24 results on '"Naveen Bs"'
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2. Efficacy of Kushtadi Choorna Pratisarana in the Management of Sheetada-A Case Study
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Vishnu VV, Naveen BS, Geetha Kumari B, Ajoy Viswam, and Krishnan Namboothiri
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General Medicine - Abstract
Sheetada is explained elaborately in Ayurveda as a type of Dantamoolagataroga (periodontal diseases) In Ayurvedic classics several treatment modalities such as Pratisarana, Gandoosha and Kavala have been mentioned for the management of Sheetada. Kushtadi choorna Yoga is one such formulation which is documented in Ayurvedic literature for treating oral cavity disorders like Raktasrava (bleeding), Kandu (itching) and Ruja (pain). Its anti-inflammatory, antioxidative and antimicrobial factors helps to maintain the strength of gingiva. Gingivitis is an inflammatory response of the gingiva without destruction of the supporting tissues. Inflamed gingiva is clinically recognized by the signs of inflammation such as redness of the gingiva, swelling, bleeding and exudation. In the present study, a 26 year old male having the features of Sheetada was treated with Kushtadi choorna Pratisarana. Marked improvement in the signs and symptoms were observed after treatment.
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- 2022
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3. Efficacy of Saindhavadi Rasakriya Anjanain Krimigranthiwith special reference to Seborrheic Blepharitis-A Case Study
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null Sivasankari N, Naveen BS, Geetha Kumari B, Ajoy Viswam, and Krishnan Namboothir
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General Medicine - Abstract
Acharya Vagbhatahas explained nine Sandhigata Rogasand Krimigranthiis one among them. Signs and symptoms of Krimigranthican be analyzed with seborrheic blepharitis which is one of the commonly encountered eye lid margin diseases in OPD. Study shows that 50 percent of population develop the disease with increasing age and contact lens usage. Treatments mentioned for Krimigranthiinclude Swedana, Bhedana and pratisarana. This case is of a female patient who complained of itching over both eyes, foreign body sensation, burning sensation, watering of eyes and falling of eyelashes since two years which gets aggravated on exposure to dry climate, increased Visual Display Terminals (VDT) usage & reduced sleep. Anjanawith Saindhavadi Rasakriya Anjanawas given for 15 days. Significant reduction in signs and symptoms were observed after the treatment
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- 2022
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4. Management of Furunculosis in Ayurveda- A Case Study
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Deepak P Nath, Naveen BS, Geeta Kumari B, Ajoy Viswam, and Krishnan Namboodiri G
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General Medicine - Abstract
Furunculosis (Localized Otitis externa) is a condition that causes localized inflammation of external ear. Ear pain (Otalgia), redness (erythema) and edema are the most common symptoms found in localized otitis externa. Clinical features of furunculosis can be analyzed under the Lakshanas (signs and symptoms) of Karnashoola (Otalgia). Karnashoola is described as a symptom and as a separate disease entity in Ayurveda. Acharya Sushruta has mentioned about Arkankura (tender leaves of Arka) in the form of eardrop to treat the Karnashoola. This paper aims to highlight the clinical efficacy of Arka patra (leaves of Calotropis gigantea Linn.B.Rr) in Arka (distilled product) form as Karnapichu (aural pack) in the management of localized otitis externa. Arka patra is selected because of its Katu rasa, Tikshna guna, Ushna veerya, Kaphavatahara and Shothahara property. The paper makes a short discussion on the mode of action of Arka patra Arka in the form of Karnapichu based on its bio availability. The present case study highlights all the above said points. Significant changes in reduction of pain and edema were observed.
