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Venkateswaran R, Ansari K, Bhondve S, Bhandarwar A, Padekar HD, Dandge S, Dashputra AV. Laparoscopic Versus Open Surgical Management of Hydrocele of the Canal of Nuck: A Retrospective Analysis of 20 Cases. Cureus 2024; 16:e56584. [PMID: 38646218 PMCID: PMC11031193 DOI: 10.7759/cureus.56584] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/20/2024] [Indexed: 04/23/2024] Open
Abstract
INTRODUCTION Hydrocele of the canal of Nuck is a condition that arises due to incomplete obliteration of the processus vaginalis or an abnormal outpouching from the round ligament during fetal development. It usually presents as a painless, rarely painful, groin swelling. The definitive diagnosis for this condition is magnetic resonance imaging. Various management options have been proposed for this condition, including open surgery, transabdominal preperitoneal approach, totally extraperitoneal approach, and a combination of laparoscopic and open surgery. The present study highlights the benefits of the transabdominal preperitoneal approach when compared with the open anterior approach and addresses the intraoperative challenges faced during laparoscopic surgery. MATERIALS AND METHODS The study is a retrospective study inclusive of 20 patients who underwent surgery for the hydrocele of the canal of Nuck from June 2019 to December 2023. Case records of patients were studied for information such as demographic features, type of pathology, the surgery performed, intraoperative challenges encountered, operative time, duration of hospital stay, scores from the visual analog scale pain assessment chart at various intervals, and time taken to return to work. The variables were documented and statistically analyzed. RESULTS The average age group of the study population was 27.8 ± 8.34 years. Of the 20 patients, 10 had undergone a transabdominal preperitoneal approach (Group A), and 10 had undergone an open anterior approach (Group B). Eleven out of 20 patients had an associated inguinal hernia, of which three were identified preoperatively and eight were identified incidentally during surgery. The mean operative time of Group A cases was 97.95 ± 7.54 minutes, while it was 66.3 ± 6.20 minutes for Group B cases. The Mann-Whitney U test showed a statistically significantly lesser operative time for Group B than for Group A (p-value < 0.001). The duration of hospital stays was comparable for the two groups with no significant difference (two days versus 3.8 ± 3.08 days, respectively). When the difference in the means of time taken to return to normal work was compared using the Mann-Whitney U test between Group A and B (6.1 ± 0.87 days and 11.2 ± 1.81 days, respectively), a statistically significant early return to normal work in the former group (p-value = 0.001) was revealed. Similarly, the Mann-Whitney U test when used to compare the median postoperative pain score of both groups at 12-24 hours, 48-72 hours, seven days, and three months showed a significantly lesser pain score among patients of Group A at all intervals (p-value < 0.001, p-value = 0.005, p-value = 0.005, p-value < 0.001, respectively). The incidence of intraoperative challenges, sero-hematoma, and surgical site infection were insignificant in comparison. CONCLUSION The transabdominal preperitoneal approach for the hydrocele of the canal of Nuck is ideal as it offers excellent intraoperative delineation of pathology and postoperative outcomes. Prophylactic placement of a mesh in all cases can help prevent a future occurrence of inguinal hernia in these cases.
