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排序方式: 共有146条查询结果,搜索用时 250 毫秒
1.
Aisling Mary McMahon Fardod O'Kelly Kheng Tian Lim Narayanasamy Ravi John Vincent Reynolds 《Patient safety in surgery》2009,3(1):19
Esophageal perforation is associated with a significant risk of morbidity and mortality. We report herein a case of lye-induced
esophageal perforation managed successfully by employing endoscopic T-tube placement with a successful outcome. 相似文献
2.
Cordula Dietrich M Teut Kakuko Lopoyetum Samwel S Narayanasamy T Rathapillil G Thathews 《Indian Journal of Palliative Care》2015,21(2):236-241
Background:
The Body Tambura is a recently invented stringed instrument that is used for receptive music therapy designed to be placed and attached on the human body. The aim of this study was to record perceived effects of a treatment with the Body Tambura on palliative care patients with special reference to pain.Materials and Methods:
A prospective case study was carried out with patients of St. Joseph''s Hospice for Dying Destitute in Dindigul/South India. Patients were treated with a treatment after baseline assessment and also on the next day. Outcomes were measured quantitatively by using a numeric rating scale (0–10, 10 maximum intensity of pain felt) at baseline, directly after treatment, and the day after the treatment to determine the intensity of the pain.Results:
Ten patients (five women and five men) participated in the study. The majority described the therapy as a pleasant experience. The pain intensity at baseline was reduced from 8.3 ± standard deviation (SD) 1.16 to 4.6 ± 1.52 at day 1 and from 4.6 ± 2.07 to 2.4 ± 1.58 at day 2.Conclusion:
A clinically relevant pain reduction was described as short time outcome; the therapy was received and perceived well. Forthcoming research should include a control group, randomization, a larger number of participants, and a longer period of treatment. 相似文献3.
MacGuill MJ Barrett C Ravi N MacDonald G Reynolds JV 《Journal of clinical pathology》2007,60(10):1108-1111
AIMS: To determine the prevalence of isolated tumour cells (ITC) in lymph nodes of patients with pathological node-negative (pN0) tumours and to assess their impact on disease-free and overall survival. METHODS: Paraffin embedded lymph nodes from oesophagogastrectomy specimens were examined immunohistochemically using monoclonal anti-cytokeratin antibody (MNF118). Clinical and pathological features were summarised and overall and relapse-free survival were estimated. RESULTS: Isolated tumour cells were detected in 12 of 146 patients (8%), and 24 of 1694 (1%) lymph nodes. With a median follow-up time of 28 months (range 0-160 months), both relapse-free and overall survival were significantly (p<0.05) associated with the presence of ITC in pN0 lymph nodes. There was no significant difference in the prevalence of ITC between patients who underwent multimodal therapy and those treated with surgery alone. CONCLUSIONS: ITC in pN0 lymph nodes may be less frequent than previously considered, but their presence is associated with poorer outcomes compared with true node negative disease. 相似文献
4.
5.
PN Rao Abraham Koshy Jacob Philip Narayanan Premaletha Joy Varghese Krishnasamy Narayanasamy Samir Mohindra Nitin Vikas Pai Manoj Kumar Agarwal Ashokna Konar Hasmukh B Vora 《World journal of hepatology》2014,6(7):520-526
AIM: To study the safety and efficacy of pegylated interferon alfa-2b, indigenously developed in India, plus ribavirin in treatment of hepatitis C virus(HCV). METHODS: One-hundred HCV patients were enrolled in an open-label, multicenter trial. Patients were treated with pegylated interferon alfa-2b 1.5 μg/kg per week subcutaneously plus oral ribavirin 800 mg/d for patients with genotypes 2 and 3 for 24 wk. The same dose of peginterferon plus weight-based ribavirin(800 mg/d for ≤ 65 kg; 1000 mg/d for 65-85 kg; 1200 mg/d for 85-105 kg; 1400 mg/d for 105 kg body weight) was administered for 48 wk for patients with genotypes 1 and 4. Serological and biochemical responses of patients were assessed.RESULTS: Eighty-two patients(35 in genotypes 1 and 4 and 47 in 2 and 3), completed the study. In genotype 1, 25.9% of patients achieved rapid virologic response(RVR): while the figures were 74.1% for early virologic response(EVR) and 44.4% for sustained virologic response(SVR). For genotypes 2 and 3, all patients bar one belonged to genotype 3, and of those, 71.4%, 87.5%, and 64.3% achieved RVR, EVR, and SVR, respectively. In genotype 4, 58.8%, 88.2%, and 52.9% of patients achieved RVR, EVR, and SVR, respectively. The majority of patients attained normal levels of alanine aminotransferase by 4-12 wk of therapy. Most patients showed a good tolerance for the treatment, although mild-to-moderate adverse events were exhibited; only two patients discontinued the study medication due to serious adverse events(SAEs). Eleven SAEs were observed in nine patients; however, only four SAEs were related to study medication.CONCLUSION: Peginterferon alfa-2b, which was developed in India, in combination with ribavirin, is a safe and effective drug in the treatment of HCV. 相似文献
6.
