INTRODUCTION:Even though radiofrequency ablation (RFA) is accepted as the first choice in treatment of varicose veins due to great sapheno femoral insuffiency, this treatment modality has not gained popularity in India. We present our experience with a large case series, involving more than a thousand RFAs. METHODS: Symtomatic varicose vein patients presenting to surgery OPD, who met the Doppler ultrasonography (USG) criteria for suitability for RFA, were offered RFA instead of open surgery. Radiofrequency ablation of varicose vein was done using the radiofrequency generator and segmental ablation catheter, under USG guidance. RESULTS:Patients who underwent RFA were followed up by check Doppler at 21 days and at 90 days. Out of a total of 1288 RFAs, technical success at 90 days was 99%. Factors affecting technical success were highlighted. Complications were minor and negligible. Modification of the technique to prevent some of the complications were carried out. CONCLUSION: This study, one of the largest series ever, has demonstrated that RFA is a safe and effective treatment and an alternate for surgery.
Relative strength is the amount of strength to the body size. It is the strength to body weight ration. When body size is more, we generally understand that the strength is more with the player. In strength sports like weight lifting, powerlifting the strength of the individual is measured. In weight lifting, the total of snatch, clean and jerk are the factors to decide the winner; however, in powerlifting the total of squat, bench press and deadlift are considered. In this study, 54 senior class powerlifter and 54 junior class powerlifters are treated as subjects. All the subjects from heavy weight categories such as 105kg, 120kg and above 120kg categories are highlighted. The results of the study revealed that the relative strength is decreasing with the increased body weight.
Bariatric surgery results in significant improvement in health related quality of life and depressive symptoms irrespective of the wide range of weight change. This experiment was planned to assess the incidence of depression in obese respondents and to analyse the change in depression after weight loss through bariatric surgery.To analyse the incidence of depression in obese individuals undergoing bariatric surgery and the significance of change in depression status after weight loss.The study was conducted in a multispecialty hospital having obesity clinic and bariatric surgery unit. The depression level before the study and at six months post surgery was assessed using a standard tool named Beck’s inventory. Study period was from 2015 to 2017.Respondents having BMI of 33-50 Kg/m belonging to both the genders in the age range of 18-65 years. The respondents having BMI more than 50Kg/m were excluded in this study.18 respondents who underwent bariatric surgery were included in the study. Percentage distribution, Pearson correlation coefficient, ANOVA, and Paired t test were the tools utilised in statistical analysis of the data.Schedule to assess change in nutritional status using a structured questionnaire considering anthropometric, biochemical, clinical and dietary parameters, and standard tool named Beck’s Depression Inventory, which is a tool for depression status. The surgery patients had initial Beck Score ranging from 1 to 14 indicating mild depression which on follow up reduced to 0 to 7. The weight loss in both genders were similar to each other. The change in intake of nutrients and the scores of depression were more prominent in men than that of women. Respondents pre operatively had mild mood disturbances which after weight loss, became a normal mood.Thus it can be concluded that weight loss through bariatric surgery is effective in reducing depression.
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