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Affiliation(s)
- Rajalakshmi Venkateswaran
- General Surgery, Grant Government Medical College and Sir JJ (Jamshedjee Jeejeebhoy) Group of Hospitals, Mumbai, IND
| | - Kashif Ansari
- General Surgery, Grant Government Medical College and Sir JJ (Jamshedjee Jeejeebhoy) Group of Hospitals, Mumbai, IND
| | - Supriya Bhondve
- General Surgery, Grant Government Medical College and Sir JJ (Jamshedjee Jeejeebhoy) Group of Hospitals, Mumbai, IND
| | - Ajay Bhandarwar
- General Surgery, Grant Government Medical College and Sir JJ (Jamshedjee Jeejeebhoy) Group of Hospitals, Mumbai, IND
| | - Harshal D Padekar
- General Surgery, Grant Government Medical College and Sir JJ (Jamshedjee Jeejeebhoy) Group of Hospitals, Mumbai, IND
| | - Snehal Dandge
- General Surgery, Grant Government Medical College and Sir JJ (Jamshedjee Jeejeebhoy) Group of Hospitals, Mumbai, IND
| | - Amit V Dashputra
- General Surgery, Grant Government Medical College and Sir JJ (Jamshedjee Jeejeebhoy) Group of Hospitals, Mumbai, IND
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Venkateswaran R, Bhagvat S, Dutt A, Padekar HD, Mirkhushal N, Chetan AA. Primary Closure Versus Delayed Primary Closure of Class III and IV Surgical Wounds Following Emergency Laparotomy: A Prospective Comparative Study. Cureus 2023; 15:e48965. [PMID: 38024020 PMCID: PMC10656080 DOI: 10.7759/cureus.48965] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/17/2023] [Indexed: 12/01/2023] Open
Abstract
Introduction Emergency surgery has a high risk of complications due to the detrimental effect of perioperative sepsis and the relative lack of preoperative optimization of patients. Despite advances in critical care for the management of sepsis, its prevention is dependent on various patient and surgeon factors. Surgical site infection continues to be a major determinant of morbidity and mortality following emergency abdominal surgery, especially in contaminated or dirty wounds. This study aims to compare two techniques of abdominal wall closure, primary closure with subcutaneous suction drains and delayed primary closure following negative pressure wound therapy, in terms of incidence of surgical site infection and morbidity. Materials and methods The study was a prospective comparative study including 50 patients with an acute surgical abdomen requiring laparotomy. The patients were randomized into two groups, Group A (n=25) who underwent primary closure, and Group B (n=25) who underwent delayed primary closure. In Group B patients, a vacuum-assisted closure device was applied in the subcutaneous space for five days prior to the closure of the skin. Outcomes were compared in terms of the incidence of superficial and deep surgical site infection, its association with diabetes mellitus, and the total duration of hospital stay. A chi-square test and an unpaired t-test were used for the test of significance. Results A total of 50 patients, comparable in age, were included in the study. The overall incidence of surgical site infection was significantly higher in patients of Group A as compared to Group B (p=0.0046). There was a positive correlation between diabetes mellitus and the occurrence of wound infection in both groups with the odds ratio being 2.67 and 2.38 respectively. The incidence of superficial wound infection was significantly higher in Group A when compared to Group B (52% versus 24%; p=0.04). Deep surgical site infection was higher in patients of Group A (20% versus 8%) but was not statistically significant (p=0.22). The average duration of hospital stay was 41.56 ± 6.96 and 37.86 ± 6.68 days for patients who developed complications from Groups A and B respectively, while it was nearly two and a half times lower in uncomplicated cases of Groups A and B (11.71± 1.70 days and 16.58± 1.06 days respectively). The one-tailed unpaired t-test showed a significant difference in means of hospital stay between patients with and without complications (T: 17.06, critical value: 1.677). Conclusion Delayed primary closure is an effective method of managing contaminated and dirty wounds following emergency laparotomy. Negative pressure wound therapy is one technique for preventing wound bed infection and accelerating wound healing in such cases. By combining the above in emergency surgeries, the incidence of surgical site infection and duration of hospital stay can be significantly reduced.
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Affiliation(s)
| | - Shirish Bhagvat
- General Surgery, Grant Government Medical College, Mumbai, IND
| | - Aishwarya Dutt
- General Surgery, Grant Government Medical College, Mumbai, IND
| | | | | | - Advaith A Chetan
- Critical Care Medicine, Chandramma Dayanand Sagar Institute of Medical Education and Research, Bangalore, IND
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Jadhav K, Venkateswaran R, Landge R, Kadam A, Rashid R. A Para-Scrotal Pleomorphic Liposarcoma Mimicking As Another Scrotum (Pseudo-Scrotum): A Case Report. Cureus 2023; 15:e46569. [PMID: 37937002 PMCID: PMC10626208 DOI: 10.7759/cureus.46569] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/05/2023] [Indexed: 11/09/2023] Open
Abstract
Liposarcomas are a subtype of soft tissue sarcomas arising from lipoblasts, a mesenchymal cell lineage that commonly arises from deep tissues of the body. Though these are the most common subtypes, their early diagnosis still remains a challenge due to their varied presentation as a soft benign appearing growth. The pleomorphic variant has complex management due to its high recurrence rate and resistance to chemoradiation. Scrotal liposarcomas have been reported. But in the present case, a 69-year-old male who presented with a pedunculated swelling in the left groin mimicking a left hemi-scrotal swelling. It was a left para-scrotal pleomorphic liposarcoma which was totally extra-scrotal, and not related to the spermatic cord or testes. So, this is a rare case with a review of the literature presented here.
