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Results of a survey to assess the health and functional status of the elderly (defined as those who are 60 years or older) in Thiruvananthapuram city, the capital of Kerala state, India, are discussed. As the process of development results in longevity without concomitant economic success, traditional support systems break down. The differences in status of the elderly dependent on gender and socioeconomic class are highlighted. Women are poorer and generally suffer more morbidity than men in old age, even though their death rates are lower. The better-off among the elderly enjoy a quality of life much superior to their poor brethren. Thus, in transitional societies such as Kerala, socioeconomic status and gender play a significant role in determining the quality of life of the elderly, a finding which may have some policy implications. 相似文献
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Santosh Gopi Krishna Gadde Akhila Sridharan Nikitha Reddy Gurram B Poornachandra Nivedhitha Govindasamy Chaitra Jayadev 《Indian journal of ophthalmology》2022,70(2):465
Purpose:To compare multicolor imaging (MCI) with Optos color fundus photography (OCFP) for the evaluation of morphology and extent of preretinal membranes in diabetic tractional retinal detachments (TRD).Methods:In this retrospective study, 30 eyes with diabetic TRDs were imaged using the MCI feature of the Heidelberg Spectralis Spectral-domain optical coherence tomography (SD-OCT) and color photo using the Optos Daytona ultra-widefield fundus camera. Two investigators independently graded and determined the agreeability between the two modalities with respect to the extent of the TRD and preretinal membranes on the SD-OCT B-scan images.Results:The MCI provided better visualization of the attachments and traction points of the posterior hyaloid face and preretinal membranes and is comparable to the SD-OCT B-scan images. The inter-rater agreeability rates for OCFP had a Kappa (κ) value of 0.37, while the MCI had a κ value of 0.46. When comparing between images of different wavelengths, grading using infrared reflectance (IR) had a poor agreement (−0.04 ± 0.04) while green reflectance (GR) (0.46 ± 0.32) and blue reflectance (BR) (0.53 ± 0.19) had a moderate agreement. The composite MCI and GR images also had comparatively higher intraclass coefficient when compared to the OCFP (0.25 [−0.09–0.55]) and IR (−0.03 [−0.39–0.34]) images.Conclusion:MCI is more sensitive for determining the extent of TRDs and for the detection of secondary membranes when compared to OCFP, thus, aiding in better surgical planning. 相似文献
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Expression of CD105 and CD34 receptors controls BMP‐induced in vitro mineralization of mouse adipose‐derived stem cells but does not predict their in vivo bone‐forming potential 下载免费PDF全文
Vedavathi Madhu Allison Kilanski Nikitha Reghu Abhijit S. Dighe Quanjun Cui 《Journal of orthopaedic research》2015,33(5):625-632
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Parameswarappa Deepika C. Arora Supriya Singh Sumit Randhir Sahoo Niroj Kumar Maltsev Dmitrii S. Kulikov Alexei N. Iovino Claudio Tatti Filippo Venkatesh Ramesh Zaheer Haniah Reddy Nikitha Gurram Pulipaka Ram Snehith Peiretti Enrico Chhablani Jay 《Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie》2022,260(4):1147-1152
Graefe's Archive for Clinical and Experimental Ophthalmology - To assess the influence of fellow eye information on diagnosis and classification of central serous chorioretinopathy (CSCR) using... 相似文献
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Sanis Juliet Reghu Ravindran Sunil A Ramankutty Ajith Kumar K Gopalan Suresh N Nair Amithamol K Kavillimakkil Amitabh Bandyopadhyay Ajay Kumar S Rawat Srikanta Ghosh 《亚太热带病杂志(英文版)》2012,2(3):225-229
ObjectiveTo study the effect of ethanolic extract of leaves of the plant Jatropha curcas as a step towards developing a safe and ecofriendly therapeutic agent to combat the problems of tick and tick-borne diseases.MethodsPulverised leaves of J. curcas were subjected to soxhlet extraction using ethanol. The ethanolic extract of J. curcas at different dilutions such as, 50, 60, 70, 80, 90 and 100 mg / ml were tested against ticks using adult immersion test. The per cent adult mortality, inhibition of fecundity and hatching of laid ova were studied.ResultsThe extract caused significant blocking of hatching of the laid ova by the treated ticks.ConclusionsEclosion blocking effect of J. curcas extract is a promising property of the plant that can be utilized for controlling the population of ticks. 相似文献
