|
International Journal of Recent Trends in Science and Technology
Journal description comes here
January to March 2022 Volume: 12, Issue: 1
Research Articles
-
Evaluation of treatment of fracture neck fermur with uncemented bipolar prosthesis
Abdul Naser, Sarang Vyawahare
- » Abstract
Background: The Incidence of Femoral Neck Fracture is On an Increase. Despite Marked Improvement in Implant Design, Surgeon technique and Patient Care, This Fracture Still remains the Unsolved Fracture. In the elderly replacement arthroplasty is better option in View of critical blood supply of femoral head, osteoporosis, prolonged immobility in elderly patient Considering the social economic status, cost factor, demand of squatting and sitting cross legged, operating conditions, Bipolar arthroplasty whereas can be conducted even in remote areas, is cost effective, result even at the hand of general orthopedic surgeons are good and does not change much the life style of Indian population. Material and methods: All patent above the age of 55 years suspected of having an intracapsular fracture of the femoral neck coming to the casualty were considered for this. Detailed history of the mechanism of the injury, associated injuries Anteroposterior X- rays of the hip and lateral x-rays were taken presence of absence of osteoporosis were noted. Also the part of the neck remaining above the lesser trochanter was noted, Bipolar Prosthesis was used, Lateral Position was given and Moore’s approach was used. Results: In the Presence Series total no of cases were 50 of which mean age of patient were 60 years and mean follow-up was 2 years, The mean post operative Harris hip score was 84 points, 50% of cases were excellent out come with no pain no limp with normal life style. Conclusion: Bipolar prosthesis could be used as replacement arthroplasty in intracapsular fracture neck femur on a larger scale ensuring early mobilization and ambulation of elderly patients.
- » PDF
-
Pattern of road traffic accident cases in Karad - Three years retrospective study
Sunil C Aramani, Shakuntala S Aramani, Vijay Kumar A G, Patil D T, Anand Patil
- » Abstract
Introduction: A traffic collision, also known as a traffic accident, motor vehicle collision, motor vehicle accident, car accident, automobile accident, road traffic collision, road traffic accident, wreck (USA), car crash, or car smash (Australian) occurs when a vehicle collides with another vehicle, pedestrian, animal, road debris, or other stationary obstruction, such as a tree or utility pole. Material and Methods: In this 3 years retrospective study done from Jan 2010 to Dec 2012, totally 2698 road traffic accident cases which have been registered in the casualty of Krishna Institute of Medical sciences were analyzed at the Department of Forensic Medicine and Toxicology, KIMS, Karad. During this study several epidemiological observations and their results were considered. Results and Discussion: In the present study, maximum number of cases belongs to 21-30 years age group, with male: female ratio is 2.1:1. According to study done by Badrinarayan M, among 360 RTA victims, most cases 138 (38.33%) were in the age group of 15–30 years. A high percentage of both fatal 30 cases out of total 66 (45.45%) and non-fatal 108 out of total 294 (36.73%) cases were observed from the same age group. Mobile males (85%) outscored the domicile females (15%) with a ratio of 5.66:1. Conclusions: Research suggests that the driver's attention is affected by distracting sounds such as conversations and operating a mobile phone while driving. Many jurisdictions now restrict or outlaw the use of some types of phone within the car.
- » PDF
-
Climate change and adaptation concepts: an indispensable curriculum innovation at higher and basic levels of education in developing countries of Africa
Ezugwu J J O
- » Abstract
Introduction: This paper presents the outcome of an investigation that considered the current global changes in climate and discussed “climate change and adaptation concepts†for inclusion as innovations in curriculum planning, revision and implementation at both basic and higher levels of education in countries in Africa. This investigation was carried out in Nigeria, an African country and therefore considers African countries’, especially Nigerian educational system as possible areas where the suggested “climate change and adaptation concepts†could best be infused as innovations in curriculum provisions, curriculum revision, and implementation at both Basic and Higher levels of education. In this context, Africa countries are assumed to have approximately similar climatic conditions and can be considered together. The design employed in the investigation was a survey that involved the opinions of a randomly composed sample of one hundred and twenty (120) respondents to a questionnaire instrument developed by the researcher. The sample was made up 30 (thirty) higher education (University lecturers, 30 (thirty) College of Education lecturers, 30 (thirty) basic education (secondary education tutors) and 30(thirty) literate adult members of the public, all drawn from University of Nigeria town in Nsukka, Ehamufu College of Education, Secondary School in Nsukka and Adult members of the public within the metropolis. A total of 5(five) research questions were posed, a total of 20 (twenty) questionnaire items were used and 3(three) research hypotheses were formulated to guide the study. Data collected were analysed using some descriptive statistics like frequencies of the responses obtained on a 4-point likert scale, weighted average responses, as well as z-test statistic for answering the hypotheses formulated. Results obtained showed that all the items of the five research questions posed were considered acceptable by the three categories of respondents used in the study. Results also showed that there was no significant difference in the mean opinions of University lecturers, college of education lecturers, secondary education tutors and the literate adult members of the public that served as respondents to the questionnaire items. Recommendations made include that the performance objectives; content areas to be used; instructional methods for teaching and learning of the concepts; as well as evaluation techniques suggested be infused in the curriculum at both levels of education as innovations in Africa countries, especially in Nigeria.