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Affiliation(s)
- Kavita Jadhav
- General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, IND
| | | | - Ravi Landge
- General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, IND
| | - Akshay Kadam
- General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, IND
| | - Rihan Rashid
- General Surgery, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, IND
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Zuckermann A, Jacobs J, Shudo Y, Meyer D, Silvestry S, Leacche M, Sciortino C, Rodrigo M, Pham S, Takeda K, Copeland H, Vidic A, Kawabori M, Boston U, Bustamante-Munguira J, Esteve AE, Venkateswaran R, Schroder J, D'Alessandro D. Validating the 2014 Consensus Primary Graft Definition: An Analysis on the 1,056 Patients from the Multi-Center Guardian Registry. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.158] [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: 04/05/2023] Open
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Lopez-Santana G, De Rosis A, Grant S, Venkateswaran R, Keshmiri A. Computational Fluid Dynamics as a Surgical Tool to Optimise the Positioning of the LVAD Outflow Graft for Reducing Aortic Regurgitation. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1077] [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: 04/05/2023] Open
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Krishnamoorthy B, Critchley W, Nwaejike N, Mehta V, Callan P, Shaw S, Barnard J, Venkateswaran R. Use of the SherpaPak Cardiac Transport System Improves Freedom from Requirement for Mechanical Circulatory Support, Reduced Early Acute Cellular Rejection and Preserves Early Lv Function When Compared to Conventional Cold Storage. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1078] [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: 04/05/2023] Open
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De SD, Jain M, Kore S, Hooper J, Mehta V, Callan P, Shaw S, Venkateswaran R. De-Commissioning/ Explant of Durable LVAD can be Done Safely Using Manchester Criteria for LV Recovery. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1288] [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: 04/05/2023] Open
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Venkateswaran R, Gour K, Sorensen L, Harden C, Zhao SS, Morgan A, Mackie S. AB0148 COULD THE RENIN-ANGIOTENSIN SYSTEM AFFECT THE PROGNOSIS OF GIANT CELL ARTERITIS? SINGLE-CENTRE RETROSPECTIVE OBSERVATIONAL STUDY. Ann Rheum Dis 2022. [DOI: 10.1136/annrheumdis-2022-eular.2752] [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: 11/03/2022]
Abstract
BackgroundAbout half of patients with giant cell arteritis (GCA) relapse while tapering glucocorticoid therapy1. A previous observational study reported that blockade of the renin-angiotensin system, with angiotensin II receptor blockers (ARBs), was associated with lower relapse risk2.ObjectivesTo determine whether angiotensin blockade, with angiotensin converting enzyme inhibitor (ACEi) or ARB, is associated with differential relapse risk in GCA.MethodsGCA patients from a tertiary centre diagnosed 2012–2020 with two years follow-up were identified from UK GCA Consortium. All provided written informed consent. Retrospective review of medical records included demographics, comorbidities, drug history, inflammatory markers and relapses. Relapse was defined as return of symptoms, raised inflammatory markers, or active vasculitis on imaging confirmed by the treating clinician. Relapse-free survival was analysed using Kaplan Meier (KM) curves and Cox proportional hazards.Results111 patients were included (Table 1: demographic data), all were initially treated with 40–60mg Prednisolone. 42% received further immunosuppressants due to relapse or disease severity. 50% patients relapsed in two years, presenting with cranial symptoms (72%), PMR-like symptoms (30%) and/or raised inflammatory markers (48%). There was no association between relapse and age, gender, comorbid HTN/IHD or pre-steroid inflammatory markers and relapse. Rate of steroid taper can affect relapse. EULAR recommend 15–20mg of steroid by three months3. 9 patients relapsed within that time and were excluded, there was no difference in steriod dose at three months between the two groups. KM analysis showed ACEi did not significantly affect time to relapse compared to no angiotensin blockade (HR 0.57, 95% CI 0.28 – 1.18, unadjusted p-value=0.128), and neither did an ARB (HR 0.78, 95% CI 0.31 – 1.98, unadjusted p-value=0.605).Table 1.demographic data at baseline.Relapse (n = 56)No Relapse (n = 55)Patient FactorsAge median (IQR)70 (65-74)73 (67-78)Male Sex n (%)16 (29)20 (36.36)Medications n (%)ACEi9 (15)16 (29)ARB7 (12)7 (13)Comorbidities n (%)CKD4 (7)9 (16)IHD6 (11)5 (9)Prediabetes11 (20)10 (18)DM1 (2)5 (9)HTN22 (40)23 (42)Current Smoker6 (10)2 (4)GCA Factors median (IQR)CRP pre-treatment69 (32 – 131)64 (23 -115)ESR