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Hussain S, Aljohani O, Auerbach S, Bearl D, Benvenuto V, Bonura E, Crawford L, Dyal J, Hartje-Dunn C, Jana S, Joong A, Kaushal S, Lynn M, Miller E, Radel L, Raskin A, Rivera-Torpoco D, Spinner J, Wilkens S, Villa C. What to Do with a Squeaky Wheel? Ventricular Assist Device Use in Children with Mechanical Valves in the Action Database. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1248] [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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Vijayvergiya R, Gawalkar AA, Kasinadhuni G, Kaushal S, Batta A, Kumar B. Percutaneous coronary intervention in dextrocardia patients with situs inversus. AsiaIntervention 2022; 8:132-135. [PMID: 36483282 PMCID: PMC9706777 DOI: 10.4244/aij-d-22-00002] [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] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Accepted: 03/21/2022] [Indexed: 05/02/2023]
Affiliation(s)
- Rajesh Vijayvergiya
- Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education & Research, Chandigarh, India
| | - Atit A Gawalkar
- Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education & Research, Chandigarh, India
| | - Ganesh Kasinadhuni
- Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education & Research, Chandigarh, India
| | - Sanjeev Kaushal
- Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education & Research, Chandigarh, India
| | - Akash Batta
- Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education & Research, Chandigarh, India
| | - Basant Kumar
- Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education & Research, Chandigarh, India
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Batra A, Nayak B, Singh P, Sahoo R, Kunhiparambath H, Kaushal S, Seth A, Varshney A, Raj A. 515P Prognostic significance of elevated serum tumor markers (STM) after the first cycle of chemotherapy in patients with intermediate and poor risk non seminomatous testicular germ cell tumors (NSGCT). Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.643] [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: 11/01/2022] Open
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Joshi R, Medhi B, Prakash A, Chandy S, Ranjalkar J, Bright HR, Basker J, Govindraj L, Chugh PK, Tripathi CD, Badyal DK, Balakrishnan S, Jhaj R, Shukla AK, Atal S, Najmi A, Banerjee A, Kamat S, Tripathi RK, Shetty YC, Parmar U, Rege N, Dikshit H, Mishra H, Roy SS, Chatterjee S, Hazra A, Bhattacharya M, Das D, Trivedi N, Shah P, Chauhan J, Desai C, Gandhi AM, Patel PP, Shah S, Sheth S, Raveendran R, Mathaiyan J, Manikandan S, Jeevitha G, Gupta P, Sarangi SC, Yadav HN, Singh S, Kaushal S, Arora S, Gupta K, Jain S, Cherian JJ, Chatterjee NS, Kaul R, Kshirsagar NA. Assessment of prescribing pattern of drugs and completeness of prescriptions as per the World Health Organization prescribing indicators in various Indian tertiary care centers: A multicentric study by Rational Use of Medicines Centers-Indian Council of Medical Research network under National Virtual Centre Clinical Pharmacology activity. Indian J Pharmacol 2022; 54:321-328. [PMID: 36537400 PMCID: PMC9846909 DOI: 10.4103/ijp.ijp_976_21] [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] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
OBJECTIVE The rational use of medicines as per the World Health Organization (WHO) should be practiced globally. However, data regarding the completeness of the prescriptions and their rational use is lacking from developing countries like India. Thus, the aim of this study was to assess the prescribing patterns of drugs and completeness of prescriptions as per WHO core drug use and complementary indicators to provide real-life examples for the Indian Council of Medical Research (ICMR) online prescribing skill course for medical graduates. METHODS Prescriptions of the patients, fulfilling inclusion criteria, attending Outpatient Departments of various specialties of tertiary care hospitals, were collected by thirteen ICMR Rational use of medicines centers located in tertiary care hospitals, throughout India. Prescriptions were evaluated for rational use of medicines according to the WHO guidelines and for appropriateness as per standard treatment guidelines using a common protocol approved by local Ethics committees. RESULTS Among 4838 prescriptions, an average of about three drugs (3.34) was prescribed to the patients per prescription. Polypharmacy was noted in 83.05% of prescriptions. Generic drugs were prescribed in 47.58% of the prescriptions. Further, antimicrobials were prescribed in 17.63% of the prescriptions and only 4.98% of prescriptions were with injectables. During the prescription evaluation, 38.65% of the prescriptions were incomplete due to multiple omissions such as dose, duration, and formulation. CONCLUSION Most of the parameters in the present study were out of the range of WHO-recommended prescribing indicators. Therefore, effective intervention program, like training, for the promotion of rational drug use practice was recommended to improve the prescribing pattern of drugs and the quality of prescriptions all over the country.
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Affiliation(s)
- R Joshi
- Department of Pharmacology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - B Medhi
- Department of Pharmacology, Post Graduate Institute of Medical Education and Research, Chandigarh, India,Address for correspondence: Dr. Medhi B, Department of Pharmacology, Post Graduate Institute of Medical Education and Research, Chandigarh, India. E-mail:
| | - A Prakash
- Department of Pharmacology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
| | - S Chandy
- Department of Pharmacology and Clinical Pharmacology, Christian Medical College, Vellore, Tamil Nadu, India
| | - J Ranjalkar
- Department of Pharmacology and Clinical Pharmacology, Christian Medical College, Vellore, Tamil Nadu, India
| | - HR Bright
- Department of Pharmacology and Clinical Pharmacology, Christian Medical College, Vellore, Tamil Nadu, India
| | - J Basker
- Department of Pharmacology and Clinical Pharmacology, Christian Medical College, Vellore, Tamil Nadu, India
| | - L Govindraj
- Department of Pharmacology and Clinical Pharmacology, Christian Medical College, Vellore, Tamil Nadu, India
| | - PK Chugh
- Vardhman Mahavir Medical College, New Delhi, India
| | - CD Tripathi
- Vardhman Mahavir Medical College, New Delhi, India
| | - DK Badyal
- Department of Pharmacology, Christian Medical College, Ludhiana, Punjab, India
| | - S Balakrishnan
- Department of Pharmacology, All India Institute of Medical Sciences, Bhopal, India
| | - R Jhaj
- Department of Pharmacology, All India Institute of Medical Sciences, Bhopal, India
| | - AK Shukla
- Department of Pharmacology, All India Institute of Medical Sciences, Bhopal, India
| | - S Atal
- Department of Pharmacology, All India Institute of Medical Sciences, Bhopal, India
| | - A Najmi
- Department of Pharmacology, All India Institute of Medical Sciences, Bhopal, India
| | - A Banerjee
- Department of Pharmacology, All India Institute of Medical Sciences, Bhopal, India
| | - S Kamat
- Department of Pharmacology and Therapeutics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
| | - RK Tripathi
- Department of Pharmacology and Therapeutics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
| | - YC Shetty
- Department of Pharmacology and Therapeutics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
| | - U Parmar
- Department of Pharmacology and Therapeutics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
