Browsing by Author "Srinivasan, K"

Now showing 1 - 8 of 8
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    Country Profile: India
    (Lancet, 1998) Nath, I; Reddy, KS; Dinshaw, KA; Bhisey, AN; Krishnaswami, K; Bhan, MK; Ganguly, NK; Kaur, S; Panda, SK; Jameel, S; Srinivasan, K; Thankappan, KR; Valiathan, MS
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    Diffusion restriction in fulminant subacute sclerosing panencephalitis: Report of an unusual finding
    (NEUROLOGY INDIA, 2015) Shah, D; Srinivasan, K; Sakale, T; Sajith, S; Kesavadas, C
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    Is Migration Affecting Prevalence, Awareness, Treatment and Control of Hypertension of Men in Kerala, India?
    (Journal of immigrant and minority health., 2016-02) Begam, NS; Srinivasan, K; Mini, GK
    We assessed hypertension prevalence, awareness, treatment and control among male gulf migrant and non-migrant workers in Kerala state of India. We did a cross sectional survey of 191 migrant and 193 non-migrant men aged 25–64 years selected using a multistage random sampling method. Using World Health Organization STEPS approach, we collected information on demographics, STEP 1 variables and measured STEP-2 variables. Multivariate analysis was used to find the relation between migration and hypertension. Age adjusted hypertension prevalence was 57.6 % among migrants and 31.7 % among non-migrants (p < 0.05). Migrants were more likely to be hypertensive (OR 3.00, 95 % CI 1.83–4.94) than non-migrants after adjusting for age, STEP 1 and STEP 2 variables. Though not statistically significant (p = 0.109), awareness of hypertension was lower among migrants (43.5 %) compared to non migrants (56.9 %). Treatment (migrants: 34 %, non-migrants: 53 %, p < 0.05) and control (migrants: 12 %, non-migrants: 48 %, p < 0.001) of hypertension were lower among migrants. Greater attention to improve the treatment and control of hypertension among migrants is warranted in this population.
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    Quantification of diffusion and anisotropy in intracranial epidermoids using diffusion tensor metrics and p: q tensor decomposition
    (JOURNAL OF NEURORADIOLOGY, 2016) Srinivasan, K; Thomas, B; Shah, D; Kannath, SK; Menon, G; Sandhyamani, S; Kesavadas, C; Kapilamoorthy, TR
    Purpose: To quantitatively evaluate the diffusion tensor metrics p, q, L and fractional anisotropy in intracranial epidermoids in comparison with normal white matter in the splenium of the corpus callosum. Methods: This retrospective study included 20 consecutive patients referred to our institute. All patients had a magnetic resonance imaging (MRI) study on a 1.5-Tesla MR system. A spin echo echo-planar DTI sequence with diffusion gradients along 30 non-collinear directions was performed. The eigen values (lambda(1), lambda(2), lambda(3)) were computed for each voxel and, using p: q tensor decomposition, the DTI metrics p, q and L-values and fractional anositropy (FA) were calculated. The region of interest (ROI) (6 pixels each) was placed within the lesion in all the cases and in the splenium of the corpus callosum. Results: The mean FA in the lesion and splenium were 0.50 and 0.88 respectively, with a statistically significant difference between them (P< 0.01). On p: q tensor decomposition, the mean p-value in the epidermoid was 1.55 +/- 0.24 and 1.35 +/- 0.20 in the splenium; the mean q-values in the epidermoid was 0.67 +/- 0.13 and 1.27 +/- 0.17 in the splenium; the differences were statistically significant (P=0.01 and <0.01 respectively). The significant differente between p- and q-values in epidermoids compared with the splenium of callosum was probably due to structural and orientation differences in the keratin flakes in epidermoids and white matter bundles in the callosum. However, no significant statistical difference in L-values was noted (P=0.44). Conclusion: DTI metrics p- and q have the potential to quantify the diffusion and anisotropy in various tissues thereby gaining information about their internal architecture. The results also suggest that significant differences of DTI metrics p and q between epidermoid and the splenium of the corpus callosum are due to the difference in structural organization within them. (C) 2016 Published by Elsevier Masson SAS.
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    Report on Rapid Assessment of the Scheme for Promotion of Menstrual Hygiene in Kerala ( Project - 5266 )
    (SCTIMST, 2018-12-31) Srinivasan, K; Manju R, Nair; Sreejini, J; JyolsnaAnand, U
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    Study on workload of public health nurses and other women health workers ( Project - 5217 )
    (SCTIMST, 2012-12-31) Srinivasan, K; Sankara Sarma,P
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    Utilization of maternal health services and determinants of skilled care during delivery in slums of Gujarat, India
    (Obstetrics & Gynecology, 2015-07) Bhanderi, MN; Srinivasan, K
    Background: In India one in three women is delivering without skilled care. This is happening even after the Safe Motherhood Initiative began two decades ago. Aim & Objective: The aim of the present paper is to assess utilization of maternal health services and factors affecting skilled delivery care among urban slum women. Method: We selected 562 women delivered two year prior to survey using two stage clusters sampling for a community based cross sectional study. Using a pre-tested structured interview schedule, information was collected on demographics, socioeconomic status, use of maternal health services, and reasons for non-utilization of health services. Univariate and multivariate analysis were performed. Result: Majority (92%) of women received at least one antenatal care during pregnancy, while only 4 out of five women sought skilled care during the last delivery. Women of educationally and socially backward classes (OR=0.46, 95% CI 0.23- 0.94), women live in a distance more than two kilometers from maternity health facility (OR=0.38, 95% CI 0.22-0.65), and women been on their second pregnancy (OR=0.44, 95% CI 0.21-0.94) utilized less of skilled care during delivery compared to their counterparts. Increase in education level of women and number of Antenatal care received were tending more utilization of skilled care during delivery. Minimal sense of need, cost, social barriers and perceptions about care were found to be the reasons for not seeking care. Poor attitude of providers, poor quality of services and long waiting time were found to be the reasons for non-utilization of public health facilities. Conclusion: The factors determine skilled delivery care were caste affiliation, education, service availability, parity, perceived utility of services and health seeking behaviors. Government institutions were lying underutilized as women do not prefer them for delivery