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- 2022
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5. Correlates of functional outcome of primary uncemented total hip arthroplasty
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Hemanth R and Naveen Bs
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medicine.medical_specialty ,business.industry ,Inclination angle ,Radiological weapon ,Radiography ,Physical therapy ,medicine ,Femoral stem ,business ,Outcome (game theory) ,Total hip arthroplasty - Abstract
Total hip arthroplasty evolved as a result of many improvements of designs of components, availability of suitable component materials and manufacturing techniques. To contend successfully with the many problems that occur and to evaluate new concepts and implants, a working knowledge of biomechanical principles, materials, and design also is necessary. The metal-on-polyethylene articulation remains the standard in total hip arthroplasty. All the patients were contacted for clinical and radiological assessment through postal and personal communication. All 22 patients attended the review arthritis clinic on a previously provided appointment date. The diagnosis, preoperative assessment, operation records and follow up radiographs of these patients were systematically reviewed from the available hospital data. There was no statistical significance in the final outcome with relation to age, sex, laterality, femoral stem size, acetabular cup size or for acetabular inclination angle.
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- 2021
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6. Conceptual Analysis of Nasya Karma in Netra Rogas
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Krishnan Namboodiri, Ajoy Viswam, Swathi Ac, and Naveen Bs
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Psychotherapist ,business.industry ,Medicine ,Karma ,business ,Contemporary science - Abstract
Panchakarma plays an important role in Ayurveda, which does the function of cleansing the body from Doshas. Among them, Nasya is mainly indicated for Urdhwajatrugata Vikaras, in which Doshas are eliminated by means of the nearest possible opening, the nose. Netra, being considered as the important Indriya among others, should be protected with utmost care. Considering Ama-Nirama concept of Netra, treatment of Netra Roga is decided in which Sthanika Dosha Shodhana is very essential. For that, Nasya Karma is considered as an option among other Shodhana Karmas. A proper Shodhana at proper stage of a disease can avoid unnecessary surgeries even. Benefits of Nasya Karma in Netra Rogas are already proved through various previous studies. This article is an attempt to conceptually analyze the role of Nasya Karma in Netra Rogas through various literature sources of Ayurveda and contemporary science. How to cite this article:Swathi AC, Naveen BS, Viswam A, Namboodiri K. Conceptual Analysis of Nasya Karma in Netra Rogas. J Adv Res Ayur Yoga Unani Sidd Homeo 2020; 7(3&4): 11-15. DOI: https://doi.org/10.24321/2394.6547.202007
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- 2020
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7. Understanding Diabetic Retinopathy in Ayurvedic Parlance - A Review Article
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Rashmi Pv, Naveen Bs, Krishnan Namboodiri, Vivek J, and Ajoy Viswam
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medicine.medical_specialty ,Quality of life (healthcare) ,Individual health ,business.industry ,Diabetes mellitus ,Family medicine ,medicine ,Diabetic retinopathy ,Non-communicable disease ,medicine.disease ,business ,Contemporary science ,Review article - Abstract
According to WHO 60% of factors related to individual health and quality of life are mutually related to lifestyle. Over 61% of all deaths in India are due to lifestyle or Non Communicable Diseases. Diabetes and diabetic retinopathy have been emerging as an important non communicable disease affecting eye. Prameha leading to dristigata roga based on the basic principles of Ayurveda and effect on netrapatalas leading progressively to timira, kacha, linganasha thereupon is analysed. Charaka Samhita, Sushrutha Samhitha, Ashtanga Hridaya and various research articles and contemporary science books of the concerned subject are referred. Management of the condition involves Nidana Parivarjana and the treatments as per Ayurvedic classics help in Samprapti Vighatana thereby giving relief to the patient. Proper and timely treatment by Ayurveda helps in reversing damage to the eyes and better management of the condition.
