11 results on '"Sritharan MS"'
Search Results
2. RETROSPECTIVE ANALYSIS OF INFRAPOPLITEAL BYPASS PROCEDURES :3 YEARS INSTITUTIONAL EXPERIENCE
- Author
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ijar, Velladuraichi Ms. Mch, M S Sabarish Kumar, N. Sritharan Ms. Mch, Prathap Kumar Ms. Mch, and Ilayakumar Ms. Mch
- Subjects
medicine.medical_specialty ,business.industry ,General surgery ,Retrospective analysis ,Medicine ,business - Published
- 2020
- Full Text
- View/download PDF
3. RETROSPECTIVE ANALYSIS OF IMMEDIATE AND LONG-TERM OUTCOMES FOLLOWING LOWER EXTREMITY AMPUTATION PERFORMED FOR VASCULAR INDICATIONS-INSTITUTIONAL EXPERIENCE
- Author
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N. Sritharan MS. Mch, KN. Venu Kumar MS.
- Subjects
International Journal of Advanced Research (IJAR) - Abstract
Background:Major lower limb amputations are essentially disfiguring operations that carries high perioperative mortality and morbidity in elderly patients suffering from chronic limb threatening ischemia (CLTI). Lower limb amputations inevitably result in debilitating conditions that are associated with expensive treatment and often leads to permanent reduction in quality of life of the affected individual. This study seeks to explore the physical and mental health outcomes including post-operative mortality following lower limb amputations for various vascular indications. Methods:All the enrolled patients in this study underwent lower extremity amputation for vascular indications in RGGGH, Chennai in the Institute of Vascular Surgery from February 2017 to February 2018.  
- Published
- 2020
- Full Text
- View/download PDF
4. Few changes in native Australian alpine plant morphology, despite substantial local climate change
- Author
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Sritharan, MS, Hemmings, FA, Moles, AT, Sritharan, MS, Hemmings, FA, and Moles, AT
- Abstract
Rapid evolution is likely to be an important mechanism allowing native species to adapt to changed environmental conditions. Many Northern Hemisphere species have undergone substantial recent changes in phenology and morphology. However, we have little information about how native species in the Southern Hemisphere are responding to climate change. We used herbarium specimens from 21 native alpine plant species in Kosciuszko National Park, Australia, to make over 1,500 measurements of plant size, leaf thickness, leaf mass per area, leaf shape, and leaf size across the last 126 years. Only two out of 21 species (9%) showed significant changes in any of the measured traits. The number of changes we observed was not significantly different to what we would expect by chance alone, based on the number of analyses performed. This lack of change is not attributable to methodology—an earlier study using the same methods found significant changes in 70% of species introduced to southeast Australia. Australia's native alpine plants do not appear to be adapting to changed conditions, and because of the low elevation of Australia's mountains, they do not have much scope for uphill migration. Thus, our findings suggest that Australia's native alpine plants are at even greater risk in the face of future climate change than was previously understood.
- Published
- 2021
5. RETROSPECTIVE ANALYSIS OF IMMEDIATE AND LONG-TERM OUTCOMES FOLLOWING LOWER EXTREMITY AMPUTATION PERFORMED FOR VASCULAR INDICATIONS-INSTITUTIONAL EXPERIENCE
- Author
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Sritharan MS. Mch, N., primary, Venu Kumar MS., KN., additional, Kumar MS. Mch, Ilaya, additional, Ilangovan MS. Mch, Devarajan, additional, and Kumar MS. Mch, Prathap, additional
- Published
- 2020
- Full Text
- View/download PDF
6. CLINICAL PROFILE, ANGIOGRAPHIC FINDINGS AND OUTCOMES FOLLOWING INTERVENTION IN PATIENTS WITH TAKAYASU?S ARTERITIS
- Author
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N. Sritharan, MS, Krishna, MS, JohnMS, Deepak George, and Velladuraichi MS, MCh.
