Unnikrishnan Reghukumaran Nair

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We prospectively assessed the patient awareness of risk factors of coronary artery disease (CAD) in this study by performing a voluntary questionnaire survey of 235 patients undergoing first time coronary artery bypass grafting (CABG) between May and December 2003. We assessed patient awareness of smoking, hypertension (HT), hypercholesterolaemia (HC),(More)
The idea of myocardial revascularization by means of grafting the coronary venous system is more than a century old; in cases of diffuse coronary artery disease, this may represent a valid therapeutic option. We present a challenging case in which a patient with an aberrant left coronary system and unstable angina underwent this type of procedure with good(More)
BACKGROUND Declining age at onset of alcohol consumption over years has been one of the alarming findings in the epidemiology of alcoholism. The study was done to examine whether there was a decline in the age at onset of alcohol use and use disorder in subjects categorized as birth cohorts over the last 60 years seeking de-addiction services from a(More)
BACKGROUND The purpose of this study was to investigate the effect of panretinal photocoagulation (PRP) on macular morphology and thickness in eyes with proliferative diabetic retinopathy (PDR) and without clinically significant macular edema. METHODS This was a prospective study of 76 eyes from 68 patients diagnosed to have PDR without clinically(More)
Intravascular catheter-related infections (CRI) account for one third of nosocomial bloodstream infections in England. UK Department of Health guidelines state that antibiotic prophylaxis is not required during placement, or use of, central venous catheters, to prevent CRI. However, some clinicians continue to use antibiotics in an attempt to prevent CRI.(More)
PURPOSE To evaluate the structural changes in the acute phase of central serous chorioretinopathy and after its resolution, using spectral domain optical coherence tomography, to correlate these tomographic changes with visual acuity (VA). METHOD This was a prospective study of 100 consecutive patients with acute central serous chorioretinopathy. It was(More)
BACKGROUND The purpose of this research was to study the association between systemic comorbidity in diabetic serous macular detachment (DSMD) and the effect of different forms of combination therapies in its management. METHODS In this prospective analysis, 34 eyes from 34 patients with DSMD were investigated for the presence of systemic comorbidity(More)
Mild Sensorineural hearing loss subsequent to middle ear surgery has till today been an important complication to middle ear surgery inspite of advances in surgical techniques, operative instruments, monitoring devices and better treatment options. Lack of proper knowledge about this problem is because of under reporting of exact magnitude of hearing loss(More)
Wound complications are a well-recognised entity following median sternotomy. Soft tissue reconstruction in the form of muscle flaps generally provides adequate wound stability; nevertheless, skeletal reconstruction of the anterior chest wall is sometimes necessary. We describe a novel technique applied in three patients for reconstructing fragments of the(More)
INTRODUCTION Keloid scars following median sternotomy are rare and occur more frequently in pigmented skin. Different management strategies have been described with variable success. We present a case of keloid scar formation following cardiac surgery including our management and the final aesthetic result. CASE DESCRIPTION A 64 year old female of fair(More)