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- 2020
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8. Evaluation of Parenchymal Thyroid Diseases Using Ultrasonography
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Naveen Bs
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Pathology ,medicine.medical_specialty ,medicine.anatomical_structure ,business.industry ,Thyroid ,Parenchyma ,medicine ,General Medicine ,Ultrasonography ,business - Abstract
Background: Thyroid diseases are among the most common endocrine disorders seen in all age groups. The present study was conducted to determine parenchymal thyroid diseases using Ultrasonography (USG) in adult patients. Subjects and Methods: This study was conducted on 140 adult patients. Patients were divided into five groups such as Group I (normal); Group II had first detected, early untreated Hashimoto disease (EH); Group III comprised of chronic Hashimoto patients that are under treatment and/or follow up (H); Group IV had multinodular parenchymal hyperplasia (M); and Group V had nodular hyperplasia with Hashimoto (HM). They underwent spectral Doppler ultrasound and acoustic radiation force impulse using Siemens ACUSON S2000 machine. Results: The mean RI in group I was 0.54, in group II was 0.56, in group III was 0.42, in group IV was 0.48 and in group V was 0.49, mean AT in group I was 26.2, in group II was 25.3, in group III was 71.3, in group IV was 46.2 and in group V was 45.1, mean SWV in group I was 1.54, in group II was 1.72, in group III was 1.20, in group IV was 1.46 and in group V was 1.65. The difference was significant (P< 0.05). Conclusion: Authors found that resistivity index, acceleration time and shear wave velocity together are reliable for differential diagnosis of parenchymal thyroid diseases.
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- 2020
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9. Clinical Profile of patients subjected for total hip arthroplasty at a tertiary care hospital
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Naveen Bs and Hemanth R
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medicine.medical_specialty ,business.industry ,General surgery ,medicine ,Tertiary care hospital ,business ,Total hip arthroplasty - Published
- 2021
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10. Evaluation of non-radiation occupational hazards faced by radiologists
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Naveen Bs
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musculoskeletal diseases ,medicine.medical_specialty ,Neck pain ,Tenosynovitis ,business.industry ,Wrist pain ,Elbow pain ,medicine.disease ,Mental health ,body regions ,Varicose veins ,medicine ,Physical therapy ,medicine.symptom ,Carpal tunnel syndrome ,business ,Depression (differential diagnoses) - Abstract
Background: Radiologist perform tedious task of reporting in this fast growing health sector. The present study was conducted to determine non-radiation occupational hazards faced by radiologists.Materials & Methods: The present study was conducted on 114 radiologists who agreed to participate in the study. Information regarding film based versus workstation reporting, working hours, musculoskeletal injuries, depression, the causes of stress etc. was recorded to assess various mental health issues. Results: Forty radiologists had >10 years of experience, 50 had 5-10 years and 24 had 1-5 years, 50 were working n USG only, 34 predominantly workstation based and 30 predominantly film based, 50 used to work >70 hours per week, 39 between 40-70 hours and 25 less than 25 hours per week. Various non- radiation occupational hazards were neck pain in 78, shoulder pain in 65, wrist pain in 96, elbow pain in 53, tenosynovitis in 68, carpal tunnel syndrome in 34, chronic eye strain in 70, needle prick injury in 25, varicose veins in 35, depression in 60 and burnout in 52 radiologists. The difference was significant (P< 0.05). Conclusion: Authors found that various non- radiation occupational hazards such as neck pain, shoulder pain, wrist pain, tenosynovitis, carpal tunnel syndrome, chronic eye strain, varicose veins and depression
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- 2020
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11. Doora Drishti - A Paravartajanya Vikara (Hypermetropia) - A Case Study
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Sandhya Ganesh K and Naveen Bs
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Focus (computing) ,Modalities ,genetic structures ,business.industry ,Hypermetropia ,Medicine ,Optometry ,sense organs ,business ,Refraction ,eye diseases - Abstract
Paravartajanya vikara is the lack of ability of the eye to focus the rays of light on to the retina, one such vikara is dooradrishti where in light focuses behind the retina. Various modalities of Ayurvedic treatments are tried, tested and proved efficaciously in this single case study which is presented.