- Subjects
Takayasu?s arteritis Clinical profile Angiographic profile - Abstract
Objective: To analyse the clinical presentation, angiographic findings and outcome following intervention (endovascular and open surgical) in patients with Takayasu?s arteritis. Methods: This is a retrospective observational study of 28 patients who were diagnosed with Takayasu?s Arteritis and who presented to the department of Vascular Surgery, between January 2012 to January 2018. Their clinical presentation , angiographic findings, and outcome following intervention was analyzed. Results: 28 patients were analysed during study period. Among 28 patients, 25(89%) were female and 3(11%) were male. Average age of presentation was 29.34 years. Constitutional symptoms were reported in 13 patients(46.43%) and claudication in 11 patients(32%) .The commonest finding was hypertension in (57%) followed by absent pulses in 10 patients (42%). Major organ involvement was seen as cerebrovascular accident in 1 patient(7.14%) and cardiac findings included - chest pain 2(10.71%), aortic regurgitation 4(14.29%), mitral regurgitation or valve prolapse 2(7%) and pulmonary hypertension 2(7%) . According to the new angiographic classification,type I(32.14%) was encountered most frequently, followed by type III (25%), type IV (21.4%), type V (14%) and type IIb(7%) .The commonly involved vasculature was abdominal aorta(32%) , renal artery(25%) ,left subclavian (25%) followed by thoracic aorta(14%) and right subclavian (10%). Renal artery angioplasty was done in 5 patients and aneurysm repair was done in 1 patient with good outcome. Conclusion:-Takayasu?s Arteritis is a rare disease, with female predominance and varied clinical presentation. Angiography findings and clinical symptoms are integrated to decide management. Angiographic evaluation and percutaneous transluminal angioplasty with stenting is useful in selected cases; while majority of the patients are managed medically.
- Published
- 2018
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7. Management Of Pulseless Hand In Children Following Closed Supracondylar Fracture Humerus - Before Fracture Reduction A Case Series
- Author
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M. Krishna MS MCh, Jayanth. V. Kumar MS MCh, N. Sritharan MS MCh, I. Devarajan MS, and K. Raja Dip. N. B.
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Supracondylar humeral fractures pulseless hand spasm of artery entrapment of artery Brachial artery - Abstract
Closed supracondylar humerus fracture in children with pulseless hand though appear to have vascularity even after skeletal stabilisation may need surgical exploration for addressing vascular injury which is often accomplished by thrombectomy , primary repair or interposition graft repair. Between August 2017 and june 2018, 15 children presented with displaced closed supracondylar fracture of the humerus , 10 of them presented with absent radial and ulnar pulses treated either before or after fracture reduction based on the clinical examination findings and hand doppler assessment . Amongst these, seven patients were explored for vascular compromise even after fracture reduction and ended up in revascularisation by thrombectomy or interposition graft repair . Three patients were explored before fracture reduction , one was found to have entrapment of the brachial artery between the fracture fragments and two of them were found to have spasm of the brachial artery by the tractional force from the displaced fracture. surgical exploration before fracture reduction in all these three patients ended up in release of the brachial artery from the tractional force or from entrapped fracture fragment, resulted in distal pulse restoration and thereby avoided thrombectomy or graft repair in the growing children. children presenting with closed supracondylar humerus fracture with absent distal pulses with warm hand need high index of suspicion for exploration before fracture reduction to avoid fracture reduction manipulation associated vascular injury and thereby avoid thrombectomy and graft repair in the growing children.
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- 2018
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8. TRANSPOSITION OF BRACHIOBASILIC VEIN AV FISTULA - A CASE SERIES
- Author
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N. Sritharan MS MCh, I. Devarajan MS MCh, M. Krishna MS MCh, and K. Raja Dip. N., B.
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TBBAVF (transposed brachiobasilicarteriovenousfistula ) arteriovenous fistula basilic vein dialysis graft - Abstract
Renal failure patients demanding AV access creation for Dialysis has been growing in huge numbers and the life expectancy has also been improved by the present treatment facilities. We performed transposed brachiobasilicarteriovenous fistula (TBBAVF) in single stage on 28 patients from July 2016 to June 2017. The operative time was 90?120 minutes. All patients had edema of the upper extremity that lasted for 3 to 4 weeks and 6 patients had wound complications but of less severity. Major complications were not seen. The primary patency rates at 6 months and 1 year were 100 % and 89.3% respectively. TBBAVF has good primary patency with less severe complications.
