A rare case of parotid duct sialolithiasis with sialo-oral fistula
We present a case of 36 years male patient having large parotid duct sialolithiasis with sialo-oral fistula which was treated by intraoral surgical approach. (Source: Apollo Medicine)
Source: Apollo Medicine - October 23, 2014 Category: Journals (General) Source Type: research
Trends shaping corporate health in the workplace
Conclusion Wellness clinics and occupational health centres act as a fulcrum and since most of the non-communicable diseases could be prevented by modifying the lifestyle factors and the clinics can provide health coaching, tobacco cessation programmes, nutrition, disease management programs. (Source: Apollo Medicine)
Source: Apollo Medicine - October 23, 2014 Category: Journals (General) Source Type: research
Prolonged remission of psoriasis with azathioprine pulse therapy
Conclusions Out of 45 patients in phase IV, 25 patients are in continuous remission for more than 3 years (maximum 93 months), 9 are in remission for 1–3 years, while 11 are less than 1 year in continuous remission after all treatment was stopped. Thus azathioprine pulse therapy regimen produced prolonged remission in psoriasis. (Source: Apollo Medicine)
Source: Apollo Medicine - October 23, 2014 Category: Journals (General) Source Type: research
The role of hyperbaric oxygen therapy in Sudden Sensorineural Hearing Loss: A retrospective review of 50 patients
Conclusion Addition of HBOT to standard treatment significantly improves outcome of SSNHL in a subset of patients. We recommend additional multicentric, prospective studies be carried out to define the role of HBOT in SSNHL. (Source: Apollo Medicine)
Source: Apollo Medicine - October 23, 2014 Category: Journals (General) Source Type: research
Telehealth in India: The Apollo contribution and an overview
This article traces the author's personal experience in introducing and developing telehealth in India over the last 14 years. 1–8 Simple video conferencing, has given way to eHome Visits, 10–12 providing international teleconsults, 13 ,14 tele CME programmes, 15–17 deployment of internet enabled peripheral medical devices, promoting Health Literacy through eEmpowerment,18,19 multi centre Grand rounds and, virtual visits to the ICU.20–22 With 894 million mobile phones mHealth is certainly the future.23 The Pan African, SAARC, ASEAN and the Central Asia e Network projects 13 ,14,24–29 initiated by the Govt. o...
Source: Apollo Medicine - October 23, 2014 Category: Journals (General) Source Type: research
Parasitic infection and immunomodulation: A possible explanation for the hygiene hypothesis in autoimmune and allergic disease
Publication date: September 2014 Source:Apollo Medicine, Volume 11, Issue 3 Author(s): Jovanka King , Pravin Hissaria Helminthic parasites have a long history of co-evolution with human beings. The incidence of helminthic infection has significantly decreased in developed countries due to better sanitary measures. However, epidemiological data suggest a corresponding increase in the incidence of autoimmune and allergic diseases in association with a reduction in helminthic infections in these societies. The immune response to helminthic infection involves both innate and adaptive processes, with a strongly polarised ...
Source: Apollo Medicine - October 23, 2014 Category: Journals (General) Source Type: research
Anaesthesia considerations and implications during oncologic and non-oncologic surgery in cancer patients
Publication date: September 2014 Source:Apollo Medicine, Volume 11, Issue 3 Author(s): Sukhminder Jit Singh Bajwa , Ashish Kulshrestha Cancer has been the leading cause of mortality in both developed and developing countries. With the advancement in chemotherapeutic agents, the quality and lifespan of patients with advanced malignancies has improved. These patients often come to hospitals for various types of elective and emergency surgeries. The attending anaesthesiologist faces a daunting task while managing these patients as there can be gross physiological derangements in most of the organ systems. A careful and ...
Source: Apollo Medicine - October 23, 2014 Category: Journals (General) Source Type: research
Provision of ideal transfusion support – The essence of thalassemia care
Publication date: September 2014 Source:Apollo Medicine, Volume 11, Issue 3 Author(s): R.N. Makroo , Aakanksha Bhatia Thalassemia major is a major cause of transfusion dependence among patients world over. Provision of an adequate, uninterrupted and safe blood supply for these patients is the responsibility of the blood services as well as the society as a whole. Thalassemia management has evolved over a period of time and so have transfusion services. Various technological advancements have been introduced in the last few decades in order to enhance blood safety. Adoption of these newer technologies coupled with inc...