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- 2017
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12. Management of Menstrual Migraine – An Ayurveda approach
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Mamatha Kv and Naveen Bs
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medicine.medical_specialty ,Pediatrics ,business.industry ,medicine.drug_class ,media_common.quotation_subject ,Menstrual migraine ,medicine.disease ,World health ,Primary headache ,Migraine ,Estrogen ,Epidemiology ,Medicine ,Headaches ,medicine.symptom ,business ,Menstrual cycle ,media_common - Abstract
Migraine is a common disabling primary headache disorder. Epidemiological studies have documented its high prevalence and high socio-economic and personal impacts. It is now ranked by the World Health Organization as number 19 among all diseases worldwide causing disability. Headaches in women, particularly migraine, have been related to changes in the levels of the female hormone estrogen during a woman’s menstrual cycle. Estrogen levels drop immediately before the start of the menstrual flow. Premenstrual migraines regularly occur during or after the time when the female hormones, estrogen and progesterone, decrease to their lowest levels.1 Ayurveda advocates management of ardhavabedhaka is to treat it as vatavyadhi, and also due to apana vata vaigunya in the yoni during rajaswala there will be vataja shula in different parts of the body and specially burning type of pain in the shiras, thus the main line of management should aim at treating the vata vaigunya rather than symptomatic treatment.2,3 This article aims at putting forth a few herbs, which can probably help in managing the intensity of migraine attack.
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- 2018
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13. Role of Maastishkya in Netra Rogas
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Naveen Bs
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Facial skin ,Hair growth ,medicine.medical_specialty ,business.industry ,medicine ,Intensive care medicine ,business ,Therapeutic modalities - Abstract
Shiras or the head is considered as the uttamangai.e a very vital part which shelters all the sense organs and also the seat of prana or life. Ayurveda advocates various therapeutic procedures in name of maastishkya in order to protect the head and sense organs. Maastishkya is a mode of oleating/nourishing the head in order to obtain the above aims. These therapeutic modalities, if practiced regularly, improve and sustain the sense organs, facilitate smooth facial skin, improve the strength of the skull, promote hair growth and avoid the incidence of headache.
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- 2017
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14. Elevated Levels of Urinary PGE-M Are Found in Tobacco Users and Indicate a Poor Prognosis for Oral Squamous Cell Carcinoma Patients
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Xi Kathy Zhou, Andrew J. Dannenberg, Vikram Kekatpure, Ginger L. Milne, Chandramohan Kandasamy, Amritha Suresh, Moni Abraham Kuriakose, Hanhan Wang, Naveen Bs, and Sumsum P. Sunny
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0301 basic medicine ,Adult ,Male ,Cancer Research ,medicine.medical_specialty ,Urinary system ,Metabolite ,Kaplan-Meier Estimate ,Gastroenterology ,Mass Spectrometry ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Internal medicine ,Carcinoma ,Biomarkers, Tumor ,Medicine ,Humans ,Prostaglandin E2 ,Aged ,Proportional Hazards Models ,Gynecology ,Creatinine ,business.industry ,Proportional hazards model ,Squamous Cell Carcinoma of Head and Neck ,Smoking ,Cancer ,Middle Aged ,medicine.disease ,Prognosis ,Confidence interval ,030104 developmental biology ,Oncology ,chemistry ,Head and Neck Neoplasms ,030220 oncology & carcinogenesis ,Carcinoma, Squamous Cell ,Prostaglandins ,Female ,Mouth Neoplasms ,business ,medicine.drug ,Chromatography, Liquid - Abstract
Cyclooxygenase-2 (COX-2)–derived prostaglandin E2 (PGE2) plays a role in the development and progression of epithelial malignancies. Measurements of urinary PGE-M, a stable metabolite of PGE2, reflect systemic PGE2 levels. Here, we investigated whether urinary PGE-M levels were elevated in healthy tobacco users and in patients with oral squamous cell carcinoma (OSCC). Median urinary PGE-M levels were increased in healthy tobacco quid chewers [21.3 ng/mg creatinine (Cr); n = 33; P = 0.03] and smokers (32.1 ng/mg Cr; n = 31; P < 0.001) compared with never tobacco quid chewers-never smokers (18.8 ng/mg Cr; n = 30). Urinary PGE-M levels were also compared in OSCC patients versus healthy tobacco users. An approximately 1-fold increase in