| | - N Rege
- Department of Pharmacology and Therapeutics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
| | - H Dikshit
- Department of Pharmacology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
| | - H Mishra
- Department of Pharmacology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
| | - SS Roy
- Department of Pharmacology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
| | - S Chatterjee
- Department of Pharmacology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India
| | - A Hazra
- Department of Pharmacology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India
| | - M Bhattacharya
- Department of Pharmacology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India
| | - D Das
- Department of Pharmacology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India
| | - N Trivedi
- Department of Pharmacology, Government Medical College, Baroda, Gujarat, India
| | - P Shah
- Department of Pharmacology, Government Medical College, Baroda, Gujarat, India
| | - J Chauhan
- Department of Pharmacology, Government Medical College, Baroda, Gujarat, India
| | - C Desai
- Department of Pharmacology, B.J. Medical College, Ahmedabad, Gujarat, India
| | - AM Gandhi
- Department of Pharmacology, B.J. Medical College, Ahmedabad, Gujarat, India
| | - PP Patel
- Department of Pharmacology, B.J. Medical College, Ahmedabad, Gujarat, India
| | - S Shah
- Department of Pharmacology, B.J. Medical College, Ahmedabad, Gujarat, India
| | - S Sheth
- Department of Pharmacology, B.J. Medical College, Ahmedabad, Gujarat, India
| | - R Raveendran
- Department of Pharmacology, Jawaharlal Institute of Post Medical Education and Research, Puducherry, India
| | - J Mathaiyan
- Department of Pharmacology, Jawaharlal Institute of Post Medical Education and Research, Puducherry, India
| | - S Manikandan
- Department of Pharmacology, Jawaharlal Institute of Post Medical Education and Research, Puducherry, India
| | - G Jeevitha
- Department of Pharmacology, Jawaharlal Institute of Post Medical Education and Research, Puducherry, India
| | - P Gupta
- Department of Pharmacology, All India Institute of Medical Sciences, New Delhi, India
| | - SC Sarangi
- Department of Pharmacology, All India Institute of Medical Sciences, New Delhi, India
| | - HN Yadav
- Department of Pharmacology, All India Institute of Medical Sciences, New Delhi, India
| | - S Singh
- Department of Pharmacology, All India Institute of Medical Sciences, New Delhi, India
| | - S Kaushal
- Department of Pharmacology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - S Arora
- Department of Pharmacology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - K Gupta
- Department of Pharmacology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - S Jain
- Department of Pharmacology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - JJ Cherian
- Indian Council of Medical Research, New Delhi, India
| | - NS Chatterjee
- Indian Council of Medical Research, New Delhi, India
| | - R Kaul
- Indian Council of Medical Research, New Delhi, India
| | - NA Kshirsagar
- Indian Council of Medical Research, New Delhi, India
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Yeo D, Toh A, Yeo C, Low G, Yeo JZ, Aung MO, Rao J, Kaushal S. The impact of impulsivity on weight loss after bariatric surgery: a systematic review. Eat Weight Disord 2021; 26:425-438. [PMID: 32232777 DOI: 10.1007/s40519-020-00890-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Accepted: 03/10/2020] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Impulsivity has been shown to be associated with obesity through links to pathological eating behavior such as binge eating. The recent literature suggests that impulsivity is linked to poorer outcomes post-bariatric surgery. Impulsivity can be measured in various ways and comprises of three broad domains: impulsive choice, impulsive action, and impulsive personality traits. The aim of this systematic review is to synthesize the current evidence on the impact of impulsivity on post-bariatric surgery weight loss. METHODS A literature review was performed in February 2020. Original studies investigating the relationship between impulsivity and weight loss post-bariatric surgery were evaluated. RESULTS Ten studies with a total of 1246 patients were analyzed. There were four case-control, four prospective observational and two retrospective observational studies. The postoperative follow-up ranged from 0.5 to 12 years. Eight studies measuring trait impulsivity did not show any association with weight loss post-bariatric surgery, although two studies reported an indirect effect of impulsivity on weight loss mediated via pathological eating behavior. Assessment of impulsive action by two studies showed that post-bariatric surgery weight loss is affected by impulsive action. CONCLUSION Impulsivity may adversely affect postoperative outcomes after bariatric surgery. However, this may be specific to state impulsivity or impulsive action rather than trait impulsivity. Patients with a higher state impulsivity may benefit from closer follow-up post-bariatric surgery, as well as cognitive behavioral therapies targeting cognitive control over food. LEVEL OF EVIDENCE Level I, systematic review.
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Affiliation(s)
- D Yeo
- Department of General Surgery, Tan Tock Seng Hospital, Jalan Tan Tock Seng, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore.
| | - A Toh
- Department of Psychology, Tan Tock Seng Hospital, Singapore, Singapore
| | - C Yeo
- Department of General Surgery, Tan Tock Seng Hospital, Jalan Tan Tock Seng, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore
| | - G Low
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - J Z Yeo
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - M O Aung
- Department of General Surgery, Tan Tock Seng Hospital, Jalan Tan Tock Seng, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore
| | - J Rao
- Department of General Surgery, Tan Tock Seng Hospital, Jalan Tan Tock Seng, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore
| | - S Kaushal
- Department of General Surgery, Tan Tock Seng Hospital, Jalan Tan Tock Seng, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore
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Kaur H, Kaushal S, Kumar S, Badru R, Singh P, Mittal S. Kinetic Study and Isotherm Analysis for Removal and Recovery of Coexistent Hazardous Acidic and Basic Dyes from Wastewater Using PTD-ZrPB Nanocomposite. RUSS J INORG CHEM+ 2020. [DOI: 10.1134/s0036023620120062] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Vijayvergiya R, Kanabar K, Kaushal S, Lal A, Krishnan S. Endovascular Treatment of a Migrated Superior Vena Cava Stent in the Right Atrium. J Invasive Cardiol 2020; 32:E168-E169. [PMID: 32479419] [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] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
A 42-year-old female with end-stage chronic kidney disease, who was on maintenance hemodialysis for the last 3 years, presented with facial and upper-limb swelling of 2-month duration. A computed tomography (CT) scan confirmed significant stenosis of the superior vena cava (SVC). Following discussion in a multidisciplinary meeting, it was proposed to perform a repeat endovascular intervention to relieve the SVC obstruction and manage the migrated stent.
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Affiliation(s)
- Rajesh Vijayvergiya
- Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education & Research, Sector 12, Chandigarh-160 012, India.
