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  1. Article: Brachial monomelic amyotrophy as an initial manifestation of stiff person syndrome.

    Ray, Somdattaa / Kamath, Vikram / Rajesh, K N

    Journal of neurosciences in rural practice

    2022  Volume 13, Issue 4, Page(s) 778–780

    Abstract: Stiff person syndrome (SPS) is characterized by rigidity of truncal and proximal muscles. The presence of abdominal and paraspinal rigidity is a defining clinical feature of SPS. It is rarely associated with the lower motor neuron (LMN) features. We ... ...

    Abstract Stiff person syndrome (SPS) is characterized by rigidity of truncal and proximal muscles. The presence of abdominal and paraspinal rigidity is a defining clinical feature of SPS. It is rarely associated with the lower motor neuron (LMN) features. We report a patient with SPS whose initial clinical presentation was that of brachial monomelic amyotrophy (BMA). A 24-year-old gentleman presented with a history of the left upper limb wasting and weakness. In addition, he reported stiffness of the lower limbs and abdomen while walking. On examination, patient had left upper limb monomelic amyotrophy and hypertonia, exaggerated deep tendon reflexes in all four limbs. He also had abdominal and paraspinal rigidity. Serum was strongly positive for GAD 65 antibodies suggestive of SPS. Patient showed dramatic improvement to immunomodulation. Patient presented with features of BMA. Symptoms related to SPS were mild. Abdominal rigidity was the clue to the diagnosis. LMN features have been reported previously in stiff person plus syndrome with an atypical course and progressive encephalomyelitis with myoclonus and rigidity, but not in classical SPS.
    Language English
    Publishing date 2022-12-02
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2601242-X
    ISSN 0976-3155 ; 0976-3147
    ISSN (online) 0976-3155
    ISSN 0976-3147
    DOI 10.25259/JNRP-2022-3-24
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Hyponatremia in tuberculosis: Focus on brain instead of adrenals.

    Chaya, B E / Rajesh, K N / Mohan, K / Mahesh, D M

    Neurology India

    2018  Volume 66, Issue 5, Page(s) 1515–1516

    MeSH term(s) Adult ; Humans ; Hyponatremia/complications ; Male ; Tuberculosis, Meningeal/complications
    Language English
    Publishing date 2018-09-19
    Publishing country India
    Document type Case Reports ; Letter
    ZDB-ID 415522-1
    ISSN 1998-4022 ; 0028-3886
    ISSN (online) 1998-4022
    ISSN 0028-3886
    DOI 10.4103/0028-3886.241340
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 698: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article: Response of Anchor in Two-phase Material under Uplift

    Rajesh, K.N / V. Shreni

    APCBEE procedia. 2014, v. 9

    2014  

    Abstract: Anchors are foundation systems used to withstand uplift forces acting on to the foundations of structures constructed both in land and offshore. Numerous methods were developed to design anchors embedded in varieties of deposits. In most of the existing ... ...

    Abstract Anchors are foundation systems used to withstand uplift forces acting on to the foundations of structures constructed both in land and offshore. Numerous methods were developed to design anchors embedded in varieties of deposits. In most of the existing methods, the two-phase response of soil is not represented adequately. Moreover, contribution to anchor capacity through suction and influence of upward seepage flow are not quantified particularly for anchors embedded in submerged sand. In order to bring out the effect of two-phase material on load-displacement response and ultimate pullout capacity, an attempt is made in this research to analyse the anchor using the finite element code PLAXIS. Depth of embedment, relative compactness of sand and seepage velocity are the variables considered in the study. Finite element analyses showed distinctly two different responses namely shallow and deep anchor behaviour. Load- displacement curves are interpreted to arrive at the ultimate pullout load and thus the breakout factors which are in good agreement with the experimental results reported in literature.
    Keywords finite element analysis ; sand ; seepage ; soil
    Language English
    Size p. 247-251.
    Publishing place Elsevier B.V.
    Document type Article
    ZDB-ID 2695812-0
    ISSN 2212-6708
    ISSN 2212-6708
    DOI 10.1016/j.apcbee.2014.01.044
    Database NAL-Catalogue (AGRICOLA)

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  4. Article ; Online: Colorectal cancer surgery: by Cambridge Medical Robotics Versius Surgical Robot System-a single-institution study. Our experience.

    Puntambekar, Shailesh P / Rajesh, K N / Goel, Arjun / Hivre, Mangesh / Bharambe, Suyog / Chitale, Mihir / Panse, Mangesh

    Journal of robotic surgery

    2021  Volume 16, Issue 3, Page(s) 587–596

    Abstract: With the previous experiences in performing laparoscopic for over a period of 15 years and da Vinci colorectal surgeries from 2010 to 2013, we started operating using the Cambridge Medical Robotics (CMR) Versius Surgical Robot System. The aim of the ... ...

