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Search Results: 1 - 10 of 7623 matches for " Das KM "
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A Comparative Study on the Effects of Comprehensive Rehabilitation in Uncomplicated Coronary Artery Bypass Grafting Patients from Rural and Urban India
Chakraborty K,Das KM,Iswarari S,Mandal PK
Indian Journal of Physical Medicine and Rehabilitation , 2007,
Abstract: Objectives: This study intended to compare the effect of comprehensive rehabilitation in uncomplicatedcoronary artery bypass grafting (CABG) patients from rural and urban India using a low-cost, home-basedrehabilitation programme. The outcome measures were MET Scores measured by Treadmill Test, 6-MinuteWalking Distances (6-MWD) and Quality of Life Indices measured by the WHOQoL-BREF Questionnaire.Methods : Patients fulfilling the inclusion and exclusion criteria were enrolled from amongst those scheduledto undergo CABG. A baseline evaluation, laboratory examination and pre-operative counselling were done.Following CABG, a graded rehabilitation programme consisting of drugs, prescribed exercise, diet,therapeutic lifestyle changes, and sexual rehabilitation was implemented and continued for 4 months afterdischarge, with periodic monitoring and follow-up.Results : 52 patients participated in the study, 43 of whom went on to complete it. There were significantimprovements in the MET Scores, 6-MWDs and all domains of quality of life in both the groups (p < 0.001),compared to baseline values, but no statistical difference between the groups.Conclusion: This study demonstrated that comprehensive rehabilitation following CABG using even a lowcost,home-based programme caused significant improvement in the work capacity and quality of life ofboth rural and urban Indian population.
Fatigue, Physical Function and Quality of Life in Relation to Disease Activity in Established Rheumatoid Arthritis
Barman A,Chatterjee A,Das KM,Mandal PK
Indian Journal of Physical Medicine and Rehabilitation , 2010,
Abstract: Objectives: This study was intended to find out therelationship of fatigue, functional disability and Health-Related Quality Of Life (HRQOL) with disease activityin adult patients with active rheumatoid arthritis (RA)and to observe the effect of rehabilitation programme onthese parameters.Material and Methods: 106 patients participated and 96completed the study. Disease Activity Score-28 (DAS-28), visual analogue scale for pain and fatigue,Multidimensional Assessment of Fatigue Scale (MAF),Health Assessment Questionnaire (HAQ), AmericanCollege of Rheumatology revised criteria for functionalstatus classification, World Health Organization QualityOf Life instrument (WHOQOL-BREF) wereadministered. A comprehensive rehabilitation programmecomprising pharmacologic and non-pharmacologic therapywas continued for 6 months.Results: Mean VAS fatigue, DAS28 & HAQ scores were45.68, 5.14 and 1.16 respectively. Significant correlation(Pearson’s r =0.82, p<0.05; r=0.75, p<0.05; r=0.85,p=<0.05) between the disease activity and the value ofthe VAS Fatigue, Global Fatigue (MAF) and HAQ scorerespectively and inverse co-relation between quality oflife (QOL) domain scores and disease activity wereobserved. Similar results were also found in the final visit.Comprehensive rehabilitation reduced the disease activity,fatigue, functional disability and improved QOL.Conclusion: High fatigue level, disability, pain anddecreased QOL characterized RA disease activity.Reduction of DAS, Fatigue, HAQ scores with treatmentimproved QOL.
Rehabilitation of a Patient with Alkaptonuric (Ochronotic) Arthritis
Das KM,Chakraborty K,Pandey SK,Middya AK
Indian Journal of Physical Medicine and Rehabilitation , 2007,
Abstract: A 54-year old male presented with chronic low back pain without radiation and significant early morningstiffness of 10 years duration and pain in both knees for the last 5 years. History revealed black staining ofinnerwear (brief) following micturation since childhood. On physical examination, kyphoscoliosis, paraspinalmuscle imbalance, restriction of the ROM of lumbosacral spine, knee tenderness and pigmentation of earand sclera were found. Radiologic features like narrowing of disc space with disc calcification and fusion ofdisc in lumbosacral segment, osteoarthritis of knee pointed towards the diagnosis and biochemical findingof positive urinary homogentisic acid confirmed the diagnosis of alkaptonuric (ochronotic) arthritis.Prophylactic dose of ascorbate was started. Initially NSAID and later acetaminophen were used for paincontrol. Spinal orthosis was given and therapeutic exercise programme instituted. Analgesic use was significantly reduced after 3 months. VAS (pain) score, WOMAC score, hand to floor distance, 50 feet walktime, Patient & Physician Global Assessment etc. were used to monitor LBP and knee pain. All the outcome measurement tools showed significant improvement at 3, 6, 9 and 12 months. Patient’s work place fitness also improved significantly as measured by the number of sick leaves per month.
