Sudhindra Rao

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BACKGROUND Early laparoscopic cholecystectomy (ELC) is becoming the accepted treatment for the management of acute gallstone disease in specialist centres. It has also been achieved safely in the district general hospital (DGH) setting. We audited the management of acute gallstone disease in our DGH and set about to see if we could implement ELC safely and(More)
In structured Peer-to-Peer(P2P) systems such as Chord or Pastry, each node plays an equal role and has the same responsibility. The most important advantage of such approach is scalability: since there are no centralized resources in the system, the system can easily scale to millions of nodes. However, we need to pay a high price for such scalability, as(More)
Visualization of the common bile duct during laparoscopic cholecystectomy is frequently required to confirm or exclude choledocholithiasis. Although on-table cholangiogram (OTC) is the traditional imaging technique, laparoscopic ultrasound (LUS) is increasingly deployed for this purpose. We are reporting a 31-month experience with an LUS, starting from the(More)
AIM To compare those patients who are being accepted onto the waiting list for total hip and knee arthroplasty surgery with those patients who are being declined surgery, using a validated functional questionnaire. METHOD The clinic records from all patients seen for consideration of total hip or knee arthroplasty at Hawkes Bay Hospital during the(More)
AIM To quantify the number of patients declined surgery due to scoring below the financial threshold, when presenting for total hip or total knee arthroplasty at two New Zealand District Health Boards (DHBs). METHOD Data from patients presenting with hip or knee osteoarthritis at both Whangarei Base Hospital and Hawke's Bay Regional Hospital from June(More)
Under high loads, a Web server may be servicing many hundreds of connections concurrently. In traditional web servers, the question of the order in which concurrent connections are serviced has been left to the operating system. In this report we examine the performance of a policy that gives preferential service to short connections. We start by finding(More)