- » PDF
-
Towards achieving millennium development goals in Nigeria: development and validation of an instrument for assessing e-learning acquisition in a learner
Ezugwu J J O, Onugha I U
-
Influence of divorce on children’s up brought and education in afikpo north local government of ebonyi state: Remedial measures for sustainable life styles
Oko Emelda Chinasa, Ezeugwu J J O
- » Abstract
Introduction: This study presents the results of an investigation on the major causes of divorce in Afikpo North Local Government Area of Ebonyi State, the influence of divorce on children’s upbringing, educationally, socially and emotionally and suggested measures for the eradication of divorce which is a notable problem in Afikpo North Local Government Area of Ebonyi State. Seven clustered research questions with a total of 60 the following items and hypothesis guided the study. The design employed was the descriptive survey involving a questionnaire instrument. Purposive sampling technique was used in the study in order to use schools that have divorced cases in the study. A random sample of 480 SS 3 students 40 secondary school teachers, as well as 21 school guidance counselors, all drawn from 21 secondary schools in the L.G.A, was used as respondents. On the whole there were 260 males, 260 females respectively taking all males and females together well as data collected were analyzed analyses using some descriptive statistics like frequencies, percentages, weighted average responses, as inferential statistics like t-test statistics for testing the hypothesis stated in the study. Major findings in the causes of divorce include sterility, importency, adultery, neglect of wives by husbands; influences of divorce on children include of education of children for trading and other, forms of petty business, exhibition of deviant behaviours like theft, prostitution, aggression, development of low self-esteem and feeling of rejection. Some suggested remedial measures include complete eradication of early and forceful marriages, unfaithfulness, neglect of wives and exhibition of true love and respect on the part of couples. Some recommendations made include that would-be-partners should be biologically harmonious through adequate testing of their genotypes, and avoidance of marriages arranged by relatives or friends without the consent of both parents.
- » PDF
-
Influence of divorce on children’s up brought and education in afikpo north local government of ebonyi state: Remedial measures for sustainable life styles
Oko Emelda Chinasa, Ezeugwu J J O
- » Abstract
Introduction: This study presents the results of an investigation on the major causes of divorce in Afikpo North Local Government Area of Ebonyi State, the influence of divorce on children’s upbringing, educationally, socially and emotionally and suggested measures for the eradication of divorce which is a notable problem in Afikpo North Local Government Area of Ebonyi State. Seven clustered research questions with a total of 60 the following items and hypothesis guided the study. The design employed was the descriptive survey involving a questionnaire instrument. Purposive sampling technique was used in the study in order to use schools that have divorced cases in the study. A random sample of 480 SS 3 students 40 secondary school teachers, as well as 21 school guidance counselors, all drawn from 21 secondary schools in the L.G.A, was used as respondents. On the whole there were 260 males, 260 females respectively taking all males and females together well as data collected were analyzed analyses using some descriptive statistics like frequencies, percentages, weighted average responses, as inferential statistics like t-test statistics for testing the hypothesis stated in the study. Major findings in the causes of divorce include sterility, importency, adultery, neglect of wives by husbands; influences of divorce on children include of education of children for trading and other, forms of petty business, exhibition of deviant behaviours like theft, prostitution, aggression, development of low self-esteem and feeling of rejection. Some suggested remedial measures include complete eradication of early and forceful marriages, unfaithfulness, neglect of wives and exhibition of true love and respect on the part of couples. Some recommendations made include that would-be-partners should be biologically harmonious through adequate testing of their genotypes, and avoidance of marriages arranged by relatives or friends without the consent of both parents.