pre-treatment50 (37 -95)4 (22 -72)Steroid dose at 3 months19 (15 -20)15 (10-20)Figure 1.Unadjusted KM survival curve showing probability of relapse in patients 1) taking ACEi, 2) taking ARB, 3) taking neither ACEi or ARB, 4) with no comorbid HTN or IHD at diagnosis, and 5) experienced comorbid HTN/IHD. There was no significant difference in relapse free survival in patients on an ACEi compared to those taking neither ACEi or ARB.ConclusionIn the two years following GCA diagnosis 50% relapsed. There was no significant difference in the rate of relapse in patients taking an ACEi or ARB. The main limitation, in this retrospective, observational study was the inability to exclude a reluctance of clinicians to diagnose GCA relapse in the presence of cardiovascular comorbidity. A randomised controlled trial would be needed to determine whether starting an ACEi could reduce relapse risk in patients with new-onset GCA.References[1]Mainbourg, S. et al. Prevalence of Giant Cell Arteritis Relapse in Patients Treated With Glucocorticoids: A Meta-Analysis. Arthritis Care Res.72, 838–849 (2020).[2]Alba, M. A. et al. Treatment with angiotensin II receptor blockers is associated with prolonged relapse-free survival, lower relapse rate, and corticosteroid-sparing effect in patients with giant cell arteritis. Semin. Arthritis Rheum.43, 772–777 (2014).[3]Hellmich, B. et al. 2018 Update of the EULAR recommendations for the management of large vessel vasculitis. Ann Rheum Dis79, 19–30 (2020).Disclosure of InterestsRanjana Venkateswaran: None declared, Karan Gour: None declared, Louise Sorensen: None declared, Charlotte Harden: None declared, Sizheng Steven Zhao: None declared, Ann Morgan Speakers bureau: Roche/Chugai., Consultant of: GSK, Roche, Chugai, AstraZeneca, Regeneron, Sanofi, Vifor., Grant/research support from: Roche, Kiniksa Pharmaceuticals, Sarah Mackie Consultant of: Roche/Chugai, AbbVie, AstraZeneca, Sanofi, Pfizer., Grant/research support from: Attendance at ACR21 supported by Pfizer. Attendance at EULAR2019 supported by Roche.
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Berman M, Ali A, Macklam D, Garcia Saez D, Jothidasan A, Husain M, Stock U, Mehta V, Venkateswaran R, Curry P, Messer S, Mukadam M, Mascaro J, Clarke S, Baxter J, Tsui S, Large S, Osman M, Kaul P, Boda G, Jenkins D, Simmonds J, Quigley R, Whitney J, Gardiner D, Watson C, Rubino A, Currie I, Foley J, Macleod A, Slater C, Marley F, Downward L, Rushton S, Armstrong L, Ayton L, Ryan M, Parker M, Gibson S, Spence S, Quinn K, Watson S, Forsythe J. UK National DCD Heart Transplant Program - First Year Experience. J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.117] [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] Open
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Lalthanthuami HT, Kumari MJ, Venkateswaran R, Lakshmi PR, Ramamoorthy L. Performance of 3 mL versus 5 mL Discarded Volume for Blood Sampling from Central Venous Access Device. J Lab Physicians 2021; 13:112-117. [PMID: 34483554 PMCID: PMC8409120 DOI: 10.1055/s-0041-1726669] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
Background Central venous access devices (CVAD) are an essential part of safe practices in critical care, which enable effective venous access and help in avoiding repeated venipuncture. Discard method is widely practiced for blood sampling. A single occasion of blood sampling may cause minimal blood loss; however, the cumulative volume sequential sampling may become clinically significant. The study aims to reduce diagnostic blood loss, ensuring that the subsequent blood sample is not diluted or contaminated by residual intraluminal fluid. Patients and Methods Within-subjects comparative design was adopted for 64 adult patients in the medical intensive care unit of a tertiary hospital. Two blood samples, using 3 mL and 5 mL discarded volume methods, were collected from each patient. Six serum parameters were measured on each of the paired samples and compared. Statistical Analysis Used Paired t -test and Wilcoxon signed rank test were used for comparing the two methods. Bland-Altman plot analysis and intraclass correlation were used for clinically meaningful analysis. Results When tested for fixed bias, there is no statistically significant difference between the methods. Potassium and creatinine levels showed significant proportional bias. The agreement limits of sodium, potassium, creatinine, and direct bilirubin were outside the clinically accepted interval, but the proportion of samples outside these intervals was less than 10%. All serum parameters showed excellent reliability, except for sodium which demonstrated good reliability. Conclusions The practice of discarding 3 mL of blood for discard method is suggested, instead of the standard 5 mL to reduce iatrogenic blood loss. Thus, nurses in critical care are uniquely positioned to limit the diagnostic blood loss while obtaining blood samples.
