarni A, Kulkarni S, Thakur MH, Maheshwari A, Tongaonkar HB. Transrectal ultrasound-guided biopsy of recurrent cervical carcinoma. Br J Radiol 2008; 81:902-6. [PMID: 18662963 DOI: 10.1259/bjr/56205669] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
The objective of this study was to evaluate the feasibility, safety and diagnostic accuracy of transrectal ultrasound (TRUS)-guided core biopsy for recurrent carcinoma of the uterine cervix in patients with non-diagnostic vaginal cytology and transvaginal punch biopsy.17 patients with clinical and imaging suspicion of recurrent carcinoma of the cervix, and with negative cytology and punch biopsy, were referred for TRUS-guided biopsy of a recurrent mass. Data were collected with respect to demography, previous diagnosis, treatment received, size and location of the recurrent lesion, and biopsy results. Adequate samples were obtained for all patients. TRUS-guided biopsy was technically successful in all of the patients and provided histological diagnosis of recurrence in 16 patients. One of the patients had post-radiation fibrosis. There were no procedure-related complications. In conclusion, TRUS-guided biopsy for recurrent cervical cancer is a feasible, safe and accurate method for establishing a histopathological diagnosis. It should be considered in patients with non-diagnostic vaginal cytology and punch biopsy.
Collapse
|
124
|
Kulkarni S, Hicks DG, Watroba N, Murekeyisoni C, Beck R, Ring BZ, Estopinal N, Schreeder MT, Seitz RS, Ross DT. TLE3 as a biomarker for taxane sensitivity in breast cancer. J Clin Oncol 2008. [DOI: 10.1200/jco.2008.26.15_suppl.573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
125
|
Yap JC, Kulkarni S, Fernando S, Wong MK. Primary angiosarcoma of the breast: Pattern of presentation, surgery, radiation, and survival. J Clin Oncol 2008. [DOI: 10.1200/jco.2008.26.15_suppl.21509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|