Source: Apollo Medicine - October 23, 2014 Category: Journals (General) Source Type: research
Significance of MR imaging in setting the ball path of surgical management in perianal fistulae
Conclusion The biggest Achilles heel in perianal fistulae surgery is the risk of recurrence. Since MR imaging identify the internal fistulous opening, classify the fistulae, and delineate the secondary tracts and extensions with a high degree of sensitivity and specificity, a preoperative MRI study can be extremely useful in charting the ball path of surgical management in complex and recurrent perianal fistulae. Forewarned of possible complicating factors, surgeon can plan the surgery well, and achieve a complete eradication of the disease. (Source: Apollo Medicine)
Source: Apollo Medicine - October 23, 2014 Category: Journals (General) Source Type: research
Robotic myomectomy – tips & tricks
This article discusses some of the tips and tricks of performing robotic myomectomy in the areas of pre operative assessment & MRI, port placement & docking, hybrid procedure, dealing with associated sub mucous fibroids and variations in suturing techniques. Pre operative MRI of the pelvis is helps in identifying the number and location of all the fibroids. The primary port is placed in the midline. The rest of the ports are placed 10 cms apart in an inverted “W” fashion. Hybrid technique is a variation in robotic myomectomy where a conventional laparoscopic enucleation of the myoma is followed by reco...
Source: Apollo Medicine - October 23, 2014 Category: Journals (General) Source Type: research
Current perspectives in robotic assisted pediatric surgery
Conclusions Given the advantage of technical refinements in instruments, its precision and accuracy, RAS in children is growing worldwide. Cheaper instruments and more training centers will eventually make robotic surgery cost effective in the near future and RAS may become an alternative to laparoscopy in future. (Source: Apollo Medicine)
Source: Apollo Medicine - October 23, 2014 Category: Journals (General) Source Type: research
Type 2 Diabetes Mellitus: The Concerned Complications and Target Organs
Publication date: September 2014 Source:Apollo Medicine, Volume 11, Issue 3 Author(s): Ashwini Kumar , Sudhanshu Kumar Bharti , Awanish Kumar Diabetes has been considered as the most dreaded non-communicable disease consuming the mankind rapidly. WHO has predicted the number of diabetics to be approximately 366 millions by 2030. The disease is characterized by hyperglycemia and the basic symptoms are polyphagia, polydipsia and polyuria. The autoimmune type 1 diabetes represent almost 1% of the total diabetic population, the rest being that of type 2 diabetes (T2D). Type 2 diabetes has been linked to a variety of fac...
Source: Apollo Medicine - October 23, 2014 Category: Journals (General) Source Type: research
Body mass index: Is it relevant for Indians?
Publication date: September 2014 Source:Apollo Medicine, Volume 11, Issue 3 Author(s): Kamal K. Mahawar Obesity is defined as excessive unhealthy accumulation of body fat. India has the third largest obese population in the world after United States of America and China. Prevalence of obesity has reached epidemic proportions in parts of India. In some urban areas, up to a third of the population is either overweight or obese. Childhood and adolescent obesity is also rising rapidly. If this trend continues, certain sections of Indian society may start seeing declining life expectancy in India after many decades of stea...
Source: Apollo Medicine - October 23, 2014 Category: Journals (General) Source Type: research
Burden of cardiovascular diseases in Indians: Estimating trends of coronary artery disease and using low cost risk screening tools
Publication date: September 2014 Source:Apollo Medicine, Volume 11, Issue 3 Author(s): Meenakshi Sharma , N.K. Ganguly The global trends in disease specific mortalities indicate that ischemic heart disease (IHD) is the leading cause of death in age group ≥60 years. It is also being recognized that cardiovascular diseases (CVDs) and their risk factors are emerging as primary health problems in India with all socioeconomic groups being equally vulnerable. Though the high mortality rates due to CVDs in India may have major economic repercussions, the analysis on economic impact of CVDs remains incomplete, because of i...
Source: Apollo Medicine - October 23, 2014 Category: Journals (General) Source Type: research
Coronary artery bypass graft failure and its relationship to target artery percentage stenosis and competitive flow. A CT angiographic analysis
Conclusion When faced with competitive flow all graft types fail equally irrespective of number of years post CABG. (Source: Apollo Medicine)
Source: Apollo Medicine - October 23, 2014 Category: Journals (General) Source Type: research