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Affiliation(s)
- H T Lalthanthuami
- Department of Medical Surgical Nursing, College of Nursing, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India
| | - M J Kumari
- College of Nursing, JIPMER, Puducherry, India
| | | | - P R Lakshmi
- Department of Pharmacy, JIPMER, Puducherry, India
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Callan P, Santhanakrishnan K, Shaw S, Mehta V, Al-Aloul M, Kore S, Dimarakis I, Venkateswaran R. Increased Risk of Pleural Effusion Requiring Therapeutic Drainage Following 3rd Generation vs 2nd Generation Left Ventricular Assist Device Implantation. A Single Centre Analysis. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.1118] [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: 10/21/2022] Open
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Ali J, Mumford L, Smith F, Stock U, Mascaro J, Curry P, Venkateswaran R, Clark S, Parameshwar J, Al-Attar N, Berman M. Impact of Donor and Recipient Age on 5-year Survival Following Heart Transplantation: A 24-year National Analysis from the United Kingdom. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.397] [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: 11/30/2022] Open
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Callan P, Yonan N, Santhanakrishnan K, Karimi E, Pettit S, Dar O, Lim S, Dalzell J, Parry G, Venkateswaran R. Does CMV Status Affect Morbidity and Survival Following Heart Transplantation? A Large Multicentre Retrospective Study. J Heart Lung Transplant 2021. [DOI: 10.1016/j.healun.2021.01.367] [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] Open
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Eadington T, Santhanakrishnan K, Venkateswaran R. Heart-lung transplantation for idiopathic pulmonary arterial hypertension and giant pulmonary artery aneurysm - case report. J Cardiothorac Surg 2020; 15:169. [PMID: 32660492 PMCID: PMC7359482 DOI: 10.1186/s13019-020-01221-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [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: 03/06/2020] [Accepted: 07/08/2020] [Indexed: 12/18/2022] Open
Abstract
Backgound Idiopathic pulmonary arterial hypertension (IPAH) is a rare condition that requires lung transplantation in patients’ refractory to medical therapy. Pulmonary artery aneurysm (PAA) is a documented complication of IPAH however, optimal management and timing of intervention for this rare entity is not well understood. Case report We report a case of a 51-year-old female who underwent heart-lung transplantation for IPAH and giant PAA. The extreme size of the PAA and underlying pathology encountered in this case precluded both lung transplantation and conventional aneurysm repair. Conclusion This case demonstrates that heart-lung transplantation is a good surgical option for IPAH complicated by giant sized PAA and right heart failure.
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Affiliation(s)
- T Eadington
- Department of Heart and Lung Transplantation, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
| | - K Santhanakrishnan
- Department of Heart and Lung Transplantation, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK
| | - R Venkateswaran
- Department of Heart and Lung Transplantation, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.,Honorary Senior Lecturer, Division of Cardiovascular Science, University of Manchester, Manchester, UK
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Lim S, Shaw S, Venkateswaran R, Abu-Omar Y, Pettit S, Chue C. HeartMate 3 Compared to Heart Transplant Outcomes in England. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.1138] [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: 11/16/2022] Open
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Ares ED, Seville E, Hesford W, Venkateswaran R, Pate B, Exton P, Sinstadt N, Sanders M, Rabbett K, Sheardown A. The wythenshawe hybrid circuit: a novel technique for lung transplantation. J Cardiothorac Vasc Anesth 2019. [DOI: 10.1053/j.jvca.2019.07.085] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Callan P, Shaw S, Venkateswaran R, Kore S. Reduced Adverse Events with Heartmate 3. The Manchester Experience. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.902] [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] Open
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Van Raemdonck D, Keshavjee S, Levvey B, Cherikh W, Snell G, Erasmus M, Simon A, Glanville A, Clark S, D'Ovidio F, Catarino P, McCurry K, Hertz M, Venkateswaran R, Hopkins P, Inci I, Walia R, Kreisel D, Mascaro J, Dilling D, Camp P, Mason D, Musk M, Burch M, Fisher A, Yusen R, Stehlik J, Cypel M. 5-Year Results from the ISHLT DCD Lung Transplant Registry Confirm Excellent Recipient Survival from Donation after Circulatory Death Donors. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.241] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Mehta V, Hasan J, Callan P, Shaw S, Williams S, Dimarakis I, Barnard J, Venkateswaran R. Extra Corporeal Membrane Oxygenation (ECMO) for Primary Graft Dysfunction Following Heart Transplantation: A Single Centre Experience. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.891] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Shaw S, Venkateswaran R, Rushton S, Hogg R, Al-Attar N, Lim S, Schueler S, Parameshwar J, Banner N. LVADs as Bridge to Candidacy in the UK. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.665] [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: 10/17/2022] Open