median urinary PGE-M level was found in OSCC patients (48.7 ng/mg Cr, n = 78) versus healthy controls (24.5 ng/mg Cr, n = 64; P < 0.001). We further determined whether baseline urinary PGE-M levels were prognostic in OSCC patients who underwent treatment with curative intent. A nearly 1-fold increase in baseline urinary PGE-M levels (64.7 vs. 33.8 ng/mg Cr, P < 0.001) was found in the group of OSCC patients who progressed (n = 37) compared with the group that remained progression free (n = 41). Patients with high baseline levels of urinary PGE-M had both worse disease-specific survival [HR, 1.01 per unit increase; 95% confidence interval (CI), 1.01–1.02; P < 0.001] and overall survival (HR, 1.01 per unit increase; 95% CI, 1.00–1.02; P = 0.03). Taken together, our findings raise the possibility that NSAIDs, prototypic inhibitors of PGE2 synthesis, may be beneficial for reducing the risk of tobacco-related aerodigestive malignancies or treating OSCC patients with high urinary PGE-M levels. Cancer Prev Res; 9(6); 428–36. ©2016 AACR.
- Published
- 2015
15. Laryngotracheal Pleomorphic Adenoma: A Rare Entity
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Rangappa, Vidya Bhushan, primary, Hedne, C Naveen, additional, Chauhan, Shubhra, additional, and Naveen, BS, additional
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- 2015
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16. Modeling the lymph node stromal cells in oral squamous cell carcinoma: insights into the stromal cues in nodal metastasis.
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James BL, Zaidi SN, Aiswarya RK, Shetty V, Vidya Bhushan R, Dokhe Y, Naveen BS, Pillai V, Dhar SK, Kuriakose MA, and Suresh A
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- Humans, Cytokines metabolism, Female, Tumor Cells, Cultured, Male, Stromal Cells pathology, Stromal Cells metabolism, Mouth Neoplasms pathology, Mouth Neoplasms genetics, Mouth Neoplasms metabolism, Lymphatic Metastasis pathology, Lymphatic Metastasis genetics, Carcinoma, Squamous Cell pathology, Carcinoma, Squamous Cell genetics, Carcinoma, Squamous Cell metabolism, Lymph Nodes pathology
- Abstract
The study explores the development and characterization of lymph node stromal cell cultures (LNSCs) from patients with oral squamous cell carcinoma (OSCC), highlighting the importance of understanding tumor-node cross-talk for effective prognostic and therapeutic interventions. Herein, we describe the development and characterization of primary lymph node stromal cells (LNSCs, N = 14) from nodes of metastatic and non-metastatic OSCC patients. Primary cultures were established by the explant method from positive (N + ; N = 2), and negative nodes (N0
m ; N = 4) of the metastatic patients (N = 3) as well as negative (N0nm ; N = 8) nodes from non-metastatic (N = 4) patients. STR profiling confirmed the purity and novelty, while characterization by immunocytochemistry/flow cytometry revealed heterogeneous cell populations consisting of fibroblastic reticular cells (CD31-Gp38 +) and double negative cells (CD31-Gp38-). Transcriptomic profiling indicated molecular alterations in the cells based on the non-metastatic, the pre-metastatic or metastatic status of the nodes, pro-inflammatory, matrix remodeling, and immune evasion being the primary pathways. Assessment of the protein levels for five selected markers (MX1, ISG15, CPM, ITGB4 and FOS) in the cell lines revealed that CPM levels were significantly reduced in the N + and N0m nodes whereas ISG15 levels reduced in N0m . Significantly, the profiling also provided insights into possible glycosylation of CPM (N0nm ) and ISGylation of ISG15 (N0m ). Cytokine profiling indicated release of chemokines/anti-proliferative cytokines from the negative nodes, while angiogenic/pro-metastatic cytokines were released from the nodes of metastatic patients. The lymph node stromal cell models established in the study with distinctive transcriptomic/cytokine characteristics will be invaluable in delineating the processes underlying nodal metastasis., Competing Interests: Declarations. Conflicts of interest: The authors declare they have no conflict of interest in the subject matter discussed in this manuscript. Ethics approval: The study was approved by the institutional ethical committee: Narayana health medical ethics committee (NHH/MEC-CL-EL-6–2016-403(A-1)). Informed consent: The samples were collected after obtaining written informed consent from the patients., (© 2025. The Author(s) under exclusive licence to Japan Human Cell Society.)- Published
- 2025
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17. Evolution of Shore Hardness under Uniaxial Tension/Compression in Body-Temperature Programmable Elastic Shape Memory Hybrids.
