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1. A longitudinal study of the prevalence of post-surgical inguinodynia and the factors responsible for the development of chronic pain among the patients undergoing open hernioplasty at a tertiary care center

Author

Prabhu T, Aakash Kumar Indransh, and Laishram Sanjana

Subjects
inguinodynia inguinal hernia, hernioplasty, visual analog scale, Medicine
Abstract

Background: Chronic groin pain (Inguinodynia) is a potential complication following inguinal hernia mesh repair and has a significant impact on the quality of life. The incidence varies among studies ranging between 0% and 62.9%. Aims and Objectives: The present study was conducted with the objectives of estimating the prevalence of post-surgical inguinodynia among the patients undergoing open hernioplasty. The secondary objective was to assess the factors associated with the development of post-surgical inguinodynia. Materials and Methods: A longitudinal study was carried out in a tertiary care center in Bangalore, Karnataka among the hernia patients attending the outpatient department of General Surgery department. A pro forma prepared with expert validation was used to collect details regarding pre-operative characteristics, type of anesthesia, intraoperative findings, and post-operative complications. The pain was assessed by the visual analog scale. Descriptive statistics and Chi-square test were used to identify the risk factors. Results: A total of 112 patients underwent hernioplasty. Out of this, 108 were males and 4 were females. The mean age of the patients was 48±10.8 years. Majority of them (84, 77.7%) presented with indirect inguinal hernia. The prevalence of inguinodynia at 3-month post-hernia surgery was 21.4% (n=24). Patients with significant pre-operative pain had higher chances of developing chronic pain (P=0.000). It was found that post-operative surgical site infection was associated with increased chances of development of chronic pain (P=0.000). Conclusion: Our study found that around one-fifth of the hernia patients had developed chronic post-surgical inguinal pain following open hernioplasty. There was no significant relationship between patients’ characteristics and development of chronic post-operative pain. The presence of pre-operative pain and post-operative infection in the patients was significantly associated with the development of chronic pain. Intraoperative nerve identification and chronic post-operative pain did not have a significant relationship in our study. Most of the patients who developed chronic pain had experienced only mild pain and none of them had severe inguinal pain. From the findings of our study, we would like to recommend that all measures must be taken to prevent and treat post-operative surgical site infection which leads to the development of chronic pain in patients.

Published
2024
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2. Effectiveness of tadalafil and tamsulosin combination in benign prostatic hyperplasia: A prospective cohort study at a tertiary care center

Author

Sudarsan S, Prabhu T, Rajsri TR, and Laishram Sanjana

Subjects
benign prostatic hyperplasia, international prostate symptom score, tadalafil, tamsulosin, Medicine
Abstract

Background: Benign prostatic hyperplasia (BPH) is one of the major causes of lower urinary tract symptoms (LUTS) in men. The uroselective tamsulosin helps in rapid reduction of prostate symptoms and its combination with Tadalafil, a phosphodiesterase inhibitor leads to synergistic benefit improving the LUTS of BPH. Aims and Objectives: This study was conducted with the aim to assess the effectiveness of synergistic effect of Tadalafil and Tamsulosin in improving the symptoms of BPH patients. Materials and Methods: A prospective cohort study was conducted among the patients admitted with LUTS due to BPH in the surgery ward of Annapoorna Medical College. A total of 100 patients were included in the study. The control group was administered 0.4 mg of tamsulosin and the study group was administered with combination of tadalafil 5 mg and tamsulosin 0.4 mg for 3 weeks and followed up at an interval of 3 weeks, 1 month, and 6 months. Paired t-test was used to compare the international prostate symptom score (IPSS) mean scores. Results: A total of 100 patients were included in the study. There was significant improvement in the post-voided volume of the study group in comparison to the control. The IPPS score of the study group at the baseline was 16.39±4.89 which was decreased to a score of 11.42±3.39 after the combination drug therapy with P

