Browsing by Author "Thomas, Mathew"
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Item Bronchial Blocker and Double?Lumen Endotracheal Tube Combination to Facilitate Lung Isolation during Esophagectomy(Wolters Kluwer - Medknow, 2022-06) Liang, Hong; Thomas, Mathew; Renew, J. RossLung isolation is an essential anesthetic technique utilized in thoracic surgeries. We present a patient undergoing esophagectomy that developed an iatrogenic injury to the left mainstem bronchus that damaged the bronchial cuff of a left?sided double?lumen endotracheal tube (DLETT). A bronchial blocker (BB) was placed in the tracheal lumen of the DLETT as a rescue method to facilitate continued lung isolation. This unusual combination of a DLETT and a BB proved useful once the bronchial cuff was compromised and may serve as a viable solution to maintain lung isolation in similar circumstancesItem Evaluation Of The Periodontal Disease In Individuals Involved In Night Duties.(2016-01) Thomas, Mathew; Reddy, Vijay P Sunil; Ganiger, Kavita; Gowda, Siddana; Srivalli, Lalitha; Nagappa, RaghavendraBackground: Shift duty or night duty is usually associated with various problems in the oral and general health of the individuals. The present study was planned to find the incidence of periodontal disease in night duty workers. Methodology: The study was carried on individuals involved in night duties as their profession. A total of 109 participants were involved in the study group. Also a control group of 109 individuals, who were working in day time, were taken. All the participants involved in the study were males. The periodontal condition of the study population was examined using periodontal disease index (PDI) and the scoring was done according to standard criteria. Statistical analysis was performed with the help of IBM SPSS statistics 20 by applying student’s t test. Results: The comparison of the periodontal condition of the control group and the study group had shown a statistically significant difference. This shown that the individuals involved in the night duties have more incidences of periodontitis. Conclusion: The results of the present study added focus on the oral health of the individuals with profession having shift duties or night duties.Item Fish diversity and its conservation in major wetlands of Mysore.(2009-09) Prasad, A G Devi; Venkataramana, G V; Thomas, MathewThe paper highlights the fish diversity in major wetlands of Mysore district, Karnataka, India and its conservation status. Forty-five species of fishes belonging to 15 families, 31 genera have been identified. Fish species belonging to genus Puntius were more common in many of these lakes. However, it was observed that the fish diversity was decreasing since last two years unprecedently, mainly due to manifold human activities. Fish diversity in the lakes is becoming rare and about seven species were identified as endangered. Out of the 45 identified fishes, six fish species were identified as threatened species. Tor khudree, also known as Deccan mahseer and seven other species were identified as vulnerable fish species. Though there were 40 species of fish endemic to this region, their number decreased with introduction of more exotic species. Conservation of endemic fishes, propagation of endangered and threatened fishes should be therefore, undertaken to preserve and protect fish diversity in the wetlands of Mysore district.Item Imatinib induced Stevens-Johnson syndrome: lack of recurrence following re-challenge with a lower dose.(2005-07-06) Pavithran, Keechilat; Thomas, MathewItem Pediatric Appropriate Evaluation Protocol for India (PAEP-India): Tool for Assessing Appropriateness of Pediatric Hospitalization(Indian Academy of Pediatrics, 2018-12) Das, Manoja Kumar; Arora, Narendra Kumar; Poluru, Ramesh; Seth, Anju; Aggarwal, Anju; Dubey, Anand Prakash; Goyal, PC; Gathwala, Geeta; Malik, Ashraf; Goel, Anil Kumar; Chakravarty, Aparna; Arya, Sugandha; Upadhyay, Amit; Gupta, Madhur; Thomas, Mathew; Rajamohanan, K Pillai; John, Mathai; Manivasagan, Sivamani; S, Ramesh; Aggarwal, Mahesh Kumar; Maure, Chsirtine G; Zuber, Patrick LFObjectives: To develop and assess Pediatric AppropriatenessEvaluation Protocol for India (PAEP-India) for inter-rater reliabilityand appropriateness of hospitalization.Design: Cross-sectional study.Setting: The available PAEP tools were reviewed and adaptedfor Indian context by ten experienced pediatricians followingsemi-Delphi process. Two PAEP-India tools; newborn (?28 days)and children (>28 days-18 years) were developed. These PAEP-India tools were applied to cases to assess appropriateness ofadmission and inter-rater reliability between assessors.Participants: Two sets of case records were used: (i) 274cases from five medical colleges in Delhi-NCR [?28 days (n=51);>28 days to 18 years (n=223)]; (ii) 622 infants who werehospitalized in 146 health facilities and were part of a cohort (n=30688) from two southern Indian states.Interventions: Each case-record was evaluated by twopediatricians in a blinded manner using the appropriate PAEP-India tools, and ‘admission criteria’ were categorized asappropriate, inappropriate or indeterminate.Main outcome measures: The proportion of appropriatehospitalizations and inter-rater reliability between assessors(using kappa statistic) were estimated for the cases.Results: 97.8% hospitalized cases from medical colleges werelabelled as appropriate by both reviewers with inter-rateragreement of 98.9% (k=0.66). In the southerm Indian set ofinfants, both reviewers labelled 80.5% admissions as appropriatewith inter-rater agreement of 96.1% (k= 0.89).Conclusions: PAEP-India (newborn and child) tools are simple,objective and applicable in diverse settings and highly reliable.These tools can potentially be used for deciding admissionappropriateness and hospital stay and may be evaluated later forusefulness for cost reimbursements for insurance proposes.Item X chemotherapy, myth and realities.(2005-09-24) Thomas, Mathew; Pavithran, KCancer chemotherapy is slowly moving into the world of reality from the realms of myth. Surgery, radiation, chemotherapy, biologic therapy and a combination of these are some of the present modalities in treating cancer. The authors have briefly described in this article the chemotherapeutic aspects of therapy.