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A. V. Jayasudha Rekha A. Nair S. Renu R. Binitha K. S. Reghu P. Kusumakumary 《Indian journal of hematology & blood transfusion》2015,31(3):387-390
Metachronous primary distinct tumors are frequently and increasingly encountered in oncology clinical practice of recent times, but synchronous tumours are still a rarity. We report an unusual case of a 2 year old male child who had synchronous occurrence of rhabdomyosarcoma of pelvis and acute myeloid leukemia.Our search of literature suggests that this may be the first reported case of simultaneous occurrence of these two malignancies. 相似文献
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Long‐term patient survival and kidney allograft survival in post‐transplant diabetes mellitus: a single‐center retrospective study 下载免费PDF全文
Thomas Dienemann Naohiko Fujii Yimei Li Shivali Govani Nikitha Kosaraju Roy D. Bloom Harold I. Feldman 《Transplant international》2016,29(9):1017-1028
A decade ago, observations suggested that post‐transplant diabetes mellitus (PTDM) was linked to allograft loss and shorter patient survival. Increasing awareness, improvements in care, and changes in the immunosuppressive regimen may have modified this association. Single‐center analysis of 1990 (age>18; transplantation date 1996–2012) primary kidney recipients (KTR). Patients with <12 months follow‐up were excluded. Diabetes was diagnosed according to ADA criteria and characterized as follows: No diabetes, PTDM in the first post‐transplant year not treated with glucose‐lowering medications (GLM) at 12 months, PTDM in the first post‐transplant year treated with GLM at 12 months, and pretransplant diabetes. Cox proportional hazards models were used to examine the relationship of PTDM with allograft and patient survival. Mean follow‐up time was 6.8 years for allograft survival and 7.4 years for patient survival. PTDM treated with medication at year one was not associated with allograft survival (HR 1.28, 95% CI 0.97–1.69), but was significantly associated with overall mortality and death with functioning graft (DWFG) (HR overall: 1.81, 95% CI 1.36–2.39; HR DWFG: 1.59 95% CI 1.05–2.38). In this cohort, KTR with PTDM being treated with glucose‐lowering medication at 12 months experienced significantly shorter overall survival and survival with functioning graft. 相似文献
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Venkatesh Ramesh Agrawal Rohit Reddy Nikitha Gurram Gupta Aditi Yadav Naresh Kumar Chhablani Jay 《International ophthalmology》2022,42(8):2581-2589
International Ophthalmology - To describe the clinical and imaging features in a series of patients diagnosed with macular coloboma (MC) and intrachoroidal cavitation (ICC). Patients diagnosed with... 相似文献
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Ramesh Venkatesh Sameeksha Agrawal Nikitha Gurram Reddy Akhila Sridharan Joshua Ong Naresh Kumar Yadav Jay Chhablani 《Indian journal of ophthalmology》2022,70(7):2506
Purpose:To study the retinal and choroidal thickness variations on enhanced depth imaging optical coherence tomography scans in ocular albinism (OA) and compare with age-matched healthy subjects.Methods: This retrospective observational study had 48 eyes of 24 patients diagnosed clinically as OA and age, sex, and axial length-matched control healthy subjects. All patients underwent detailed ophthalmic examination and a single-line horizontal-raster enhanced depth imaging – optical coherence tomography scan (Spectralis, Heidelberg Engineering). Retinal and choroidal thickness was measured, compared, and analyzed between the two groups. Mann–Whitney U test was used for analysis between the two groups. P < 0.05 was considered significant.Results: The mean age was 28.3 ± 11.6 and 29.9 ± 10.6 years in the OA group and control group, respectively. Spherical equivalents ranged from −8.5D to +10.5D in the OA group and from −8.0D to +10.0D in the control group. The mean axial length between the two groups (P = 0.652) were comparable. The average retinal thickness (272 ± 34.3 vs. 213 ± 13.8 mm; P < 0.001) was greater in the OA group as compared to controls. The mean choroidal thickness (184 ± 78.4 vs. 287 ± 46.4 mm; P < 0.001) was significantly thinner in the OA group.Conclusion: Acquisition of OCT scans in OA can be challenging. This study showed that the subfoveal retinal thickness and choroidal thickness measured across the scans were significantly different in the OA group compared to controls. In the future, more studies are required to evaluate the role of the choroid and its relationship to emmetropization in albinism. 相似文献