Introduction: Tetrilimus (Sahajanand Medical Technologies Pvt. Ltd., Surat, India) is a recently-introduced biodegradable-polymer coated everolimus-eluting cobaltchromium coronary stent system with an ultra-thin strut thickness. We aimed to evaluate the clinical outcomes with Tetrilimus coronary stents in "real-world" patients with coronary artery disease. Methods: In this retrospective, single-arm, openlabel, multi-center registry, all consecutive patients who received Tetrilimus stents between July-2015 and April-2016 at two tertiary-care centers in India were analyzed. Primary endpoint was 30-day incidence of major adverse cardiac events (MACE), defined as a composite of cardiac death, myocardial infarction, target lesion revascularization, and target vessel revascularization. The Academic Research Consortium (ARC)-defined stent thrombosis was assessed as additional safety endpoint. Results: During the study period, 280 Tetrilimus stents (1.4 ± 0.5 stent/patient) were implanted to treat 252 coronary lesions (1.1 ± 0.3 stent/lesion) in 208 patients (age: 57.5 ± 11.9 years). Of study population, 65.9% were males, 46.6% were hypertensives, 25% were diabetics, 36.5% were alcoholics, 29.3% were smokers, 13.9% were tobacco chewers, 5.3% had previous revascularization, and 45.2% displayed multi-vessel disease. Of treated lesions, 67.5% were complex and 18.7% had total occlusion. Average length and diameter of implanted stents were 25.5 ± 8.8 mm and 2.9 ± 0.3 mm respectively. Subsequently, 30-day MACE were reported in 2 (0.96%) patients; both cases owing to in-hospital cardiac deaths. Events of stent thrombosis or noncardiac death were not reported in any patient. Conclusion: Low MACE rates and absence of stent thrombosis at early 30-day follow-up indicates that Tetrilimus everolimus

Off-pump coronary artery bypass involves precise manipulations for proper positioning the heart without causing hemodynamic compromise. Pericardial stay sutures exerting appropriate traction play an important role in off-pump surgery. We report a rare case in which a congenital pericardial defect was discovered after sternotomy in a patient undergoing off-pump coronary artery bypass.

Context:Renal trauma is increasingly being managed conservatively. Grade I-III injuries are managed conservatively whereas Grade V injuries may end in surgery. Managing Grade IV renal trauma is individualized and managed accordingly.Aims:To evaluate retrospectively all Grade IV renal injuries managed in our institute over five years and to review the available literature.Settings and Design:Reviewing the records of patients who sustained renal trauma and study all Grade IV renal injuries.Materials and Methods:We retrospectively analyzed all Grade IV renal injuries (16) managed at our institute between July 2008-August 2013. All patients were treated conservatively initially by hemodynamic stabilization, strict bed rest, if required endoscopic procedures. These patients were followed up with CECT.Statistical analysis:Descriptive statistics was performed using Microsoft excel spreadsheet 2007. Continuous data were described as mean and range. Categorical data was described as percentages.Results:Sixteen patients with Grade IV renal injury were included in the study. All patients had gross hematuria and 15 had urinary extravasation. D-J Stenting was done in 7 patients; perinephric tube drainage with D-J stentingwas done in 2 patients. One required selective upper pole arterial embolisation. Nephrectomy was not required in any of the patients. In the follow-up period, no patient had delayed complications.Conclusions:Successful conservative management of Grade IV renal trauma requires constant monitoring both clinically and radiologically, and if properly managed, kidneys can be salvaged in all stable patients as reinforced by our study.

Background: Peritonitis is defined as inflammation of the serosal membrane that lines the abdominal cavity and the organs contained therein. Peritonitis is often caused by the introduction of infection into the otherwise sterile peritoneal environment through the perforation of the bowel, such as the ruptured appendix or colonic diverticulum. The disease may also be caused by the introduction of a chemically irritating material, such as gastric acid from a perforated ulcer. Peritonitis secondary to perforation of the gastrointestinal tract, a common occurrence in this country, requires emergency surgical intervention and is associated with significant morbidity and mortality rates.Methods: This was a comparative prospective cohort study in which 150 patients presenting with symptoms peritonitis secondary to hollow viscus perforation in general surgery department, Sri Venktaeshwara Medical College, Tiruapti from March 2017 to November 2018 were taken for the study.Results: Jabalpur prognostic scoring system has a slightly higher area under the curve of 96% when compared with the Mannheims peritonitis index score with 95%. So this shows that the Jabalpur prognostic scoring system has slightly greater indices than, that of Mannheims peritonitis index scoring system in predicting the prognosis of perforative peritonitis.Conclusions: In patients with perforation peritonitis, Jabalpur prognostic scoring system is an easy and reliable predictor in evaluating prognosis. In developing countries like India, where in resources are limited, Jabalpur prognostic scoring system will greatly help in predicting prognosis in patients with perforarion peritonitis. Because of its cost effectiveness, availability and ease of use, it is recommended as a part in the holistic approach of treatment of perforation peritonitis.

The objective of the study was to evaluate the effect of vacuum packaging in combination with antimelanotic treatment on quality characteristics and melanosis in farmed tiger shrimp (Penaeus monodon) collected from Ratnagiri region of Maharashtra. The processed shrimps were treated with sulfite mixture in water (30 g kg-1) and divided into two lots each with 250 shrimps. One of them was vacuum packed, the other was air packed and stored under ice. The ice stored shrimps were analyzed for quality attributes and melanosis for a period of 27 days. The treated vacuum packed shrimps had a shelf life of 24 days, whereas air packed shrimp had 16 days only. Melanosis was absent in the shrimps from both the lots throughout the storage period. Based on the results, it could be concluded that the combination of antimelanotic treatment (sulphite mixture) and packaging could significantly delay the occurrence of melanosis and increase the storage life of shrimp in ice. DOI: http://dx.doi.org/10.3329/sja.v11i2.18400 SAARC J. Agri., 11(2): 33-47 (2013)