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Naveen BS, Jose NT, Krishnan P, Mohapatra S, Pendharkar V, Koh NYH, Lim WY, and Huang WM
- Abstract
Body-temperature programmable elastic shape memory hybrids (SMHs) have great potential for the comfortable fitting of wearable devices. Traditionally, shore hardness is commonly used in the characterization of elastic materials. In this paper, the evolution of shore hardness in body-temperature programmable elastic SMHs upon cyclic loading, and during the shape memory cycle, is systematically investigated. Upon cyclic loading, similar to the Mullins effect, significant softening appears, when the applied strain is over a certain value. On the other hand, after programming, in general, the measured hardness increases with increase in programming strain. However, for certain surfaces, the hardness decreases slightly and then increases rapidly. The underlying mechanism for this phenomenon is explained by the formation of micro-gaps between the inclusion and the matrix after programming. After heating, to melt the inclusions, all samples (both cyclically loaded and programmed) largely recover their original hardness.
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- 2022
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18. Body-Temperature Programmable Soft-Shape Memory Hybrid Sponges for Comfort Fitting.
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Naveen BS, Naseem ABM, Ng CJL, Chan JW, Lee RZX, Teo LET, Wang T, Nripan M, and Huang WM
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Porous shape memory hybrids are fabricated with different matrix (silicone) hardness and different inclusion (polycaprolactone, PCL) ratios. They are characterized to obtain their mechanical response to cyclic loads (with/without pre-straining/programming) and their shape memory performances after body-temperature programming are investigated. These materials are lightweight due to their porous structures. Wetted hydrogels used in the fabrication process for creating pores are reusable and hence this process is eco-friendly. These porous shape memory hybrids exhibit the good shape memory effect of around 90% with higher inclusion (PCL) ratios, which is better than the solid versions reported in the literature. Hence, it is concluded that these materials have great potential to be used in, for instance, insoles and soles for comfort fitting, as demonstrated.
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- 2021
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19. Facial artery-based islanded myomucosal and bone flaps in head and neck reconstruction.
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Joseph ST, Mohan MT, Naveen BS, Anand A, and Tharayil J
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- Arteries surgery, Female, Humans, Male, Middle Aged, Outcome and Process Assessment, Health Care, Postoperative Complications prevention & control, Visual Analog Scale, Facial Muscles blood supply, Facial Muscles transplantation, Head and Neck Neoplasms pathology, Head and Neck Neoplasms surgery, Mucous Membrane transplantation, Neck Dissection adverse effects, Neck Dissection methods, Postoperative Complications diagnosis, Plastic Surgery Procedures adverse effects, Plastic Surgery Procedures methods, Surgical Flaps blood supply, Surgical Flaps transplantation
- Abstract
This article aims to illustrate various applications of facial artery-based islanded myomucosal (iFAMM) and osseous/osteo-myomucosal flaps (iFOMM) in head and neck reconstruction. A retrospective analysis of 75 patients who underwent the reconstruction of various head and neck mucosal defects with iFAMM/iFOMM in a tertiary head and neck cancer department from May 2015 to May 2019 was performed. The patients had surgery for cancer, which involved the oral tongue, floor of mouth, oropharynx, lower alveolus, larynx, hypopharynx, cricopharynx and trachea. iFOMM was used in 3 patients. Functional and esthetic outcomes, short-term and long-term complications were analyzed. The flap was successful in 74 out of 75 patients. Speech was intelligible in almost all patients and majority of patients could take oral feeds without any restrictions. The esthesis of reconstruction was scored high with a mean visual analog scale score of 8.4. The most commonly observed complication was marginal mandibular paresis, which improved with time. Mouth opening was >3 cm in 68/75 patients. Adjuvant radiation was a common factor in patients with <3 cm mouth opening. Flap was sensate by 4 months in majority of patients. The reach, pliability, and esthetics of the flap combined with recoverable morbidity of donor site present in the facial artery-based flap as a good option in the reconstruction of various head and neck subsites. Reduced operative time, lesser complication rates, less financial burden, and simplicity of the procedure make it a cost-effective alternate solution for reconstruction., Competing Interests: Declaration of Competing Interest None., (Copyright © 2020 Elsevier Ltd. All rights reserved.)