Published
2023
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12. Determining Impact Strength of Extrusion-Based 3D-Printed PEEK Using Multi-criteria Decision-Making (MCDM)

Author

Padhy, Chinmaya, Suryakumar, S., Bhattacharjee, Debraj, Prabhu, T. Ram, Ghosh, Arindam, Series Editor, Chua, Daniel, Series Editor, de Souza, Flavio Leandro, Series Editor, Aktas, Oral Cenk, Series Editor, Han, Yafang, Series Editor, Gong, Jianghong, Series Editor, Jawaid, Mohammad, Series Editor, Kumar, Ajay, editor, Srivatsan, T. S., editor, Ravi Sankar, Mamilla, editor, Venkaiah, N., editor, and Seetharamu, S., editor

Published
2024
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29. Circular Economy Policies in the Concrete Production

Author

Jagadesh, P., Karthik Prabhu, T., de Prado-Gil, Jesús, Baladrón-Blanco, Víctor, Merino-Maldonado, Daniel, Antolín-Rodríguez, Andrea, Juan-Valdés, Andrés, Martínez-García, Rebeca, Bezaeva, Natalia S., Series Editor, Gomes Coe, Heloisa Helena, Series Editor, Nawaz, Muhammad Farrakh, Series Editor, Benítez-Andrades, José Alberto, editor, García-Llamas, Paula, editor, Taboada, Ángela, editor, Estévez-Mauriz, Laura, editor, and Baelo, Roberto, editor

Published
2023
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30. Development of Carbon Dioxide Absorbing Concrete for Urban Pavements—An Experimental Study

Author

Rahul Raj, S., Anirudh, N., Jorapur, Chetan, Babitha, R., Singh, Ankit, Patil, Nayana N., Mudakavi, Jayateerth Ramachandra, Prabhu, T. Niranjana, di Prisco, Marco, Series Editor, Chen, Sheng-Hong, Series Editor, Vayas, Ioannis, Series Editor, Kumar Shukla, Sanjay, Series Editor, Sharma, Anuj, Series Editor, Kumar, Nagesh, Series Editor, Wang, Chien Ming, Series Editor, Nandagiri, Lakshman, editor, Narasimhan, M. C., editor, and Marathe, Shriram, editor

Published
2023
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31. Study of Characterization, Mechanical Properties, and Tribological Behavior of Magnesium-Silver Alloy

Author

Badiger, Pradeep V., Vinyas, M., Prabhu, T. Ram, Kumar, N. V. Naveen, Nargund, Nikhil B., Gouda, P. K. Ramesh, Cavas-Martínez, Francisco, Series Editor, Chaari, Fakher, Series Editor, di Mare, Francesca, Series Editor, Gherardini, Francesco, Series Editor, Haddar, Mohamed, Series Editor, Ivanov, Vitalii, Series Editor, Kwon, Young W., Series Editor, Trojanowska, Justyna, Series Editor, Narendranth, S., editor, Mukunda, P. G., editor, and Saha, U. K., editor

Published
2023
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42. VHE Gamma-ray Observation of Crab Nebula with HAGAR Telescope Array

Author

Singh, B. B., Britto, R. J., Chitnis, V. R., Shukla, A., Saha, L., Sinha, A., Acharya, B. S., Vishwanath, P. R., Anupama, G. C., Bhattacharjee, P., Gothe, K. S., Nagesh, B. K., Prabhu, T. P., Rao, S. K, Srinivasan, R., and Upadhya, S. S.