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Yeo D, Kaushal S, Ahmed S. Clearing the air: an accessible system for suction and safe evacuation of pneumoperitoneum during laparoscopy in patients with COVID-19. Br J Surg 2020; 107:e200. [PMID: 32379342 PMCID: PMC7267272 DOI: 10.1002/bjs.11683] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Accepted: 04/17/2020] [Indexed: 11/21/2022]
Affiliation(s)
- D Yeo
- Department of General Surgery, Tan Tock Seng Hospital, Singapore
| | - S Kaushal
- Department of General Surgery, Tan Tock Seng Hospital, Singapore
| | - S Ahmed
- Department of General Surgery, Tan Tock Seng Hospital, Singapore
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Yeo C, Yeo D, Kaushal S, Ahmed S. Is it too premature to recommend against laparoscopic emergency surgery in COVID-19 patients? Br J Surg 2020; 107:e202. [PMID: 32379345 PMCID: PMC7267169 DOI: 10.1002/bjs.11668] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Accepted: 04/14/2020] [Indexed: 11/15/2022]
Affiliation(s)
- C Yeo
- Department of General Surgery, Tan Tock Seng Hospital, Singapore
| | - D Yeo
- Department of General Surgery, Tan Tock Seng Hospital, Singapore
| | - S Kaushal
- Department of General Surgery, Tan Tock Seng Hospital, Singapore
| | - S Ahmed
- Department of General Surgery, Tan Tock Seng Hospital, Singapore
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Kaushal S, Kaur H, Kumar S, Badru R, Mittal S, Singh P. Novel Horizon: Smart TiO2/Sn(IV)SbP Nanocomposite with Enhanced Electrochemical and Photocatalytic Properties. RUSS J INORG CHEM+ 2020. [DOI: 10.1134/s0036023620040087] [Citation(s) in RCA: 6] [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] [Indexed: 11/23/2022]
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Taverna S, Reclusa P, Verstraelen P, De Miguel-Pérez D, Pucci M, Pintelon I, Claes N, Gunasekaran M, Alessandro R, Bals S, Kaushal S, Rolfo C. P1.17 How to Visualize Exosomes in NSCLC: “The New Guest Star in the Liquid Biopsy Movie”. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.09.152] [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: 10/25/2022]
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Paul G, Paul BS, Gautam PL, Singh G, Kaushal S. Parkinson's Disease in Intensive Care Unit: An Observational Study of Frequencies, Causes, and Outcomes. Ann Indian Acad Neurol 2019; 22:79-83. [PMID: 30692764 PMCID: PMC6327702 DOI: 10.4103/aian.aian_44_18] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [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: 11/30/2022] Open
Abstract
Objective: To analyze the frequency, causes, and outcomes of admission to the Intensive Care Unit (ICU) among Parkinson's disease (PD) population so that preventive measures can be developed. Methods: We prospectively observed patients with diagnosis of PD admitted to ICU from January 2014 to December 2016. Based on etiology for hospital admission, they were divided into two groups – related to PD (further divided into direct or indirect) or not associated with PD at all. Etiology for hospitalization was determined from history and investigational data. The primary outcome was death or discharge from the hospital. Factors contributing to ICU admission were analyzed by comparing these patients with a cohort of 50 PD patients admitted to the neurology ward during the same study period. All values were expressed as mean (standard deviation) and percentages using SPSS version 16.0. Results: Fifty-three (36%) out of a total of 146 patients required ICU admission. Most common causes leading to admission in decreasing order of frequency were fever (34%), delirium (16%), falls (12%), encephalopathy (8%), gastrointestinal emergencies (6%); while direct disease-related severe dyskinesias were seen only in two patients (4%). 13.7% needed mechanical ventilation and mean duration of ventilation was 5.94 days with mortality rate of 20%. Significant factors predicting ICU admission, and thus, poor outcomes were age >65 years, history of previous admission within the last 12 months, delirium, and hypoalbuminemia. There was no significant association between the incidence of ICU admission and duration of disease or severity of the disease. Conclusions: Poor outcome in PD patients is due to systemic causes, hence multidisciplinary teamwork may improve outcome in these patients.
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Affiliation(s)
- Gunchan Paul
- Department of Critical Care Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - Birinder Singh Paul
- Department of Neurology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - Parshotum Lal Gautam
- Department of Critical Care Medicine, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - G Singh
- Department of Neurology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
| | - S Kaushal
- Department of Pharmacology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India
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Kaushal S, Sharma RK, Singh DV, Shukla SK, Kumar S, Palod J, Singh MK. Performance, carcass characteristics and economics of broiler chickens fed dietary enzymes and probiotic. Iran J Vet Res 2019; 20:293-298. [PMID: 32042295 PMCID: PMC6983310] [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] [Subscribe] [Scholar Register] [Received: 08/14/2018] [Revised: 06/15/2019] [Accepted: 06/22/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND Researchers are challenged with identification of possible feed additives with the ability to increase the efficiency of feed utilization. AIMS The present work aimed at studying growth pattern and carcass traits in broiler fed on dietary enzymes (Enzymex) and probiotic (Yeamark) over a period of six weeks. METHODS A completely randomized design, including 8 treatments, 3 replications and 15 birds in each experimental unit was applied. Results: The results showed that feed intake decreased significantly (P<0.05) which might be due to the birds fulfilling their nutrient requirements by taking less amount of feed with improved digestibility of energy sources and amino acids. The results of present study also demonstrate the beneficial effects on performance and dressed yield in the treated groups in broiler. CONCLUSION Enzymes and probiotic are, therefore, suggested to be used as feed additives in broiler rations for higher profitability.