Various Pathologies Causing Shoulder Pain: Their Relations with Demographic Parameters and Co- morbidities
Chatterjee A,Middya AK,Barman A,Das KM
Indian Journal of Physical Medicine and Rehabilitation , 2008,
Abstract: Background: Shoulder pain is a very common musculoskeletal disorder requiring physiatric intervention.However, most of the referred cases of pain shoulder come to PMR department as “frozen shoulder”, butcareful evaluation and investigations reveal a myriad of pathological conditions.Objectives: To find the distribution and incidence of various pathological conditions presenting as shoulderpain and its relation to demographic parameters and pre-existing pathologies & co-morbidities.Materials and Methods: Total number of 300 patients of either sex with pain shoulder and functionalimpairment were included in this cross-sectional observational study. Appropriate clinical examinations,radiological and other necessary investigations were done. Descriptive statistical tools were used for dataanalysis.Results: Majority were aging adults with higher incidence in females. Periarticular pathologies includingthose involving rotator cuff were seen to be the major cause of pain shoulder. There was an overall leftshoulder predominance but males tended to have right side involvement. Those with systemic diseaseshad more prevalence of bilateral involvement.Conclusion: Predominance of periarticular tissue pathologies as the cause of shoulder pain may be relatedwith its typical biomechanics. Relation was seen between heavy physical work and dominant side involvement.Systemic pathologies predispose to bilateral involvement.
Short Term Rehabilitative Outcome and its Predictors in Guillain Barré Syndrome
Chatterjee A,Barman A,Das KM,Mandal PK
Indian Journal of Physical Medicine and Rehabilitation , 2009,
Abstract: Clinical and electrophysiological data of 34 patientssuffering from Guillain Barré Syndrome (GBS) wereanalyzed. Functional disability and predictors of outcomewas determined using Hugh’s scale and MedicalResearch Council (MRC) scale at 0, 2 and at 4 weeks.Good outcome was defined as the ability to ambulatewithout assistance. 56% patients were males with meanage of 18.41 years (SD ±13.88). Preceding illness wasseen in 76.5%. Mean days to disease nadir was 4.6 days.Weakness (50%) was the predominant chief complaint.Mechanical ventilation was required in 41.2 % patientswith a mortality of 7.1%. Independent ambulation wasachieved by 61.8% and 17.6% with support at the end ofstudy period. Increasing age (p<0.01), days to nadir(p=0.00), duration of ventilation (p<0.001), severity ofmotor deficit at disease nadir (p<0.001) and high Hugh’sscore (p=0.00) affected outcome. Mechanicallyventilated patients had poorer outcome. Although therecovery from severe GBS was prolonged, most survivorsregained independent ambulation.
The relative length of Pig chromosomes, and a suggestion for a karyotype system
KM Hansen
Genetics Selection Evolution , 1980, DOI: 10.1186/1297-9686-12-4-313
Identification of the X chromosome of the domestic pig (Sus scrofa domestica)
KM Hansen
Genetics Selection Evolution , 1980, DOI: 10.1186/1297-9686-12-3-225
Identification of the chromosomes of the domestic pig (Sus scrofa domestica). An identification key and a landmark system
KM Hansen
Genetics Selection Evolution , 1977, DOI: 10.1186/1297-9686-9-4-517
Legitimizing the invented Congolese space: The gaze from within in early Congolese fiction
KM Kapanga
Tydskrif vir letterkunde , 2009,
Abstract: Postcolonial discourses describe colonization as a process of invention to impose the will of a conquering West on “backward” societies. The will to power conjugated with the need for raw materials served as the main catalysts. They put side by side a hegemonic intruder bent on duplicating itself, and a powerless and compliant native unable to react to the blitz of transformations. Hence, the master/slave or father/child relationships that describe the colonial framework. The task is to interrogate these generally accepted assumptions and binary oppositions. Although marginalized, the Congolese native was unwilling to become an object for the colonizer's gaze. In fact, the inability to expel the “invader” did not prevent the creation of legitimacies out of what was precipitously brought in. This mechanism of transformation is perceptible in Paul Lomami Tchibamba's novel Ngando (1948), the object of this study. Ngando's imagined colonial city stands out as a site of contrasts and contradictions. However, the duplicated model shows the “transformability” of the new space into “normalcy” by a subversive native
Assessing the Effects of Pilferage, Mutilation and Theft of Library Resources on Institute for Agricultural Research Library
KM Gabriel
Samaru Journal of Information Studies , 2010,
Abstract: The paper presents the prospects, problems and solutions on the effects of pilferage, mutilation and theft of available information resources in an agricultural library. The overall purpose of the study is to identify and ascertain the factors predisposing of culprits to the crime and describe measures appropriate to curb the menace. The findings revealed that well tailored orientation is necessary. Punitive measures were also suggested to salvage poor utilization of services. The study conclude that lack of policy guarding use and misuse of resources contributed significantly and negatively to safeguarding available resources, punitive measures and administration. It therefore recommends punishment on leaving the library with resources not in circulation or not properly checkout. Culprit should be made to pay for resources pilfered, mutilated - deface or destroyed as a result of carelessness, and finally, expulsion from the library.
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