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Mehta V, Hasan J, Salaie J, Milser E, Santhanakrishnan K, Al-Aloul M, Dimarakis I, Barnard J, Venkateswaran R. Comparison of Extra Corporeal Membrane Oxygenation versus Cardiopulmonary Bypass Support for Lung Transplantation. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.1200] [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: 11/28/2022] Open
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Malpus Z, Diallo A, Lawrence Z, Karimi E, Venkateswaran R, AlAloul M. Pre-transplant Distress and Risk of Early Death in UK Cardiothoracic Transplant Recipients. J Heart Lung Transplant 2018. [DOI: 10.1016/j.healun.2018.01.028] [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: 10/17/2022] Open
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Charlesworth M, Venkateswaran R, Feddy L. When traditional research fails - the case for veno-arterial ECMO in postcardiotomy cardiogenic shock. Anaesthesia 2017; 72:1425-1426. [DOI: 10.1111/anae.14097] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
| | | | - L. Feddy
- University Hospital South Manchester; Manchester UK
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Raghavendra Prasad B, Banerjee D, Singh J, Nagabhushana S, Kumar A, Kamath PU, Kathiravan S, Venkata S, Rajkumar N, Natarajan V, Juneja M, Somu P, Pant V, Shaji N, Sankarsubramanian K, Patra A, Venkateswaran R, Adoni AA, Narendra S, Haridas TR, Mathew SK, Mohan Krishna R, Amareswari K, Jaiswal B. Visible Emission Line Coronagraph on Aditya-L1. CURR SCI INDIA 2017. [DOI: 10.18520/cs/v113/i04/613-615] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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McKay E, Heyes K, Chaggar P, Foden P, Williams S, Bernard J, Yonan N, Venkateswaran R, Shaw S, Muldoon E. C-Reactive Protein (CRP) Correlates Poorly with Infection in the Post-Surgical Period Following Left Ventricular Assist Device (LVAD) Implantation. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.690] [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: 10/19/2022] Open
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Santhanakrishnan K, Karimi E, Yonan N, Alaloul M, Venkateswaran R, Heyes K. Early CMV Management Post Lung Transplant(LTx): A 6-Year Review of Pre-Emptive Strategy for CMV. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.495] [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: 11/25/2022] Open
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Charlesworth M, Hernandez A, Feddy L, Barker J, Shaw S, Barnard J, Venkateswaran R. Post-cardiotomy extra corporeal life support (ECLS) for refractory cardiogenic shock: a 4-year retrospective case-note audit in South Manchester, UK. J Cardiothorac Vasc Anesth 2017. [DOI: 10.1053/j.jvca.2017.02.172] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Taylor A, Lannon J, Dominguez T, Banner N, Crossland D, Parameshwar J, Taylor R, Thompson R, Venkateswaran R, Attar NA, Burch M. Comparison of the Clinical Outcomes After De-Novo Heart Transplantation Between Adults with and without Congenital Heart Disease. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.834] [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: 10/21/2022] Open
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Raghuthaman G, Venkateswaran R, Krishnadas R. Adjunctive aripiprazole in risperidone-induced hyperprolactinaemia: double-blind, randomised, placebo-controlled trial. BJPsych Open 2015; 1:172-177. [PMID: 27703744 PMCID: PMC4998932 DOI: 10.1192/bjpo.bp.115.001248] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2015] [Revised: 09/16/2015] [Accepted: 11/17/2015] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Hyperprolactinaemia is a troublesome side-effect of treatment with antipsychotics. AIMS This double-blind, placebo-controlled study aimed at examining the effect of adjunctive treatment with 10 mg aripiprazole on prolactin levels and sexual side-effects in patients with schizophrenia symptomatically maintained on risperidone. METHOD Thirty patients taking risperidone were enrolled into the trial (CTRI/2012/11/003114). Aripiprazole was administered at a fixed daily dose of 10 mg/day for 8 weeks. Serum prolactin was measured at baseline and at 8 weeks. Hyperprolactinaemia-related problems, psychopathology and side-effects were evaluated every 2 weeks. RESULTS Prolactin levels decreased by 58% in the aripiprazole group compared with an increase by 22% in the placebo group. Prolactin levels normalised in 46% of patients in the aripiprazole group (number needed to treat, NNT=2). Aripiprazole improved erectile dysfunction in five out of six patients. There were no significant differences in change in psychopathology or side-effects between groups. CONCLUSIONS Adjunctive aripiprazole reduced prolactin levels in those treated with risperidone, with no effect on psychopathology and extrapyramidal symptoms. This is a potential treatment for hyperprolactinaemia observed during treatment with second-generation antipsychotics. DECLARATION OF INTEREST None. COPYRIGHT AND USAGE © The Royal College of Psychiatrists 2015. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.