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Affiliation(s)
- S. Kaushal
- epartment of Livestock Production Management (LPM), Govind Ballabh Pant University of Agriculture and Technology (G.B.P.U.A & T), Pantnagar-263145, Uttarakhand, India
| | - R. K. Sharma
- epartment of Livestock Production Management (LPM), Govind Ballabh Pant University of Agriculture and Technology (G.B.P.U.A & T), Pantnagar-263145, Uttarakhand, India
| | - D. V. Singh
- epartment of Livestock Production Management (LPM), Govind Ballabh Pant University of Agriculture and Technology (G.B.P.U.A & T), Pantnagar-263145, Uttarakhand, India
| | - S. K. Shukla
- Department of Veterinary Medicine (VMD), Govind Ballabh Pant University of Agriculture and Technology (G.B.P.U.A & T), Pantnagar-263145, Uttarakhand, India
| | - S. Kumar
- epartment of Livestock Production Management (LPM), Govind Ballabh Pant University of Agriculture and Technology (G.B.P.U.A & T), Pantnagar-263145, Uttarakhand, India
| | - J. Palod
- epartment of Livestock Production Management (LPM), Govind Ballabh Pant University of Agriculture and Technology (G.B.P.U.A & T), Pantnagar-263145, Uttarakhand, India
| | - M. K. Singh
- Department of Poultry Science (PSC), Uttar Pradesh Pandit Deen Dayal Upadhyaya University of Veterinary Sciences and Cattle Research Institute (DUVASU), Mathura-281001, Uttar Pradesh, India
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Kusuma Y, Kaushal S, Sundari A, Babu B. Access to childhood immunisation services and its determinants among recent and settled migrants in Delhi, India. Public Health 2018; 158:135-143. [DOI: 10.1016/j.puhe.2018.03.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2017] [Revised: 02/27/2018] [Accepted: 03/01/2018] [Indexed: 11/25/2022]
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Roy M, Kaushal S, Jain D, Seth A, Iyer VK, Mathur SR. An institutional experience with The Paris System: A paradigm shift from ambiguous terminology to more objective criteria for reporting urine cytology. Cytopathology 2017; 28:509-515. [DOI: 10.1111/cyt.12448] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/15/2017] [Indexed: 01/02/2023]
Affiliation(s)
- M. Roy
- Department of Pathology; All India Institute of Medical Sciences; New Delhi India
| | - S. Kaushal
- Department of Pathology; All India Institute of Medical Sciences; New Delhi India
| | - D. Jain
- Department of Pathology; All India Institute of Medical Sciences; New Delhi India
| | - A. Seth
- Department of Urology; All India Institute of Medical Sciences; New Delhi India
| | - V. K. Iyer
- Department of Pathology; All India Institute of Medical Sciences; New Delhi India
| | - S. R. Mathur
- Department of Pathology; All India Institute of Medical Sciences; New Delhi India
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Karnatak P, Sai TP, Goswami S, Ghatak S, Kaushal S, Ghosh A. Current crowding mediated large contact noise in graphene field-effect transistors. Nat Commun 2016; 7:13703. [PMID: 27929087 PMCID: PMC5155149 DOI: 10.1038/ncomms13703] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2016] [Accepted: 10/26/2016] [Indexed: 01/29/2023] Open
Abstract
The impact of the intrinsic time-dependent fluctuations in the electrical resistance at the graphene–metal interface or the contact noise, on the performance of graphene field-effect transistors, can be as adverse as the contact resistance itself, but remains largely unexplored. Here we have investigated the contact noise in graphene field-effect transistors of varying device geometry and contact configuration, with carrier mobility ranging from 5,000 to 80,000 cm2 V−1 s−1. Our phenomenological model for contact noise because of current crowding in purely two-dimensional conductors confirms that the contacts dominate the measured resistance noise in all graphene field-effect transistors in the two-probe or invasive four-probe configurations, and surprisingly, also in nearly noninvasive four-probe (Hall bar) configuration in the high-mobility devices. The microscopic origin of contact noise is directly linked to the fluctuating electrostatic environment of the metal–channel interface, which could be generic to two-dimensional material-based electronic devices.
The performance of graphene field effect transistors is adversely affected by fluctuations in the electrical resistance at the graphene/metal interface. Here, the authors unveil the microscopic origin of such contact noise, highlighting the role of current crowding.
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Affiliation(s)
- Paritosh Karnatak
- Department of Physics, Indian Institute of Science, Bangalore 560 012, India
| | - T Phanindra Sai
- Department of Physics, Indian Institute of Science, Bangalore 560 012, India
| | - Srijit Goswami
- Department of Physics, Indian Institute of Science, Bangalore 560 012, India
| | - Subhamoy Ghatak
- Department of Physics, Indian Institute of Science, Bangalore 560 012, India
| | - Sanjeev Kaushal
- Tokyo Electron Ltd, Akasaka Biz Tower, 3-1 Akasaka 5-Chome, Minato-ku, Tokyo 107-6325, Japan
| | - Arindam Ghosh
- Department of Physics, Indian Institute of Science, Bangalore 560 012, India.,Centre for Nano Science and Engineering, Indian Institute of Science, Bangalore 560 012, India
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Patra A, Kalyan G, Kaur H, Chhabra U, Kaushal S, Upasana. Variations in shape and dimension of suprascapular notch in dried human scapulae: An osteological study with its clinical implications. J ANAT SOC INDIA 2016. [DOI: 10.1016/j.jasi.2016.08.167] [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]
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Patra A, Kaur H, Kaushal S, Chhabra U. Lumbosacral transitional vertebrae – An osteological study with its clinical and forensic implications. J ANAT SOC INDIA 2016. [DOI: 10.1016/j.jasi.2016.08.210] [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]
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Patra A, Kalyan G, Kaushal S, Chhabra U, Kaur H. Supernumerary renal arteries: A cadaveric study with their embryological and clinical correlations. J ANAT SOC INDIA 2016. [DOI: 10.1016/j.jasi.2016.08.119] [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]
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Abstract
Two visual factors in the avoidance of front-to-rear-end collisions are (a) judging time to collision so as to control braking optimally on a moment-to-moment basis, and/or (b) judging one's heading relative to the lead car so as to steer appropriately. It is known that time to contact equals θ/(dθ/dt) and it is also known that the eye is sensitive to θ and, separately, (dθ/dt) (θ is the angular size and (dθ/dt) is the rate of increase of angular size). But whether the eye is sensitive to the ratio (θ/(dθ/dt) and, if so, whether drivers use this information are further questions. We report here that the human visual system does contain neurons sensitive to the ratio θ/(dθ/dt) rather independently of θ and (dθ/dt). It is important that the driver looks directly at the lead vehicle: sensitivity to (dθ/dt) falls off steeply in peripheral view. But, over a wide range, sensitivity to (dθ/dt) is independent of contrast. In addition to the classical disparity-driven system for binocular depth perception, there is a separate binocular system for motion in depth. Precise judgements (0.2 deg) of heading are supported by this stereomotion system, but on the other hand about 20% of the population have stereomotion “blind spots” (i.e. field defects). Monocularly-available informations can also support precise judgements of heading, and field defects seem to be rare. Field studies on flight simulators and telemetry-tracked jet aircraft showed that laboratory measures of sensitivity to (dθ/dt) and to the rate of expansion of the optical flow field predicted intersubject differences in performance on flying tasks that were closely related to the rear-end collision situation.