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- 2021
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20. A Brief Review of the Shape Memory Phenomena in Polymers and Their Typical Sensor Applications.
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Sun L, Wang TX, Chen HM, Salvekar AV, Naveen BS, Xu Q, Weng Y, Guo X, Chen Y, and Huang WM
- Abstract
In this brief review, an introduction of the underlying mechanisms for the shape memory effect (SME) and various shape memory phenomena in polymers is presented first. After that, a summary of typical applications in sensors based on either heating or wetting activated shape recovery using largely commercial engineering polymers, which are programmed by means of in-plane pre-deformation (load applied in the length/width direction) or out-of-plane pre-deformation (load applied in the thickness direction), is presented. As demonstrated by a number of examples, many low-cost engineering polymers are well suited to, for instance, anti-counterfeit and over-heating/wetting monitoring applications via visual sensation and/or tactual sensation, and many existing technologies and products (e.g., holography, 3D printing, nano-imprinting, electro-spinning, lenticular lens, Fresnel lens, QR/bar code, Moiré pattern, FRID, structural coloring, etc.) can be integrated with the shape memory feature.
- Published
- 2019
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21. Tracheal advancement with myomucosal island flap for partial laryngopharyngectomy defect reconstruction.
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Joseph ST, Naveen BS, Mohan T M, and Tharayil T J
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- Carcinoma, Squamous Cell pathology, Humans, Hypopharyngeal Neoplasms pathology, Male, Middle Aged, Carcinoma, Squamous Cell surgery, Hypopharyngeal Neoplasms surgery, Laryngectomy, Pharyngectomy, Pyriform Sinus, Plastic Surgery Procedures, Surgical Flaps
- Abstract
Background: Restoring the anatomy and function of a partial laryngopharyngectomy with hemicricoid defect is an extremely challenging area in head and neck cancer surgery. Procedures such as tracheal autotransplantation described for these defects are complex and attempted in very few centers. Therefore, the purpose of this article was to share our technique of reconstructing such defects with tracheal advancement with myomucosal island flap for laryngopharyngeal defect (TAMMIL), which allows functional reconstruction of the larynx., Method: A 49-year-old man with carcinoma of the right pyriform sinus, postneoadjuvant chemotherapy with progressive disease underwent vertical partial laryngopharyngectomy. The resultant defect was reconstructed with tracheal advancement and islanded facial artery myomucosal (FAMM) flap., Result: The patient is 1-year postsurgery, free of disease, decannulated, and taking oral feeds. Video fluoroscopy showed no evidence of aspiration., Conclusion: This technique is single-staged, easier compared to existing techniques, aids "like-for-like" reconstruction, and allows surgical organ preservation in selected laryngeal and hypopharyngeal cancers., (© 2018 Wiley Periodicals, Inc.)
- Published
- 2018
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22. Endoscope-assisted conservative resection and reconstruction in recurrent subglottic carcinoma.