Narayanasamy Krishnasamy Karthick Rajendran Parimita Barua Arunkumar Ramachandran Priyadarshini Panneerselvam Muthukumaran Rajaram 《临床与转化肝病杂志(英文版)》2022,10(1):120-127
Background and Aims: Liver enzyme abnormalities in coronavirus 2019 (COVID-19) are being addressed in the literature. The predictive risk of elevated liver enzy... 相似文献
7.
John V. Reynolds Narayanasamy Ravi Cian Muldoon John O. Larkin Suzanne Rowley Ken O’Byrne Donal Hollywood Dermot O’Toole 《World journal of surgery》2010,34(12):2821-2829
Background
Adenocarcinoma of the esophagogastric junction (AEG) as described by Siewert et al. is classified as one entity in the latest (7th Edition) American Joint Cancer Committee/International Union Against Cancer (AJCC/UICC) manual, compared with the previous mix of esophageal and gastric staging systems. The origin of AEG tumors, esophageal or gastric, and their biology remain controversial, particularly for AEG type II (cardia) tumors. 相似文献8.
9.
R. Narayanasamy P. Padmanabhan 《International Journal on Interactive Design and Manufacturing》2009,3(1):25-33
This paper describes the development of regression based mathematical models for the prediction of springback in air bending
process of interstitial free (IF) steel sheet. Punch travel (d), strain hardening exponent (n), punch radius (r
p), punch velocity (v
p) and width of the sheet (w) have been considered as input parameters and springback as output parameter to develop the model. Based on experimental
results, various regression models namely, linear, linear-square, linear-interaction and quadratic terms for the springback
prediction were developed for IF steel sheets. It is found that, the results obtained from the quadratic model are accurate
in prediction of springback than others. 相似文献
10.
Narayanasamy Ravi Nael Al-Sarraf Paul Balfe Patrick J. Byrne John V. Reynolds 《Journal of gastrointestinal surgery》2008,12(6):991-996
Background Laparoscopic fundoplication represents the gold standard in the surgical management of gastro-esophageal reflux disease (GERD).
The achievement of long-lasting symptomatic and physiological control of reflux is the goal of therapy, as well as the minimization
of troubling sequelae, in particular, dysphagia. On-table endoscopy after fundoplication was introduced in this Unit as a
quality initiative in an attempt to minimize dysphagia and technical errors, and the aim of this study is to report the experience
to date, and compare outcomes with the previous 100 cases performed by an experienced team.
Methods Eighty patients who underwent laparoscopic Rosetti-Nissen fundoplication and on-table endoscopy (group 2) were compared with
100 consecutive prior cases (group 1). Patients were prospectively evaluated and had pre- and postoperative symptom scoring
and analysis of complications (all patients), and manometry and 24-h pH testing in 120 patients (60 in each group).
Results Both groups were similar with respect to demographics, esophagitis, pH score, and dysmotility. No bougie was used in either
group. On-table endoscopy resulted in technical modifications in 4 (5%) patients. Early grade 2 or 3 dysphagia was evident
in 4 (5%) patients in group 2, compared with 15 (15%) in group 1 (p < 0.001). Late dysphagia was evident in one patient (1.5%) in group 2 compared with 7 (7%) in group 1 (p < 0.05). Dilatation was performed in four patients (5%) in group 2, compared with 11 (11%) in group 1 (p < 0.05).
Conclusions These data suggest that on-table endoscopy may be a useful quality assurance adjunct in laparoscopic anti-reflux surgery,
in particular, reducing the incidence of dysphagia and reinterventions. 相似文献