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Affiliation(s)
- D. Regan
- Institute for Space and Terrestrial Science, Behavioural Sciences Building, York University 4700 Keele Street, North York, Ontario, Canada M3J 1P3
| | - S. Hamstra
- Institute for Space and Terrestrial Science, Behavioural Sciences Building, York University 4700 Keele Street, North York, Ontario, Canada M3J 1P3
| | - S. Kaushal
- Institute for Space and Terrestrial Science, Behavioural Sciences Building, York University 4700 Keele Street, North York, Ontario, Canada M3J 1P3
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Chandrashekhara SH, Hari S, Arora R, Kaushal S, Singh MK, Dadhwal V. Invasive squamous cell carcinoma of cervix showing horizontal endometrial spread with extension and involvement of the myometrium: A case report. Indian J Cancer 2016; 52:496-7. [PMID: 26960456 DOI: 10.4103/0019-509x.178405] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- S H Chandrashekhara
- Department of Radio-diagnosis, All Institute of Medical Sciences, New Delhi, India
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Khattar J, Kaur S, Kaushal S, Singh Y, Singh D, Rana S, Gulati A. Hyperproduction of phycobiliproteins by the cyanobacterium Anabaena fertilissima PUPCCC 410.5 under optimized culture conditions. ALGAL RES 2015. [DOI: 10.1016/j.algal.2015.10.007] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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SanGiovanni JP, Rosen R, Kaushal S. Application and interpretation of genome-wide association (GWA) studies for informing pharmacogenomic research - examples from the field of age-related macular degeneration. Curr Mol Med 2015; 14:814-32. [PMID: 25109799 DOI: 10.2174/1566524014666140811113606] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2014] [Revised: 03/26/2014] [Accepted: 04/23/2014] [Indexed: 11/22/2022]
Abstract
Genome-wide association (GWA) studies apply broad DNA scans on hundreds-of-thousands of common sequence variants in thousands of people for the purpose of mapping trait- or disease-related loci. We provide examples of ligand- and target-based studies from the field of age-related macular degeneration (AMD) to demonstrate the value of the GWA approach in confirmatory and exploratory pharmacogenomics research. Complementing this genomic analysis, we used a simple biochemical retinal pigment epithelium (RPE) oxidative, apoptotic high throughput screening (HTS) assay to identify compounds. This ligand-to-targetto DNA sequence variant-to disease approach provided guidance on rational design of preclinical studies and identified associations between: 1) valproic acid and advanced AMD-associated genes with the capacity to alter GABA-succinate signaling (ALDH5A1, CACNA1C, SUCLA2, and GABBR2) and chromatin remodeling (HDAC9); and 2) Ropinirole and a geographic atrophy-associated gene (DRD3) with the capacity to alter systems involved in cAMP-PKA signaling. In both applications of our method, the breadth of GWA findings allowed efficient expansion of results to identify enriched pathways and additional ligands capable of targeting pathway constituents. A disease associated SNP-to gene-to target-to ligand approach provided guidance to inform preventive and therapeutic preclinical studies investigating roles of targets in: 1) PPAR-RXR transcription complex constituents for neovascular AMD; and 2) the stress activated MAPK signaling cascade constituents for advanced AMD. Our conclusion is that publically available data from GWA studies can be used successfully with open-access genomics, proteomics, structural chemistry, and pharmacogenomics databases in an efficient, rational approach to streamline the processes of planning and implementation for confirmatory and exploratory pre-clinical studies of preventive or therapeutic pharmacologic treatments for complex diseases.
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Affiliation(s)
| | | | - S Kaushal
- National Eye Institute, Bethesda, MD 20892-1863, USA.
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Kaushal S, Dora SK, Thakur S. Spinal Tuberculosis with Paraplegia in Pregnancy. JNMA J Nepal Med Assoc 2015; 53:123-125. [PMID: 26994033] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023] Open
Abstract
Spinal tuberculosis leading to paraplegia is uncommon in pregnancy and is a diagnostic and therapeutic challenge. We report a case of tubercular paraplegia presenting at 35 weeks of gestation. She was managed with Anti-tubercular drugs and did not require surgical intervention. Her neurological status improved and she was allowed to go in labour. She delivered a healthy term infant by cesarean. At three months follow-up, both mother and child are doing well.
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Affiliation(s)
- S Kaushal
- Department of Obstetrics & Gynaecology, Vivekanand medical institute, palampur, Himachal Pradesh, India
| | - S K Dora
- Department of Obstetrics & Gynaecology, Vivekanand medical institute, palampur, Himachal Pradesh, India
| | - S Thakur
- Department of anaesthesia and critical care, Vivekanand medical institute, palampur, Himachal Pradesh, India
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Kaushal S, Matthews KL, Garcia X, Wehman B, Riddle E, Ying Z, Nubani R, Canter CE, Morrow WR, Huddleston CB, Backer CL, Pahl E. A multicenter study of primary graft failure after infant heart transplantation: impact of extracorporeal membrane oxygenation on outcomes. Pediatr Transplant 2014; 18:72-8. [PMID: 24384049 DOI: 10.1111/petr.12181] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/17/2013] [Indexed: 11/30/2022]
Abstract
Primary graft failure is the major cause of mortality in infant HTx. The aim of this study was to characterize the indication and outcomes of infants requiring ECMO support due to primary graft failure after HTx. We performed a retrospective review of all infants (<1 yr) who underwent Htx from three institutions. From 1999 to 2008, 92 infants (<1 yr) received Htx. Sixteen children (17%) required ECMO after Htx due to low cardiac output syndrome. Eleven (69%) infants were successfully weaned off ECMO, and 9 (56%) infants were discharged with a mean follow-up of 2.3 ± 2.5 yr. Mean duration of ECMO in survivors was 5.4 days (2-7 days) compared with eight days (2-10 days) in non-survivors (p = NS). The five-yr survival rate for all patients was 75%; however, the five-yr survival rate was 40% in the ECMO cohort vs. 80% in the non-ECMO cohort (p = 0.0001). Graft function within one month post-Htx was similar and normal between ECMO and non-ECMO groups (shortening fraction = 42 ± 3 vs. 40 ± 2, p = NS). For infants, ECMO support for primary graft failure had a lower short-term and long-term survival rate vs. non-ECMO patients. Duration of ECMO did not adversely impact graft function and is an acceptable therapy for infants after HTx for low cardiac output syndrome.