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Joseph ST, Tharayil J, Mihir MT, and Naveen BS
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- Carcinoma, Squamous Cell diagnosis, Humans, Laryngeal Neoplasms diagnosis, Male, Middle Aged, Neoplasm Recurrence, Local diagnosis, Carcinoma, Squamous Cell surgery, Endoscopy, Glottis, Laryngeal Neoplasms therapy, Neoplasm Recurrence, Local surgery, Plastic Surgery Procedures
- Abstract
Background: Very few cases of conservative laryngectomy in recurrent carcinoma of subglottis postradiotherapy have been reported. Technical aspects of conservative resection and reconstruction in subglottic carcinoma have not been well described., Methods: Herein, we present a case of recurrent carcinoma of subglottis for which conservative resection with adequate margins was done with endoscope assistance and defect reconstructed by buccal mucosa, conchal cartilage, and temporoparietal free flap. The technique of resection, reconstruction, complications, postoperative outcome, and our suggestions are described., Results: The lesion could be removed with wide margins. Reconstruction could preserve the voice, and deglutition was unaffected. There was no donor site-related complication. Complications were a result of the choice of the stent, which included infection and difficulty in removal., Conclusion: Selected cases of recurrent carcinoma of the subglottis can be managed by conservative resection with adequate margins and appropriate reconstruction with good functional outcomes., (© 2018 Wiley Periodicals, Inc.)
- Published
- 2018
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23. Islanded facial artery musculomucosal flap for tongue reconstruction.
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Joseph ST, Naveen BS, and Mohan TM
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- Arteries, Humans, Treatment Outcome, Carcinoma, Squamous Cell surgery, Facial Muscles blood supply, Oral Surgical Procedures methods, Plastic Surgery Procedures methods, Surgical Flaps blood supply, Tongue Neoplasms surgery
- Abstract
Reconstruction of the tongue can be achieved by means of various local, regional, and microvascular free flaps. Local flaps commonly used for tongue reconstruction include the nasolabial flap, submental flap, infrahyoid flap, and pedicled facial artery musculomucosal (FAMM) flap. The purpose of this article is to propose a technical modification to the FAMM flap for the reconstruction of small to medium-sized tongue defects post tumour excision: islanding the flap and tunnelling it from the lingual aspect of the mandible in a single-stage procedure. Islanding of the FAMM flap was found to be an extremely useful modification, giving excellent range of movement for the flap and eliminating the need for revision in a second stage procedure., (Copyright © 2016 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.)
- Published
- 2017
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24. Comparison of Outcome of Modified Millard's Incision and Delaire's Functional Method in Primary Repair of Unilateral Cleft Lip: A Prospective Study.
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Kuna SK, Srinath N, Naveen BS, and Hasan K
- Abstract
Background: Certain preoperative anatomical features may lead the surgeon to choose one particular incision pattern in preference to another. No one technique of cleft lip repair consistently produces ideal aesthetic and functional results., Objectives: This study was conducted to compare the outcomes attained using two different designs of skin incision used for surgical correction of unilateral cleft lip., Materials and Methods: Modified Millard's incision and Delaire's functional method techniques were performed and evaluated on 18 patients who received primary unilateral cleft lip repair. Soft-tissue measurements of the lip and nose were recorded preoperatively. Analysis was based on postoperative assessment of the white roll, vermilion border, scar, Cupid's bow, lip length, and nostril symmetry and appearance of the alar dome and base. Chi-square and Fisher exact test, Student t test (two tailed, independent) and Student t test (two tailed, dependent) were used for statistical analysis of study parameters at 5 % level of significance., Results: Preconceptions that one particular technique was better suited to certain preoperative cleft anatomical forms were not proven statistically. The outcome of our surgical methods was good and suggested quantitative changes with progressive diminution of asymmetry of the cleft and non cleft sides., Conclusion: Lip length improvement was better in case of modified Millard's incision. The Delaire's functional method of cleft lip repair results in improved nasal symmetry due to correction of the abnormal insertions of the underlying musculature.
- Published
- 2016
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