- » PDF
-
Efficacy of dexmedetomidine infusion of two different doses in patients undergoing laparoscopic surgeries
Tanmay Tiwari, Rajni Gupta, Ajay Chaudhary, Monica Kohli, Jaishree Bogra
- » Abstract
Introduction: Dexmedetomidine is an α-adrenoceptor agonist with dose dependent α2-adrenoceptor selectivity. Clinical trials indicate that patients treated with dexmedetomidine required either no additional sedative medication or only small doses of add-on medications. This was significantly different from the add-on medication requirements of patients who did not receive dexmedetomidine. Aims and objectives: to study the Efficacy of dexmedetomidine infusion of two different doses in patients undergoing laparoscopic surgeries. Materials and method: in the present study three groups were compared (control, dex 0.3 and dex 0.6). Sedation using Ramsay sedation score, pain using Visual analogue score (VAS), incidence of post operative nausea and vomiting and use of any drug for pain, vomiting and any other side effect were measured and compared. Results: It was observed that duration of surgery, duration of infusion and use of Fentanyl (μg) was statistically insignificant in all the three groups. The mean time of eye opening in Control, Dex 0.3 and Dex 0.6 was 2.83 ± 0.67 min, 4.35 ± 0.68 min and 4.71 ± 0.61 min respectively. The mean time to follow verbal commands in Control, Dex 0.3 and Dex 0.6 group was 3.32 ± 0.70 min, 4.84 ± 0.68 min and 5.29 ± 0.69 min respectively. The mean time to extubate was maximum (5.94 ± 0.66 min) in Dex 0.6 group as compare to control (3.87 ± 0.62 min) and Dex 0.3 (5.25 ± 0.73 min). The use of antiemetic and analgesics was highest in Control followed by Dex 0.3 and least in Dex 0.6. Conclusion: The perioperative infusion of dexmedetomidine has good efficacy during laparoscopic surgery as it, offered decreased postoperative pain level and better sedation scores, decreased the total amount of analgesic and antiemetics requirements as compared with control. Continuous infusion at 0.3µg/kg/hour is recommended over the 0.6µg/kg/hour.
- » PDF
-
A Rare Case of Calcified Non-Parasitic Splenic Abscess
S. Pani1, Harpriya Kar, Sujit Prasad, Lisha Suraj, Vishal Yadav, Gautam Agarwal, Anuraddha Koli, Reshma Bhoir
-
Petrographic and Chemical studies of Tertiary Lignite of Ratnagiri Coast of Maharashtra, INDIA
R A Suryawanshi
-
Spatial verification of SCS-CN and Φ-Index methods in correlation to land use/land cover and Soil characteristics
Varsha Mane, Y B Katpatal, K R Aher
- » Abstract
Groundwater recharge planning in microwatersheds is based on realistic information on infiltration characteristics. The present paper focuses on identification of infiltration characteristics within Mini watersheds by estimating runoff parameters and Φ-index. For this, the landuse /land cover and hydrological soil groups of the study area have been generated in GIS environment. By using landuse and soil classes, curve number has been generated. In the process, the SCS- CN method has been used to estimate runoff depth, peak discharge, and potential maximum retention, time of concentration and time to peak discharge for individual ten micro-watershed of the study area. For computation of infiltration rate from rainfall runoff data, infiltration indices i.e. Φ -index has been used. The study reveals that the SCS-CN method can be significantly used to determine the runoff estimation with input of LU/LC from RS data in comparison to the rational method. The study also verifies the fact that the Φ-index is related to the landuse, especially vegetation intensity and soil type of the micro-watershed. Result shows that WGK-2, 1/10 micro-watershed having highest Φ–index (2.29 mm/day) value, lower runoff (711.3) and Curve number value (64.33), has 70% forest area and gravely sandy loam type of soil. WGK-2, 10/10 micro-watershed having lowest Φ–index (0.81 mm/day) has higher runoff (807.29 mm) and Curve number value (84.7).