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Affiliation(s)
- S Kaushal
- Division of Cardiac Surgery, University of Maryland Medical Center, Chicago, IL, USA
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Metildi C, Kaushal S, Strnadel J, Wright T, Kelber J, Klemke R, Hoffman R, Bouvet M. Serial In Vivo Passaging of Human Pancreatic Tumors in Nude Mice Results in Aggressive Variants Enriched in Stem Cell Markers and PEAK1 Expression. J Surg Res 2013. [DOI: 10.1016/j.jss.2012.10.447] [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]
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André C, Kapoor D, Kaushal S, Anand LK, Dalai U. Letters to the Editor. Southern African Journal of Anaesthesia and Analgesia 2012. [DOI: 10.1080/22201173.2012.10872877] [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: 10/24/2022]
Affiliation(s)
- Coetzee André
- Department of Anaesthesiology and Critical Care Faculty of Health Sciences University of Stellenbosch Tygerberg
| | - D Kapoor
- Department of Anaesthesia and Intensive Care Government Medical College and Hospital, Chandigarh India
| | - S Kaushal
- Department of Anaesthesia and Intensive Care Government Medical College and Hospital, Chandigarh India
| | - LK Anand
- Department of Anaesthesia and Intensive Care Government Medical College and Hospital, Chandigarh India
| | - U Dalai
- Department of Surgery Government Medical College and Hospital Chandigarh, India
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Kaul B, Kaur P, Tripathi M, Khadgawat R, Ammini AC, Agarwala S, Kaushal S, Dattagupta S. An unusual cause of reversible axonal neuropathy and hypertension in a 10-year-old girl. J Clin Neurosci 2012; 19:1196-7. [PMID: 22613486 DOI: 10.1016/j.jocn.2011.10.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2010] [Revised: 09/12/2011] [Accepted: 10/23/2011] [Indexed: 10/28/2022]
Abstract
A 10-year-old girl, who was referred with refractory epilepsy, had 1.5 years of episodic abnormal behavior. On examination, she also had hypertension and peripheral neuropathy. Hypoglycemia with correspondingly high insulin levels was documented during a confusional episode. MRI of the abdomen revealed an islet cell tumor in the body of the pancreas. One year after tumor excision, both the neuropathy and hypertension showed remarkable improvement. A final diagnosis of insulinoma with hypoglycemic axonal neuropathy and hypertension (reversed with tumor excision) was made. Insulinoma is the commonest cause of hyperinsulinemic hypoglycemia in adults, but is rare in childhood. To our knowledge, distal symmetrical motor-sensory axonal neuropathy has been described in only 40 patients, and hypertension has not been reported with insulinoma.
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Affiliation(s)
- B Kaul
- Department of Neurology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110 029, India.
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Metildi C, Kaushal S, Snyder C, Hoffman R, Bouvet M. Fluorescence-Guided Surgery of Human Colon Cancer Increases Disease-Free Survival in an Orthotopic Nude Mouse Model. J Surg Res 2012. [DOI: 10.1016/j.jss.2011.11.130] [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: 11/26/2022]
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Allen K, Goldstein B, Pahl E, Schumacher K, Gajarski R, Wang D, Zhou Y, Wax D, Kaushal S, Gossett J. 669 Development of Non-Cameral Coronary Artery Fistulae after Pediatric Cardiac Transplantation: A Multi-Center Study of a Vasculo-Neogenic Phenomenon. J Heart Lung Transplant 2011. [DOI: 10.1016/j.healun.2011.01.683] [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
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Kaushal S, Iyer VK, Mathur SR, Ray R. Fine needle aspiration cytology of medullary carcinoma of the thyroid with a focus on rare variants: a review of 78 cases. Cytopathology 2011; 22:95-105. [DOI: 10.1111/j.1365-2303.2010.00747.x] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Cao HST, Kaushal S, Menen R, Metildi C, Lee C, Snyder C, Horgan S, Talamini M, Hoffman R, Bouvet M. Metastatic Pancreatic Cancer Staged By Fluorescence Laparoscopy In A Fluorescent Carcinomatosis Mouse Model. J Surg Res 2011. [DOI: 10.1016/j.jss.2010.11.542] [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: 10/18/2022]
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Saha S, Sirop S, Korant A, Nalluri S, Machek OL, Desai D, Kaushal S, Ganatra B, Badin J, Wiese D. Detection of aberrant drainage after sentinel lymph node mapping and its impact on staging and change of operation in colon cancer. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.4_suppl.500] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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
500 Background: Sentinel lymph node mapping in colon cancer leads to the detection of micrometastasis in 15- 20% of patients leading to upstaging to stage III disease. Methods: Between 1996-2010, patients diagnosed with colon cancer were enrolled in our study and underwent SLNM at the tim of surgery plus standard oncological resection including regional LN resection. After initial years of experience, exact locations of the SLNs were mapped in relation to the primary tumor. Aberrant drainage was observed when a SLN was detected outside the standard lymph node basin. The primary objective of this analysis is to identify the frequency of detection of such aberrant drainage and the rates of positive aberrant SLNs leading to change of operation and staging. Results: Between 1996-2010, 304 patients were included in the study. The overall success rates of SLNM was 99.7%. The average number of resected LNs was 15.4. SLNM had a sensitivity, negative predictive value, accuracy and false negative rates of 85.3%, 91.7%, 94.4% and 14.6% respectively. Micrometastatic disease was detected in 15.1% of patients with node positive disease. Since 2001, 150 patients were evaluated for the presence of aberrant drainage and potential change of planned surgery. In 27 patients (18%), extended surgery was performed due to aberrant drainage. The nodal positivity in these 27 patients was 59.5%, compared to 46% in the whole group. The average number of lymph nodes in this group was 16 and the average number of SLNs was 4.3. The most common location of the primary tumor was the right colon in 55.6% of patients with aberrant drainage. In 13 patients (8.7% of case), change of operation led to the detection of positive SLNs leading to upstaging to stage IIIA/B diseases. All of these 13 patients had T3 or T4 disease. All node positive patients underwent adjuvant chemotherapy. Conclusions: SLNM in colon cancer is highly successful, sensitive and overall accurate staging procedure. It leads to detection of SLNs outside the regional lymphatic basin and change of surgery in 18% of patients. This results in higher nodal positivity and significant change of planned surgery in 8.7% of cases. No significant financial relationships to disclose.