Subjects
Astrophysics - High Energy Astrophysical Phenomena
Abstract

HAGAR is a system of seven Non-imaging Atmospheric Cherenkov Telescopes located at Hanle in the Ladakh region of the Indian Himalayas at an altitude of 4270 meters {\it amsl}. Since 2008, we have observed the Crab Nebula to assess the performance of the HAGAR telescopes. We describe the analysis technique for the estimation of $\gamma$-ray signal amidst cosmic ray background. The consolidated results spanning nine years of the Crab nebula observations show long term performance of the HAGAR telescopes. Based on about 219 hours of data, we report the detection of $\gamma$-rays from the Crab Nebula at a significance level of about 20$\sigma$, corresponding to a time averaged flux of (1.64$\pm$0.09) $\times10^{-10}$ photons cm$^{-2}$ sec$^{-1}$ above 230 GeV. Also, we perform a detailed study of possible systematic effects in our analysis method on data taken with the HAGAR telescopes., Comment: Accepted for publication in experimental astronomy

Published
2019
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49. Tourist Sentiment Analysis Using Natural Language Processing

Author

Prabhu, T. N., Aarthi, S., Nanthini, P., Angrisani, Leopoldo, Series Editor, Arteaga, Marco, Series Editor, Panigrahi, Bijaya Ketan, Series Editor, Chakraborty, Samarjit, Series Editor, Chen, Jiming, Series Editor, Chen, Shanben, Series Editor, Chen, Tan Kay, Series Editor, Dillmann, Rüdiger, Series Editor, Duan, Haibin, Series Editor, Ferrari, Gianluigi, Series Editor, Ferre, Manuel, Series Editor, Hirche, Sandra, Series Editor, Jabbari, Faryar, Series Editor, Jia, Limin, Series Editor, Kacprzyk, Janusz, Series Editor, Khamis, Alaa, Series Editor, Kroeger, Torsten, Series Editor, Li, Yong, Series Editor, Liang, Qilian, Series Editor, Martín, Ferran, Series Editor, Ming, Tan Cher, Series Editor, Minker, Wolfgang, Series Editor, Misra, Pradeep, Series Editor, Möller, Sebastian, Series Editor, Mukhopadhyay, Subhas, Series Editor, Ning, Cun-Zheng, Series Editor, Nishida, Toyoaki, Series Editor, Oneto, Luca, Series Editor, Pascucci, Federica, Series Editor, Qin, Yong, Series Editor, Seng, Gan Woon, Series Editor, Speidel, Joachim, Series Editor, Veiga, Germano, Series Editor, Wu, Haitao, Series Editor, Zamboni, Walter, Series Editor, Zhang, Junjie James, Series Editor, Peter, J. Dinesh, editor, Fernandes, Steven Lawrence, editor, and Alavi, Amir H., editor

Published
2022
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50. Corrosion in the Development and Airworthiness Certification of Select Al and Mg Aerograde Alloys

Author

Prabhu, T. Ram, Kale, Shirish S., Prasad, N. Eswara, Basu, Bikramjit, Editorial Board Member, Amarendra, G., Editorial Board Member, Bhattacharjee, P. P., Editorial Board Member, Gokhale, Amol A., Editorial Board Member, Kamaraj, M., Editorial Board Member, Manna, Indranil, Editorial Board Member, Mishra, Suman K., Editorial Board Member, Muraleedharan, K., Editorial Board Member, Murty, B. S., Editorial Board Member, Murty, S. V. S. Narayana, Editorial Board Member, Padmanabham, G., Editorial Board Member, Philip, John, Editorial Board Member, Prasad, N. Eswara, Editorial Board Member, Prasad, Rajesh, Editorial Board Member, Rajulapati, Koteswara Rao, Editorial Board Member, Reddy, G. Madhusudan, Editorial Board Member, Srinivasan, A., Editorial Board Member, Sudarshan, T. S., Editorial Board Member, Tarafder, S., Editorial Board Member, Tewari, Raghavendra, Editorial Board Member, Upadhya, Anish, Editorial Board Member, Venkatraman, B., Editorial Board Member, Kamachi Mudali, U., editor, Subba Rao, Toleti, editor, Ningshen, S., editor, G. Pillai, Radhakrishna, editor, P. George, Rani, editor, and Sridhar, T. M., editor

Published
2022
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