    Abstract With the previous experiences in performing laparoscopic for over a period of 15 years and da Vinci colorectal surgeries from 2010 to 2013, we started operating using the Cambridge Medical Robotics (CMR) Versius Surgical Robot System. The aim of the study is a prospective analysis and evaluation of short-term results of consecutive patients to study the technical feasibility and oncological outcome of robot-assisted low anterior resection (LAR) and ultralow anterior resection (ULAR), using the CMR Versius Surgical Robot System. This study was conducted at single minimal access surgery institute. 31 patients with colorectal adenocarcinoma underwent robot-assisted LAR and ULAR between August 2019 and March 2020. Patient characteristics, perioperative parameters and complications were evaluated. Surgical and pathological outcomes such as quality of Total Mesorectal Excision (TME), free circumferential resection margins and number of lymph nodes dissected were also evaluated. Of 31 patients, 23 were men and 8 women, with mean age of 55.6 years. The mean robotic operative time was 51 min and the mean blood loss was 55 ml. The mean robot docking and undocking time was 17 min and 5 min, respectively. The mean hospital stay was 7 days. The longitudinal and circumferential resection margins were negative in all patients. Histopathological reports of 27 among 31 patients showed complete TME. Splenic flexure of colon mobilization was done laparoscopically. We feel that Versius robot has the qualities in terms of dexterity, vision and intuitive movements, and to translate this technical ability into oncological safety.
    MeSH term(s) Digestive System Surgical Procedures/methods ; Female ; Humans ; Laparoscopy/methods ; Male ; Margins of Excision ; Middle Aged ; Rectal Neoplasms/surgery ; Robotic Surgical Procedures/methods ; Robotics ; Treatment Outcome
    Language English
    Publishing date 2021-07-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 2268283-1
    ISSN 1863-2491 ; 1863-2483
    ISSN (online) 1863-2491
    ISSN 1863-2483
    DOI 10.1007/s11701-021-01282-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Primary angioplasty followed by chemical thrombolysis for carotid and middle cerebral artery occlusion (multimodality treatment).

    Huded, Vikram / Rajesh, K N

    Heart Asia

    2012  Volume 4, Issue 1, Page(s) 25–26

    Language English
    Publishing date 2012-01-01
    Publishing country England
    Document type Journal Article
    ISSN 1759-1104
    ISSN 1759-1104
    DOI 10.1136/heartasia-2012-010096
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Feasibility of robotic radical hysterectomy (RRH) with a new robotic system. Experience at Galaxy Care Laparoscopy Institute.

    Puntambekar, Shailesh P / Goel, Arjun / Chandak, Shruti / Chitale, Mihir / Hivre, Mangesh / Chahal, Honey / Rajesh, K N / Manerikar, Kshitij

    Journal of robotic surgery

    2020  Volume 15, Issue 3, Page(s) 451–456

    Abstract: The main objective of this study was to assess in a series of 30 patients, the feasibility, oncological safety and efficacy of radical hysterectomy by a new robotic system. Prospective study design. Galaxy Care Laparoscopy Institute and Multispeciality ... ...

    Abstract The main objective of this study was to assess in a series of 30 patients, the feasibility, oncological safety and efficacy of radical hysterectomy by a new robotic system. Prospective study design. Galaxy Care Laparoscopy Institute and Multispeciality Hospital. We performed Robotic Radical Hysterectomy in patients from August 2019 through February 2020. All the surgeries were performed by a single surgeon (Puntambekar S). Since August 2019, 30 patients with early cervical cancer/endometrial cancer were selected for radical hysterectomy. All patients were in good general condition with controlled medical comorbidities. The mean operative time was 104 min, with mean total lymph node yield of 24.7. The average blood loss was 60 ml and the hospital stay was 2.1 days, and majority of the patients were catheter free by 1 week. Two patients developed uretero-vaginal fistula on the 8th day of surgery. One was managed with Double J stenting and in the other we did laparoscopic ureteroneocystostomy. Our study has demonstrated the feasibility, safety and efficacy of RRH by the Versius robotic systems.
    MeSH term(s) Blood Loss, Surgical/statistics & numerical data ; Endometrial Neoplasms/surgery ; Feasibility Studies ; Female ; Humans ; Hysterectomy/adverse effects ; Hysterectomy/instrumentation ; Hysterectomy/methods ; Middle Aged ; Operative Time ; Postoperative Complications/etiology ; Robotic Surgical Procedures/adverse effects ; Robotic Surgical Procedures/instrumentation ; Robotic Surgical Procedures/methods ; Safety ; Treatment Outcome ; Urinary Fistula/etiology ; Uterine Cervical Neoplasms/surgery ; Vaginal Fistula/etiology
    Language English
    Publishing date 2020-07-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 2268283-1
    ISSN 1863-2491 ; 1863-2483
    ISSN (online) 1863-2491
    ISSN 1863-2483
    DOI 10.1007/s11701-020-01127-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Endovascular treatment for acute ischemic stroke using solitaire stent: temporary endovascular bypass, a novel technique.