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Affiliation(s)
- G Raghuthaman
- , MBBS, DPM, MD, Department of Psychiatry, PSG Institute of Medical Sciences and Research, Coimbatore, India
| | - R Venkateswaran
- , MBBS, MD, Department of Child Psychiatry, CMC, Vellore, India
| | - R Krishnadas
- , MBBS, MD, MRCPsych, PhD, ESTEEM, NHS Greater Glasgow and Clyde, Glasgow, UK
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Lannon J, Mandersloot G, Thomas H, Vercueil A, Venkateswaran R, Clark S, Sudarshan C, Al-Attar N, Zych B, Mascaro J, Murphy P, Tsui S. The UK Retrieval Team “Scout” Pilot Programme. J Heart Lung Transplant 2014. [DOI: 10.1016/j.healun.2014.01.434] [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] Open
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Abuanzeh R, Hashmi F, Khasati M, Venkateswaran R, Yonan N. 194 * HEART RETRIEVAL FROM BORDERLINE PATIENTS BENEFITS FROM EARLY DONOR MANAGEMENT. Interact Cardiovasc Thorac Surg 2013. [DOI: 10.1093/icvts/ivt372.194] [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: 11/13/2022] Open
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Hashmi S, Khasati N, Machaal A, Venkateswaran R, Yonan N. Lung Transplantation from Donation after Cardiac Death – 3 Years Single Centre Experience. J Heart Lung Transplant 2013. [DOI: 10.1016/j.healun.2013.01.546] [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: 10/27/2022] Open
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Hosmane S, Devbhandari M, Williams S, Venkateswaran R, Yonan N. 91 Equivalent Long Term Survival of Heart Transplant Patients Receiving Resuscitated Donor Hearts. J Heart Lung Transplant 2012. [DOI: 10.1016/j.healun.2012.01.095] [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: 11/30/2022] Open
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Hosmane S, Venkateswaran R, Salaie J, Williams S, Yonan N. 682 Outcome of Extracorporeal Membrane Oxygenation as Short Term Mechanical Support Following Heart Transplantation: A Single Centre Experience. J Heart Lung Transplant 2012. [DOI: 10.1016/j.healun.2012.01.697] [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: 10/28/2022] Open
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Beith JM, Oh B, Orme K, McLean A, Chatfield M, Venkateswaran R. Randomized, controlled pilot trial of electro-acupuncture for nausea, vomiting, and myelosuppression in women receiving adjuvant chemotherapy for early breast cancer. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.e19630] [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: 11/20/2022] Open
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Venkateswaran R, Beith JM. Unusual metastases from lobular carcinoma of the breast. Intern Med J 2010; 39:855-7. [PMID: 20233252 DOI: 10.1111/j.1445-5994.2009.02078.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Mydin M, Hawari M, Venkateswaran R, Parmar J, Sudarshan C, Vuylsteke A, Jenkins D, Dunning J, Tsui S. 465: Should Aprotinin Be Used in Heart and Lung Transplantation? J Heart Lung Transplant 2010. [DOI: 10.1016/j.healun.2009.11.481] [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: 11/28/2022] Open
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James S, Ranasinghe A, Venkateswaran R, McCabe C, Franklyn J, Bonser R. 347: The Effect of Tri-Iodothyronine (T3) on Thyroid Hormone Responsive Cardiac Genes in the Brain Stem Dead Cardiac Donor. J Heart Lung Transplant 2009. [DOI: 10.1016/j.healun.2008.11.354] [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: 10/21/2022] Open
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Venkateswaran R, Oh B, Beith JM. Survey of acupuncture and complementary medicine use in breast cancer patients. J Clin Oncol 2008. [DOI: 10.1200/jco.2008.26.15_suppl.20719] [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: 11/20/2022] Open
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Venkateswaran R, Dronovalli V, Lambert P, Mistry P, Castello C, Wilson I, Thompson R, Mascaro J, Bonser R. 118: Serial Cytokine Measurement in Potential Heart Donors: The Impact of Early Steroids. J Heart Lung Transplant 2008. [DOI: 10.1016/j.healun.2007.11.124] [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: 11/24/2022] Open
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Venkateswaran R, Boldt C, Parthasarathy J, Ziaie B, Erdman AG, Redish AD. A Motorized Microdrive for Recording of Neural Ensembles in Awake Behaving Rats. J Biomech Eng 2005; 127:1035-40. [PMID: 16438246 DOI: 10.1115/1.2049332] [Citation(s) in RCA: 13] [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: 11/08/2022]
Abstract
