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Kookal Ramunni Krishnan (KR Krishnan) (1929 – 1999) born in Kerala, was an Indian physician. He was former director of Southport Regional Spinal Injuries Centre in Southport, United Kingdom, a lecturer in the department of neurological science at University of Liverpool, and visiting professor of rehabilitation at University of Salford. He is credited with pioneering the spinal injuries service at Southport. His father, a High Court Judge in Kerala, had encouraged him to travel to England `To get to know the English'. Those who met and talked with Krishnan will no doubt realize that he did indeed achieve this aim, probably more than the English as a nation understand themselves. He managed this achievement through close observation of human behavior, his warmth, witty intelligence, and his humor will be sadly missed. Dr. Krishnan worked for a time with Sir Ludwig Guttmann and he developed his interest in spinal cord injury (SCI) then. Dr. Krishnan spent 30 years working with, and for, those with SCI and was an internationally respected clinician, researcher and advocate in the field. It was during this time that he developed his understanding and concern for those with spinal cord injury. Following a brief period in India he was persuaded to return to England in 1971 to take on the vacant post of Consultant in Spinal Injuries in Southport. He undertook this post with great enthusiasm and developed the service extensively. He always kept the interests of his patients paramount, acting as their strongest advocate, not only for their needs but also for those of their family and friends. Krishan set exacting standards to ensure a balance was always achieved between their clinical, personal and family needs; he had an unfailing ability to remember the names of patients and their families who returned to the Center many years after their initial discharge. His persuasive personality and dedication to the benefit of patients remains at the core of practice in Southport Center to the present day. The development and opening of a purpose built Spinal Injuries Center in Southport in 1991, arose out of Krishnan's dedication, charisma and vision to ensure the best possible service to his patients. His dedication to providing comprehensive service for those with spinal cord injury led to, among many achievements, appointment of the first first dedicated clinical psychology service to a spinal injuries unit; case management initiatives to manage the process of care and community reintegration; development of life-long follow-up programs and management in the community to ensure continued health; the development of purpose-built accommodation in order to enable people to live independently, and funding a chalet so patients and their families might take holidays together in safety and comfort. He made many notable contributions to the field of SCI authoring almost 100 peer reviewed publications and numerous book chapters. He co-authored of one of the widely cited clinical algorithm for the urological management of spinal cord damaged patients. He did notable work on long-term impact of patients with spinal cord injury. Dr. Krishnan was a key member of a fifty-year investigation examining long-term survival in a population-based sample of spinal cord injury (SCI) survivors in Great Britain, a study that identified risk factors contributing to deaths and explored trends in cause of death over the decades following spinal cord injury. His paper on 20 year outcomes of persons with spinal cord injury is highlighted as one of the most important papers on the clinical practice committee's suggested reading list of the American Association of Spinal Cord Injury Psychologists and Social Workers. Dr. Krishnan was also a known as an advocate for patients with Spinal Cord Injury; as a member of the SCI Consensus group, a multinational group of clinicians and researchers, he assessed health-related quality of the life (HRQL) for SCI patients and available instruments for its measurement. He was also the president of the CALIES Network (Computer-Aided Locomotion by Implanted Electro-Stimulation), a pan-European non-profit organization of rehabilitation centers focusing on pioneering mobility using implanted muscle stimulation. At the time of his death, he was writing a book on tetraplegic ventilatory management. Dr. Krishnan was known for his ability to remember the names of patients and their families years after he treated them. In retirement, he had begun to spend more time in his garden and he also had a reputation an excellent cook and host. Dr. Krishnan received his medical degree MBBS from Chennai in 1951. Later, he also received his FRCS. Dr. Krishnan's sister Dr. Devaki Kutty was a Professor of Medicine at King Georges' Medical College, Lucknow, India. Retirement to Krishnan appeared simply to provide the opportunity to move the focus of his enthusiasm to new areas. He remained in great demand from solicitors and barristers for his persuasive advocacy on behalf of patients' personal injury claims. Indeed,many have commented they owe him a great deal for the effect he had on developing their own professional and personal understanding of the cases in which they are involved. He had begun to spend more time in his garden and had many plans for the coming season.The family kitchen was the hub of all activity and Krishnan was an excellent cook and host. Krishnan is survived by his wife Patsy, son Richard and daughter Anjali, and his sister Dr Devaki Kutty and brother KR Narayanan and sister, Chinnam. His love of family and friends knew no bounds. Krishnan was a visionary, humanitarian and master tactician. His clinical skill was unerringly accurate and purposeful. Those who received his training, and the people they treat, will continue to benefit from his support for many decades. He will be missed by all those whose lives he touched. ==References== * Kookal Ramunni Krishnan Obituary - British Medical Journal: () * Kookal Ramunni Krishnan Obituary - Spinal Cord: () * CALIES Network: () * American Association of Spinal Cord Injury Psychologists and Social Workers (AASCIPSW):() * Gardner BP, Parsons KF, Machin DG, Galloway A, Krishnan KR. The urological management of spinal cord damaged patients: A clinical algorithm. Paraplegia. 1986;24:138–147. * Quality of life in patients with spinal cord injury-basic issues, assessment, and recommendations- Results of a consensus meeting. Restorative Neurology and Neuroscience 20 (2002) 135–149 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「Kookal Ramunni Krishnan」の詳細全文を読む スポンサード リンク
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