    Huded, Vikram / Rajesh, K N / Netravathi, S / Iyer, Rajesh

    Neurology India

    2011  Volume 59, Issue 3, Page(s) 401–404

    Abstract: Early restoration of flow to perfuse salvageable brain tissue has been shown to significantly reduce the morbidity and mortality of ischemic stroke. Several mechanical devices have shown promising results in patients with large vessel occlusive stroke. ... ...

    Abstract Early restoration of flow to perfuse salvageable brain tissue has been shown to significantly reduce the morbidity and mortality of ischemic stroke. Several mechanical devices have shown promising results in patients with large vessel occlusive stroke. Solitaire revascularization device (ev3, Inc., Irvine, California) is a recoverable self-expanding thrombectomy device that can also be used as a temporary endovascular bypass. We report a patient in whom solitaire aneurysm bridging stent was used as a temporary bypass procedure to recanalize carotid T occlusion patient with good functional outcome.
    MeSH term(s) Adult ; Brain/diagnostic imaging ; Brain Ischemia/complications ; Brain Ischemia/surgery ; Carotid Stenosis/surgery ; Cerebral Angiography ; Endovascular Procedures ; Female ; Humans ; Mitral Valve Stenosis/complications ; Rheumatic Heart Disease/complications ; Stents ; Stroke/etiology ; Stroke/surgery ; Thrombosis/pathology ; Thrombosis/surgery ; Tomography, X-Ray Computed
    Language English
    Publishing date 2011-05
    Publishing country India
    Document type Case Reports ; Journal Article
    ZDB-ID 415522-1
    ISSN 1998-4022 ; 0028-3886
    ISSN (online) 1998-4022
    ISSN 0028-3886
    DOI 10.4103/0028-3886.82750
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 698: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  8. Article: Clobazam monotherapy in drug naïve adult patients with epilepsy.

    Mehndiratta, M M / Krishnamurthy, M / Rajesh, K N / Singh, Gurubax

    Seizure

    2003  Volume 12, Issue 4, Page(s) 226–228

    Abstract: Purpose: Evaluation of the efficacy and side effects profile of Clobazam in a 24-week open-labelled trial involving 26 cases of drug naïve adult patients with epilepsy.: Methods: The study was an open labelled unicentre trial in which only drug naïve ...

    Abstract Purpose: Evaluation of the efficacy and side effects profile of Clobazam in a 24-week open-labelled trial involving 26 cases of drug naïve adult patients with epilepsy.
    Methods: The study was an open labelled unicentre trial in which only drug naïve cases with epilepsy were included. A total of 26 cases were recruited. One case was dropped because he did not complete the desired follow up. Seizure type and frequency were recorded and follow up was done at 4, 8, 12, 18 and 24 weeks after initiation of therapy. The change in seizure severity, the dose of Clobazam required and development of side effects were recorded.
    Results: The seizure types included GTCS (n=16), complex partial seizures (n=4), focal motor seizures with secondary generalisation (n=3) and juvenile myoclonic epilepsy (n=2). Out of 25 patients, 16 (64%) became seizure free, while five (20%) had >50% reduction in their seizure frequency. Thus, these 21 patients (84%) were considered to be well controlled. The commonest side effect seen was sedation, which was noted in 4 of the 25 patients (16%). However, in none of these four patients sedation was significant enough to warrant stoppage of therapy. Weight gain, gait ataxia, loss of short-term memory and breakthrough seizures were noted in one patient each.
    Conclusions: The efficacy of Clobazam coupled with the lack of significant side effects noted in our study makes it merit consideration as monotherapy in adult patients with epilepsy.
    MeSH term(s) Adolescent ; Adult ; Anti-Anxiety Agents/adverse effects ; Anti-Anxiety Agents/therapeutic use ; Anticonvulsants/adverse effects ; Anticonvulsants/therapeutic use ; Benzodiazepines ; Clobazam ; Epilepsy/drug therapy ; Female ; Humans ; Male ; Treatment Outcome
    Chemical Substances Anti-Anxiety Agents ; Anticonvulsants ; Benzodiazepines (12794-10-4) ; Clobazam (2MRO291B4U)
    Language English
    Publishing date 2003-04-24
    Publishing country England
    Document type Clinical Trial ; Journal Article
    ZDB-ID 1137610-7
    ISSN 1532-2688 ; 1059-1311
    ISSN (online) 1532-2688
    ISSN 1059-1311
    DOI 10.1016/s1059-1311(02)00263-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 3573: Show issues Location:
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