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Affiliation(s)
- S. Saha
- McLaren Regional Medical Center, Michigan State University, Flint, MI; McLaren Regional Medical Center, Flint, MI
| | - S. Sirop
- McLaren Regional Medical Center, Michigan State University, Flint, MI; McLaren Regional Medical Center, Flint, MI
| | - A. Korant
- McLaren Regional Medical Center, Michigan State University, Flint, MI; McLaren Regional Medical Center, Flint, MI
| | - S. Nalluri
- McLaren Regional Medical Center, Michigan State University, Flint, MI; McLaren Regional Medical Center, Flint, MI
| | - O. L. Machek
- McLaren Regional Medical Center, Michigan State University, Flint, MI; McLaren Regional Medical Center, Flint, MI
| | - D. Desai
- McLaren Regional Medical Center, Michigan State University, Flint, MI; McLaren Regional Medical Center, Flint, MI
| | - S. Kaushal
- McLaren Regional Medical Center, Michigan State University, Flint, MI; McLaren Regional Medical Center, Flint, MI
| | - B. Ganatra
- McLaren Regional Medical Center, Michigan State University, Flint, MI; McLaren Regional Medical Center, Flint, MI
| | - J. Badin
- McLaren Regional Medical Center, Michigan State University, Flint, MI; McLaren Regional Medical Center, Flint, MI
| | - D. Wiese
- McLaren Regional Medical Center, Michigan State University, Flint, MI; McLaren Regional Medical Center, Flint, MI
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Clemson CM, Tzekov R, Checchi JM, Krebs M, Kaushal S. Authors' response. Br J Ophthalmol 2011. [DOI: 10.1136/bjo.2010.195768] [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: 11/03/2022]
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Bishnoi R, Kaushal S, Varma MC, Shukla NK, Ray R. Double primary-Lymphoepithelioma-like carcinoma of the parotid and papillary carcinoma of the thyroid. Indian J Cancer 2010; 47:475-7. [PMID: 21131769 DOI: 10.4103/0019-509x.73557] [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] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Gupta C, Iyer VK, Kaushal S, Agarwala S, Mathur SR. Fine needle aspiration cytology of undifferentiated embryonal sarcoma of the liver. Cytopathology 2010; 21:414-6. [DOI: 10.1111/j.1365-2303.2009.00732.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Bakshi MPS, Kaushal S, Wadhwa M. Potential of Sarson Saag Waste-a Cannery Waste as Ruminant Feed. Asian Australas J Anim Sci 2010. [DOI: 10.5713/ajas.2005.479] [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] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Satija A, Kaushal S, Gopichand PVV, Chhabra U. Study of relationship between facial index and gestational age in normal newborns. Nepal Med Coll J 2010; 12:133-136. [PMID: 21446358] [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] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Anthropometric dimensions are the basis of evaluation of health of newborns. Results of cephalometric studies can be used in forensic medicine, plastic surgery, pediatrics, oral surgery, dentistry, otolaryngology and syndromology. Three hundred sixty appropriate for gestational age newborns belonging to the region in and around Patiala were the subjects of the present study. The gestational age varied from 29 to 41 weeks. Face length and face width were measured and facial index was calculated. The overall mean face length and mean face width were 5.17 cm and 6.42 cm respectively. Facial index ranged from 79.3 - 81.4% with mean facial index being 80.5%. Facial index increased with increasing gestational age. Gestational age has negative correlation with face length and face width but positively significant correlation was observed between gestational age and facial index. Facial length and facial width were jointly determined. All inter-relationships improved remarkably when determined for gestational age groups. These findings have significant implication as gestational age linearly influenced facial index. In addition they provide database from 29th to 41st week of gestation and can be used as baseline for further anthropometric studies to specify the role of heredity and environment.
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Affiliation(s)
- A Satija
- Department of Anatomy, Chirstian Medical College, Ludhiana, India.
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Abstract
BACKGROUND/AIM To examine the efficacy and safety of valproic acid (VPA) in patients with retinitis pigmentosa (RP). METHODS Thirteen eyes were examined before and after brief treatment (average 4 months) with VPA. Visual fields (VF) for each eye were defined using digitised Goldmann Kinetic Perimetry tracings. VF areas were log-transformed and VF loss/gain relative to baseline was calculated. Visual acuity was measured using a Snellen chart at a distance of 20 feet (6.1 m). Values were converted to the logarithm of the minimum angle of resolution (logMAR) score. RESULTS Nine eyes had improved VF with treatment, two eyes had decreased VF and two eyes experienced no change, with an overall average increase of 11%. Assuming typical loss in VF area without treatment, this increase in VF was statistically significant (p<0.02). An average decrease (0.172) in the logMAR scores was seen in these 13 eyes, which translates to a positive change in Snellen score of approximately 20/47 to 20/32, which was significant (p<0.02) assuming no loss in acuity without treatment. Side effects were mild and well tolerated. CONCLUSION Treatment with VPA is suggestive of a therapeutic benefit to patients with RP. A placebo-controlled clinical trial will be necessary to assess the efficacy and safety of VPA for RP rigorously.
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Affiliation(s)
- C M Clemson
- Department of Ophthalmology, University of Massachusetts Medical School, Worcester, Massachusetts 01605, USA
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Nubani R, Kaushal S, Gossett J, Matthews K, Backer C, Wang D, Pahl E. 530: Postoperative Extracorporeal Membrane Oxygenation (ECMO) As a Bridge to Recovery in Infants Immediately after Heart Transplantation (HTX) 1999-2009. J Heart Lung Transplant 2010. [DOI: 10.1016/j.healun.2009.11.547] [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: 11/26/2022] Open
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Kaushal S, Tandon S, Chopra SC. Rufinamide. J Anaesthesiol Clin Pharmacol 2010. [DOI: 10.4103/0970-9185.75115] [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] Open
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Bai W, Kaushal S, Malviya S, Griffith K, Ohye R. Anesthetic management for resection of cor triatriatum during the second trimester of pregnancy. Int J Obstet Anesth 2010; 19:103-6. [DOI: 10.1016/j.ijoa.2009.04.011] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2008] [Revised: 03/30/2009] [Accepted: 04/26/2009] [Indexed: 11/28/2022]
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Hauswirth WW, Cideciyan AV, Aleman TS, Kaushal S, Byrne BJ, Schwartz SB, Boye SL, Roman AJ, Pang JJ, Windsor EAM, Sumaroka A, Aguirre GD, Fishman GA, Heon E, Flotte TR, Stone EM, Jacobson SG. Leber Congenital Amaurosis gene therapy clinical trial. J Vis 2009. [DOI: 10.1167/9.14.27] [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: 11/24/2022] Open
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45
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Arora ML, Saha S, Sirop S, Chakravarty B, Korant A, Soni M, Wiese D, Desai D, Ganatra B, Kaushal S, Iddings D. The impact of the number of lymph node metastases on the overall recurrence of colon cancer in the era of sentinel lymph node mapping. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.4049] [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
4049 Background: Sentinel Lymph Node Mapping (SLNM) in colon Cancerc (Cca) has been shown to be successful, sensitive and accurate. We aimed to evaluate the recurrence rates in patients(pts) with Cca after SLNM and correlate it to the number of positive(+ve) LNs. Methods: Between 1996 and 2006, pts diagnosed with Cca were enrolled in a prospective trial and underwent SLNM and oncologic resection including regional LNs. The primary outcome was development of recurrence with minimum follow-up (f/u) of 24 months. For recurrence analysis, exclusion criteria included: stage IV disease, benign pathology, lost to follow-up, refusal of indicated chemotherapy, non cancer related death or second cancer. A retrospective matched control (diagnosed with Cca undergoing standard colon resection without SLNM, gp B) from our own institution were analyzed and compared to the SLNM group for the same period. Results: A total of 486 pts with Cca were included. Of these, 272 consecutive pts underwent SLNM between 1996–2006. SLNM was successful in 99.8% of pts, with a sensitivity, negative (-ve) predictive value, and overall accuracy of 85.3%, 91.7% and 94.4% respectively. The nodal positivity was 46.0%; of these, 15.1% had micrometastasis. The average number of LNs resected / pt was 15.0 and the average number of SLNs / pt was 2.4. For recurrence analysis, 153/272 pts with minimum f/u 2 years were included. Of these, 49 had stage I, 46 had stage II and 58 had stage III disease. The recurrence rates were 4.1%, 8.6% and 15.5% in stage I, II, and III disease respectively. The recurrence rates were significantly lower when our 153 pts were compared to 214 matched controls ( table 1 ). The recurrence rates increased from 6.3% in pts with no +ve LNs to 11.5% when one LN was +ve, 16.7% when 2 LNs were +ve and 20% when 3 or more LNs were +ve. Conclusions: SLNM in Cca is associated with decreased rates of recurrence as compared to conventional therapy. The number of positive LNs is an independent risk factor for recurrence. [Table: see text] No significant financial relationships to disclose.
