A5112438335- Palliative Care and End-of-Life Issues
- Management of metastatic bone disease
- Spine and Intervertebral Disc Pathology
- Infectious Diseases and Tuberculosis
- Dialysis and Renal Disease Management
- Spinal Fractures and Fixation Techniques
- Cardiac Arrest and Resuscitation
- Advancements in Semiconductor Devices and Circuit Design
- Cervical Cancer and HPV Research
- Health and Medical Research Impacts
- Cancer Diagnosis and Treatment
- Cancer survivorship and care
- Advances in Oncology and Radiotherapy
- Pleural and Pulmonary Diseases
- Pain Management and Opioid Use
- Pneumocystis jirovecii pneumonia detection and treatment
- Ethics in medical practice
- Head and Neck Cancer Studies
- Lung Cancer Diagnosis and Treatment
- Analog and Mixed-Signal Circuit Design
- Patient Dignity and Privacy
- Esophageal and GI Pathology
- Pneumonia and Respiratory Infections
- Climate Change and Health Impacts
- Forensic Entomology and Diptera Studies
Christian Medical College & Hospital
2015-2025
Indian Institute of Information Technology Senapati, Manipur
2023-2024
Christian Medical College
2002-2022
Nightingale Hospital
2017
Stellenbosch University
2006-2009
Tygerberg Hospital
2007
This guideline addresses the use of hypoxia-inducible factor prolyl hydroxylase inhibitors (HIF-PHIs) in patients >18 years with chronic kidney disease (CKD) and anemia South Asia (Bangladesh, Bhutan, Nepal, India, Pakistan, Sri Lanka). It also summarizes recommendations for treatment individual HIF-PHI molecules under two categories: dialysis-dependent non-dialysis-dependent CKD patients. The do not apply to pediatric (≤12 years) adolescent (12 18) or those primary secondary other causes...
A large proportion of cancer deaths occur in the developing world, with limited resources for palliative care. Many patients dying at home experience difficult symptoms.The objective this study was to assess feasibility a structured training program on symptom management along an acute kit primary caregivers receiving care.Descriptive design used. Thirty attending care clinic Vellore, South India, were provided administration drugs symptoms. plastic box partitions specific provided. On...
To explore the relative effectiveness of topical or oral metronidazole used for malodour in necrotic cancers and to propose a protocol usage managing malodour.A retrospective case note review management over 10 years comparing outcomes with topical, intermittent maintenance metronidazole.Among 179 patients treated malodour, commonest primaries were cervical (45%), head neck (40%). Outcomes poor during period when only was used. Topical use gradually decreased (97% vs 55%) proportion...
It is important to ensure that minimum standards for palliative care based on available resources are clearly defined and achieved.(1) Creation of National Standards Palliative Care India. (2) Development a tool self-evaluation organizations. (3) Evaluation the in In 2006, Pallium India assembled working group at national level develop standards. The were be evaluated by services country.The prepared "standards" document, which had two parts - first composed eight "essential" components...
Malignant pleural effusion (MPE) has varied survival and indicates advanced disease. LENT prognostic score is the first validated used for MPE. This study assessed role of among palliative care cancer patients different patient, tumor, treatment related factors that may affect survival.A retrospective with MPE, seen in outpatient clinic (2013-2015) until death, was done. could be calculated 15 patients. Patient, were assessed.The included 48 (70.8% female; 29.2% male) a median age 53 years....
Patients with cancer need adequate information about diagnosis, treatment options, and possible outcomes prognosis to make therapeutic decisions. In cultures where the family plays dominant role in healthcare decisions, doctors are often requested collude withholding distressing from patient. This challenging situation has not been well studied there is limited knowledge on different factors that may contribute collusion.To study prevalence of collusion among adult patients attending a...
In India, the hospice/palliative care movement began during 1980s and led to establishment of India’s first service at Shanti Avedna Ashram (Mumbai) in 1986. Today, services may be found 11/29 states settings that include regional cancer centres, free-standing hospices, government private hospitals, outreach clinics, day home scenarios. Kerala features prominently (1) where around 46 75+ are located. A feature palliative provision is integrated approach focuses on physical, social,...
Pain in carcinoma cervix is a multidimensional experience with sensory, affective and cognitive-evaluative components. Many patients do not receive adequate pain management because of lack proper assessment, misconceptions regarding the pharmacologic non methods failure to distinguish between different types pain. In our audit pelvic nodal recurrence were commonest cause presenting as pain, [42%], lumbosacral plexopathy [40%] abdominal [34%] [n = 30]. on defaecation caused by rectal...
Anaerobic necrosis in cervical cancer can lead to malodor, fistulae, and treatment abandonment. In this retrospective cohort study, we examined the association between maintenance metronidazole incidence of malignant fistulae recurrent cancer.
On Being a Doctor2 August 2016From Kitchen Bench to BedsideReena George, MD and Vatsala Srinivasan, PhDReena MDFrom Christian Medical College, Vellore, India, Bengaluru, India. PhDFrom India.Author, Article, Disclosure Informationhttps://doi.org/10.7326/M15-2352 Audio Reading - "From Bedside" Audio. Michael A. LaCombe, MD, Annals Associate Editor, reads Bedside," by R. George V. Srinivasan. Your browser does not support the audio element. player progress bar Step backward in current track...
Aim: A demographic study was conducted to understand the social status of urban and rural patients attending a palliative care unit in South India. Methods: Fifty 50 outpatient clinic Christian Medical College Hospital, India were prospectively surveyed using structured interview home visits. Parameters studied included age, gender, marital status, education, occupation, religion, caste, housing, economic diagnosis, distance nearest health resource personnel hospitals. Results: Occupation,...
The job profile of security officers in tropical countries involves prolonged standing hot conditions causing heat stress as well complications sedentary lifestyle. objectives this study were to estimate the prevalence noncommunicable diseases and analyze factors affecting estimated glomerular filtration rate (eGFR). This was an observational cross-sectional conducted among personnel working at a tertiary care hospital South India during hottest months March May 2020. Screening camps which...
Abstract As chronic kidney disease progresses to end-stage disease, therapies such as haemodialysis, peritoneal dialysis or transplantation will be required sustain the life of patients, which are referred replacement (KRTs). Each modality therapy has its benefits and risks should communicated patients family members before end stage so that may guided make informed choice treatment. Those who not willing suitable for KRT provided conservative management. This article discusses about options...