- Published
- 2018
- Full Text
- View/download PDF
9. Plant rarity in fire-prone dry sclerophyll communities.
- Author
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Sritharan MS, Scheele BC, Blanchard W, Foster CN, Werner PA, and Lindenmayer DB
- Subjects
- Biodiversity, Forests, Plants, Ecosystem, Fires
- Abstract
Understanding the responses of rare species to altered fire disturbance regimes is an ongoing challenge for ecologists. We asked: are there associations between fire regimes and plant rarity across different vegetation communities? We combined 62 years of fire history records with vegetation surveys of 86 sites across three different dry sclerophyll vegetation communities in Booderee National Park, south-east Australia to: (1) compare associations between species richness and rare species richness with fire regimes, (2) test whether fire regimes influence the proportion of rare species present in an assemblage, and (3) examine whether rare species are associated with particular fire response traits and life history. We also sought to determine if different rarity categorisations influence the associations between fire regimes and plant rarity. We categorised plant rarity using three standard definitions; species' abundance, species' distribution, and Rabinowitz's measure of rarity, which considers a species' abundance, distribution and habitat specificity. We found that total species richness was negatively associated with short fire intervals but positively associated with time since fire and fire frequency in woodland communities. Total species richness was also positively associated with short fire intervals in forest communities. However, rare species richness was not associated with fire when categorised via abundance or distribution. Using Rabinowitz's measure of rarity, the proportion of rare species present was negatively associated with fire frequency in forest communities but positively associated with fire frequency in woodland communities. We found that rare species classified by all three measures of rarity exhibited no difference in fire response traits and serotiny compared to species not classified as rare. Rare species based on abundance differed to species not classified as rare across each life history category, while species rare by distribution differed in preferences for seed storage location. Our findings suggest that species categorised as rare by Rabinowitz's definition of rarity are the most sensitive to the effects of fire regimes. Nevertheless, the paucity of responses observed between rare species with fire regimes in a fire-prone ecosystem suggests that other biotic drivers may play a greater role in influencing the rarity of a species in this system., (© 2022. Crown.)
- Published
- 2022
- Full Text
- View/download PDF
10. Spatial associations between plants and vegetation community characteristics provide insights into the processes influencing plant rarity.
- Author
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Sritharan MS, Scheele BC, Blanchard W, and Lindenmayer DB
- Subjects
- Australia, Biodiversity, Cluster Analysis, Forests, Plant Development physiology, Spatial Analysis, Plants classification
- Abstract
Determining the drivers of plant rarity is a major challenge in ecology. Analysing spatial associations between different plant species can provide an exploratory avenue for understanding the ecological drivers of plant rarity. Here, we examined the different types of spatial associations between rare and common plants to determine if they influence the occurrence patterns of rare species. We completed vegetation surveys at 86 sites in woodland, forest, and heath communities in south-east Australia. We also examined two different rarity measures to quantify how categorisation criteria affected our results. Rare species were more likely to have positive associations with both rare and common species across all three vegetation communities. However, common species had positive or negative associations with rare and other common species, depending on the vegetation community in which they occurred. Rare species were positively associated with species diversity in forest communities. In woodland communities, rare species were associated negatively with species diversity but positively associated with species evenness. Rare species with high habitat specificity were more clustered spatially than expected by chance. Efforts to understand the drivers of plant rarity should use rarity definitions that consider habitat specificity. Our findings suggest that examining spatial associations between plants can help understand the drivers of plant rarity., Competing Interests: The authors have declared that no competing interests exist.
- Published
- 2021
- Full Text
- View/download PDF
11. Few changes in native Australian alpine plant morphology, despite substantial local climate change.
- Author
-
Sritharan MS, Hemmings FA, and Moles AT
- Abstract
Rapid evolution is likely to be an important mechanism allowing native species to adapt to changed environmental conditions. Many Northern Hemisphere species have undergone substantial recent changes in phenology and morphology. However, we have little information about how native species in the Southern Hemisphere are responding to climate change. We used herbarium specimens from 21 native alpine plant species in Kosciuszko National Park, Australia, to make over 1,500 measurements of plant size, leaf thickness, leaf mass per area, leaf shape, and leaf size across the last 126 years. Only two out of 21 species (9%) showed significant changes in any of the measured traits. The number of changes we observed was not significantly different to what we would expect by chance alone, based on the number of analyses performed. This lack of change is not attributable to methodology-an earlier study using the same methods found significant changes in 70% of species introduced to southeast Australia. Australia's native alpine plants do not appear to be adapting to changed conditions, and because of the low elevation of Australia's mountains, they do not have much scope for uphill migration. Thus, our findings suggest that Australia's native alpine plants are at even greater risk in the face of future climate change than was previously understood., Competing Interests: The authors have no conflict of interest to declare., (© 2021 The Authors. Ecology and Evolution published by John Wiley & Sons Ltd.)
- Published
- 2021
- Full Text
- View/download PDF
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