- » PDF
-
Evaluation of portal vein anatomy and variations in a south Indian population group on routine abdominal multi-detector computed tomography
Thomas B, Basti Ram S, Xavier Joseph V, Kumbar Vishwanath G
-
factors of type 2 diabetes: a study among high risk adults in a tribal area of western Maharashtra
Kunde Pallavi B, Zade Dnyaneshwar C
-
A study of assessment of dyslipidemia in hypertensive patients
Laxmikant Chavan, Abraha Hailu
-
Role of MRI in lumbar intervertebral disc prolapse - a clinico- radiologic correlation study
Ram Shenoy Basti, Rishi Philip Mathew, Abdunnisar M, Hadihally B Suresh
-
Clinico-pathological study on role of frozen section in ovarian lesions at a tertiary care hospital in south India
Nisha J Marla, Athulya C, Hilda Fernandes, Jayaprakash C S
-
Study of Intravenous Drug Analgesia for first stage labour pain relief: a descriptive study
Sanjaykumar B Pagare, Nimisha Pagare, Deshpande S S, Yelikar K A
-
Assessing hand grip strength and screening of performance related upper limb injuries experienced by Indian musicians
Ajay Malshikare, Tushar Palekar, Parag Narayankar
- » Abstract
The objective of this study were to assess Hand Grip Strength and screen for performance related upper limb injuries experienced by Guitar, Sitar, Keyboard, Harmonium, and Tabla players.100 Musicians from age group of 20-60 years participated in this survey. Every musician was given a questionnaire to fill as per their experience about performance related symptoms and problem faced in past or present in upper limb. After this, Hand grip strength (B/L) was measured in sitting position with elbow flexed in 900, shoulder adducted, forearm in mid prone position with wrist in neutral position and cuff of Modified Mercurial type Adult Sphygmomanometer inflated to 20 mmHg. Every participant musician was told to press the cuff as hard as possible for 3 times. Rest period of 5 minutes was given in-between every trail. The Mean score among 3 trails was recorded. The result showed, 66 Musicians out of 100 were having performance related symptom or problem experienced in upper limb. The information about musician`s hand grip strength, showed significant difference between the dominant and non-dominant hand grip strength (p = 0.034). Musicians participated in survey experienced symptoms like significant pain in musculoskeletal system, abnormal sensations in finger tips, weakness in muscles and loss of sensation in fingers. Assessment of grip strength is an essential evaluation method and it’s useful to keep normative data of hand grip strength for musicians and also for physiotherapist.
- » PDF
-
Evaluation of anatomical variations in aortic arch branching pattern in south Indian population using computed tomography
Ram Shenoy Basti, Sanjay Kumar
- » Abstract
Background and Purpose: Anatomical variations can occur in the aortic arch branching pattern and the frequency of various types vary in different population groups. These are likely due to alterations in the development of aortic arch arteries during embryonic period. These variations are significant for diagnostic and surgical procedures in head and neck. The purpose of this study is to determine the frequency of the aortic arch branch variations on CT in the local population and thus provide useful data to intervention radiologists, vascular, head and neck and thoracic surgeons. Materials and Methods: CT scans of the chest of a total of 306 patients performed in our hospital were analyzed retrospectively and assessed for the origin of the major aortic branches. Axial images are primarily used for assessment. Thereafter necessary reformatted multiplanar and curved reformatted images, MIP, VR images were used to assign each patient is assigned into a particular type of the branch variation. Results: The most common aortic arch branching pattern - type 1 was found in 274 of 306 cases (89.5%). In this pattern three major branches - Brachiocephalic trunk (BT), Left common carotid (LCC) and Left subclavian (LS) originated independently from the arch of aorta. Second commonest branching pattern was type 2 which was found in 16 of 306 cases (5.2%). This pattern had only two branches - The first was a common trunk designated as great trunk (GT) which gave the brachiocephalic trunk and left common carotid artery. The other was the left subclavian artery. Third common branching pattern was type 3 which was seen in 14 of 306 cases (4.6%), which had four branches: Brachiocephalic trunk, left common carotid artery, left subclavian artery and left vertebral artery (LV). Two rare variants were found, 1 case each (0.3%). One had four branches: right common carotid, left common carotid, left subclavian and aberrant right subclavian artery (ARSC). This has been called the type 4 variant. The other had three branches: great trunk, left vertebral artery and left subclavian artery ( type 6 variant).