The recording of neural ensembles in awake, behaving rats has been an extremely successful experimental paradigm, providing demonstrable scientific advances. Dynamic control of the position of the implanted electrodes is of key importance as mobile electrodes provide a better signal-to-noise ratio and a better cell/electrode yield than nonmobile electrodes. Here we describe the use of low cost, soon to be commercially available dc motors to successfully control the depth of electrodes. The prototype designed is approximately 30mm in diameter and 50mm in length and weighed about 30gms. This paper presents the results of linear displacements of electrodes achievable with this motorized microdrive.
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Affiliation(s)
- R Venkateswaran
- Department of Mechanical Engineering, University of Minnesota, Minneapolis, Minnesota 55455, USA
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Gupta S, Venkateswaran R, Gorenflo DW, Eyler AE. Childhood iron deficiency anemia, maternal nutritional knowledge, and maternal feeding practices in a high-risk population. Prev Med 1999; 29:152-6. [PMID: 10479602 DOI: 10.1006/pmed.1999.0522] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
BACKGROUND Despite the proven success of national efforts such as the Special Supplementary Food Program for Women, Infants, and Children (WIC) to curb childhood iron deficiency anemia (IDA) in the United States, aggregate programmatic data may not accurately represent the experience of particularly high risk groups, such as the children of adolescent mothers of low socio-economic status. METHODS This study evaluated the prevalence and severity of childhood anemia and associated risk factors, at one urban teen health center serving primarily low-income adolescent mothers and their children. A total of 175 pediatric WIC charts were reviewed to abstract hemoglobin status and other data. Additionally, 81 mothers were interviewed with regard to their nutritional knowledge and feeding practices; these findings were compared with the measured hemoglobin (Hgb) of their children. RESULTS A total of 34.9% of children in the study population were found to be anemic (Hgb </= 11. 2). Low childhood Hgb status was significantly correlated with racial identification, child age, maternal perception of feeding difficulty, and the presence of concurrent pediatric medical illness. Report of extensive nutritional discussion with a physician was correlated with normal Hgb levels. No differences in nutritional knowledge or feeding practices were detected between mothers of children with low iron status. CONCLUSIONS We conclude that the risk of iron deficiency, even among children receiving WIC services, may be underestimated in certain "nutritionally very high risk" populations. Further study of interventions for IDA in children of young, low-income mothers is recommended.
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Affiliation(s)
- S Gupta
- University of Michigan Medical School and the Department of Family Medicine at the University of Michigan Medical Center, Ann Arbor, 48109, Michigan
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Abstract
This study evaluated the nutritional knowledge and feeding practices (via a verbal questionnaires) of the clients of one semiurban women, infants, and children (WIC) center, which serves exclusively younger women (aged 12-21) and their children, and compared these variables to the hemoglobin levels of their infants and children. No significant benefit from documented WIC education regarding iron was detectable. African American identification was associated with childhood anemia (p = 0.05); the presence of concurrent medical problems approached significance (p = 0.06). Other previously reported risk associations were not found to be significant. Children with low iron ate more meals outside the home per week (2.9 vs. 1.9, p = 0.10). Despite the proven value of the WIC program in reducing childhood iron deficiency, it appears that members of certain very high-risk populations may not experience the full benefit of this nutritional program and may require additional, targeted interventions.
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Affiliation(s)
- R Venkateswaran
- Medalia HealthCare LLC, Family Medical Center, Seattle, WA 98122, USA
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Venkateswaran R, Babu S, Kumar SS, Pillai MA, Sharma PV. Thermal decomposition of viscose rayon in the presence of inorganic additives. A kinetic study. J Appl Polym Sci 1990. [DOI: 10.1002/app.1990.070411123] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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