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Affiliation(s)
- M. L. Arora
- McLaren Regional Medical Center, Michigan State University, Flint, MI
| | - S. Saha
- McLaren Regional Medical Center, Michigan State University, Flint, MI
| | - S. Sirop
- McLaren Regional Medical Center, Michigan State University, Flint, MI
| | - B. Chakravarty
- McLaren Regional Medical Center, Michigan State University, Flint, MI
| | - A. Korant
- McLaren Regional Medical Center, Michigan State University, Flint, MI
| | - M. Soni
- McLaren Regional Medical Center, Michigan State University, Flint, MI
| | - D. Wiese
- McLaren Regional Medical Center, Michigan State University, Flint, MI
| | - D. Desai
- McLaren Regional Medical Center, Michigan State University, Flint, MI
| | - B. Ganatra
- McLaren Regional Medical Center, Michigan State University, Flint, MI
| | - S. Kaushal
- McLaren Regional Medical Center, Michigan State University, Flint, MI
| | - D. Iddings
- McLaren Regional Medical Center, Michigan State University, Flint, MI
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Welch DE, Elmariah H, Peden MC, Adams SG, Ratnakaram R, Kaushal S. Short-term response of macular oedema to intravitreal bevacizumab. Br J Ophthalmol 2009; 93:1033-6. [DOI: 10.1136/bjo.2008.148874] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Tomar M, Radhakrishnan S, Kaushal S, Iyer KS. Unusual case of ruptured sinus of Valsalva: rupture into left ventricle cavity along with distortion of mitral valve requiring double valve replacement. Images Paediatr Cardiol 2009; 11:1-6. [PMID: 22368551 PMCID: PMC3232601] [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] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
We report a rare case of sinus of Valsalva aneurysm of left aortic sinus, which was bulging into left atrium (LA) distorting mitral valve and rupture into the left ventricle with severe aortic regurgitation in a 25 years old male patient. Due to the rupture, both aortic and mitral valves were irreparable and required a double valve replacement along with the closure of the neck of the aneurysmal cavity occupying the left atrial roof.
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Affiliation(s)
- M Tomar
- Escorts Heart Institute & Research Centre, New Delhi India,Contact information: Munesh Tomar, Consultant, Department of Pediatrics and Congenital Heart Diseases, Escorts Heart Institute & Research Centre, New Delhi 110025, India Phone: 91-11-26825001 extension 4544 Fax: 91-11-26825013
| | | | - S Kaushal
- Escorts Heart Institute & Research Centre, New Delhi India
| | - KS Iyer
- Escorts Heart Institute & Research Centre, New Delhi India
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Sharma N, Kaushal S, Jhanji V, Titiyal JS, Vajpayee RB. Comparative evaluation of ‘flap on’ and ‘flap off’ techniques of Epi-LASIK in low-to-moderate myopia. Eye (Lond) 2008; 23:1786-9. [PMID: 19079146 DOI: 10.1038/eye.2008.367] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
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49
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Ghanem M, Saha S, Walsh E, Iddings D, Gayar H, Nettleton J, Wiese D, Kaushal S, Arora ML, Singh T. Patterns of recurrence and nodal staging in rectal cancer (Rca) patients undergoing sentinel lymph node mapping (SLNM) compared to conventional (conv.) surgery. J Clin Oncol 2008. [DOI: 10.1200/jco.2008.26.15_suppl.15004] [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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Kaushal S, Jhanji V, Sharma N, Tandon R, Titiyal JS, Vajpayee RB. "Tuck In" Lamellar Keratoplasty (TILK) for corneal ectasias involving corneal periphery. Br J Ophthalmol 2008; 92:286-90. [PMID: 18227208 DOI: 10.1136/bjo.2007.124628] [Citation(s) in RCA: 63] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
AIMS Evaluation of a new surgical technique for the management of corneal ectasia with peripheral corneal involvement. METHODS Twelve eyes of 12 patients with corneal ectasias and peripheral corneal thinning requiring surgical intervention, including eight patients with combined keratoconus and PMD and four patients of keratoglobus, were enrolled for the study in a tertiary care hospital. All patients were contact lens intolerant and had a best corrected visual acuity (BCVA) </=20/120 with nine patients (75%) having BCVA </=20/200. "Tuck In" Lamellar Keratoplasty (TILK) that included a central lamellar keratoplasty with intrastromal tucking of the peripheral flange was performed in these patients. The main outcome measures analysed were uncorrected visual acuity (UCVA), BCVA, keratometry, refractive status and time for epithelial healing. RESULTS At the last follow-up (mean: 1.7 years (range 13-48 months)), six patients (50.0%) had BCVA >/=20/60, and all patients had BCVA >/=20/80. The mean keratometry decreased from 57.54 (SD 6.89) D preoperatively to 46.36 (2.39) D (p = 0.003), and the mean spherical equivalent (SEQ) refractive error decreased from -7.8 (4.6) D preoperatively to 1.23 (1.88) D (p = 0.007). A significant decrease was also seen in mean refractive astigmatism which decreased from 5.93 (3.06) D preoperatively to 3.23 (1.14) D (p = 0.037). CONCLUSION Our technique of TILK is an effective surgical modality for the management of ectatic corneal dystrophies with peripheral corneal thinning.
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Affiliation(s)
- S Kaushal
- Corneal & Cataract Surgery, Centre for Eye Research Australia, University of Melbourne, 32 Gisborne Street, East Melbourne, Victoria 3002, Australia
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