- » PDF
-
Perimenopausal bleeding: evaluation of various treatment modalities
Sanjay Bansode, Vinit Dhadke
- » Abstract
Introduction: Perimenopause is defined as, the years prior to menopause that encompasses the change from normal ovulatory cycles to cessation of menses, marked by irregularity of menstrual cycles. Management consists of a stepwise evaluation of all possible organic causes of uterine bleeding. A patient's degree of menorrhagia, associated pain, desire for pregnancy, concurrent medical conditions, treatment side effects and her physician's comfort level should be taken into account when deciding on management. Aims and objectives: to study the various treatment modalities used to treat perimenopausal bleeding. Materials and method: Women attending gynecology department with perimenopausal bleeding were enrolled in the study. Detail history, clinical finding were recorded. Treatment was decided using standard criteria. And the outcome was measured. Results: Maximum 66 i.e. 82.5% cases had dysfunctional uterine bleeding followed by fibroid. Majority of the cases (13.75%) had hypertension as associated disorder. 42 cases received Norethisterone acetate which cured 35 i.e. 83.33% cases, while 14 cases received Tranexamic acid which cured 12 i.e. 85.71% cases. In 12 cases dilatation and curettage was performed which cured 9 i.e. 75% cases, while in 12 cases hysterectomy was done which cured all the cases. 16.25% women required blood transfusion to correct the anemia. Conclusion: In medical management low cost tranexamic acid (85.75%) is almost as effective as high cost hormone therapy, norethisterone acetate (83.33%).Low cost minor surgical procedures like dilatation and curettage is effective in 75% cases while high cost major surgery like hysterectomy is effective in all the cases as it removes the causative organ.
- » PDF
-
Preparation, characterization and luminescent properties of LiBO2:Tb3+ green emitting phosphor for solid state lighting
V R Panse, N S Kokode, S J Dhoble
-
A rare case report -Lipoid proteinosis with laryngeal and oral manifestations
Poonam Khairnar, S. K. Nagle, Kartik Parelkar, Shubhangi Kedar, Bandu Nagarale
-
A comparative study of platelet counts by manual and automated methods in platelet poor plasma
J B Leena, Mrudula, Sumanth Devaraju, Crysle Saldhana, Veronica
-
Obstetric outcome of teenage pregnancy
H C Savitha, Sanjay Kumar C2, Deepthi H R
- » Abstract
Background: Teenage pregnancy is a social problem worldwide with a serious implication on maternal and child health. The objective of this study is to compare the maternal and perinatal outcomes between teenage girls (age between 13 to 19 years) and pregnant adults (age between 20-29 years). Methods: We performed a retrospective analysis of case records on teenage pregnancies from January 2013 to June 2013 in the department of Obstetrics and Gynaecology, Mandya Institute Of Medical Sciences, Mandya, Karnataka, India, a referral tertiary care centre and teaching hospital with over 6000 deliveries annually. Pregnancy outcomes in girls aged 13-19 years were compared with those in women aged 20-29years. Results: The incidence of teenage pregnancy was 6.56%, majority of teenagers were primigarvida. The study showed that teenage mothers are at increased risk of having abortions, preeclampsia, low birth weight babies and perinatal mortality. Conclusion: Our study showed that risk of obstetric complication was no higher in adolescents than in adult women, but adolescent tended to have higher incidence of abortion, pre-eclampsia, low birth weight babies and perinatal mortality. Early booking and good antenatal care should improve the obstetric and perinatal outcome in teenage pregnancies
- » PDF
-
A histopathological review of scalp tumors: Hospital based study
J B Leena, M B Sandeep, Crysle Saldanha, Megha, Krishnaprasad H V
-
Delayed death in hanging – a rare case report
Khetre R R, Bansude M E, Dode C R, Umbare R B, Chormale D
-
The study of incidence of maternal anaemia in various age groups of women going to labour in Orissa
Rajeshwari K., Ashok Kumar Behera
-
A study of radial nerve and its deep branch in the cubital fossa
Vaishali P. Ahire, Lakshmi Rajgopal
-
A prospective autopsy based study of sudden natural non-traumatic deaths in a rural district
Khetre R R, Batra A K, Shrigiriwar M B, Kuchewar S V, Jambure M P
- » Abstract
Introduction: Sudden natural death, especially when it occurs in an apparently healthy person, can have a great impact on society. Sudden natural deaths undoubtedly constitute a significant portion of deaths which undergo autopsy for investigation of death. Therefore, a prospective autopsy based study of sudden natural non-traumatic deaths (SNND) was decided to determine age, sex and system wise involvement. Aims and Objectives: The study was aimed to find out the burden (percentage) of sudden natural non-traumatic deaths and also to determine age, sex and body system wise involvement. Material and Methods: This prospective autopsy based study was conducted in the Department of Forensic Medicine and Toxicology, Shri V. N. Government Medical College, Yavatmal, Maharashtra, India. During study period from 1st October, 2010 to 31st August, 2012, total 1711 medico-legal autopsies were conducted in the department, of which those cases which were turned out to be sudden natural non-traumatic deaths (SNND) were studied. Observations and Results: The burden (percentage) of SNND cases was 7.3% (125/1711). Total SNND cases were 125, out of which maximum number of cases i.e. 72 (57.6%) were seen in the age group of 21 to 50 years. The average age of SNND was 37.5 ± 18.5 years for both sexes. Amongst 125 cases, maximum i.e. 92 (73.6%) were males and 33 (26.4%) were females. The male to female ratio was 2.8:1. Out of total 125 cases of SNND, maximum i.e. 41 (32.8%) cases were of cardiovascular causes followed by 32 (25.6%) due to respiratory causes. 17 (13.6%) cases were of central nervous causes, 20 (16%) were of gastrointestinal causes, 05 (04%) due to genitourinary causes and 10 (08%) were of miscellaneous causes. System wise differences in male and female cases was found to be statistically significant (χ2=17.22, p= 0.004105). An age group wise difference in male and female cases was found to be statistically significant (χ2= 21.38, p= 0.003246) Conclusion: Sudden death was the most common indication in natural deaths for medico-legal autopsy. Burden of sudden natural non-traumatic death (SNND) cases was 7.3%. So, it is the need of time to implement necessary steps to reduce this burden. SNND cases had male preponderance and target age group for maximum SNND cases was 21 to 50 years. Cardiovascular system was most vulnerable. Survival period, rapidity of death and their frequent occurrence must be considered in planning emergency referral, transport and emergency and super speciality medical services to cope with immediate events prior to death.
- » PDF
-
Evaluation of Oxidative stress markers and antioxidant status in diabetic retinopathy
Shilpashree Y D, Suma M N, Devaki R N, Prashant V
-
Effect of suryanamaskar on handgrip strength in healthy volunteers in the age group of 20-40 years
M. S. Bhonde, A. H. Bagade, A. D. Dhanavijay
-
Platelet aggregation, plasma fibrinogen level and euglobulin clot lysis time in male hypertensive patients
Shekhar P Shiradhonkar, Aradhana Arvind Deshmukh, S M Handergulle
-
Role of Renal Biopsy in Systemic Lupus Erythematosis (SLE)
Nisha J Marla, Ramesh Naik, Hilda Fernandes, Jayaprakash C S, Kirana Pailoor
- » Abstract
Aims and Objectives: 1)To evaluate histopathological findings in Lupus Nephritis and to classify it according to the International Society of Nephrology/Renal Pathology Society (ISN/RPS 2003) classification system for Lupus Nephritis. 2) To correlate the histological findings with the disease process. Materials and Methods: Renal biopsy performed at a tertiary care centre and Hospital in South India, for duration of 2 years was collected along with relevant clinical data. Ultrasound guided renal biopsy was performed and tissue were processed routinely and the slides were stained with Hematoxylin and Eosin. Special stains that is per iodic acid Schiff (PAS) and Methanamine silver (PASM) were performed for all cases. All the cases were correlated with Immunofluroscence (IF) study. 30 Renal biopsies were performed, 21 cases were of Primary Glomerulonephritis and 9 cases were Secondary Glomerulonephritis out of which 6 were cases of Systemic Lupus Erythematosus. Renal Biopsy of all the cases of SLE was classified according to ISN/RPS classification system. Results: Out of 30 cases (n=30), Primary glomerulonephritis (GN) accounted for 70% and secondary GN accounted for 30%. Among secondary glomerulonephritis predominant lesion were systemic lupus nephritis (66.7%) followed by diabetes mellitus (22.2%) and Amyloidosis (11.1%). In secondary GN the predominant lesion was Systemic Lupus Nephritis, Out of 6 (100%) cases of Lupus Nephritis, 4 (66.7%) cases were class IV, 1(16.7%) case was class II and 1(16.7%) case was class V. Conclusion: Management goals in patients with Lupus Nephritis include early diagnosis and appropriate therapy whilst preserving overall Kidney function without undue side effects and prevent irreversible damage. ISN/RPS 2003 classification tends to correlate with clinical syndrome and provide valuable information regarding prognosis and guideline for treatment. ISN/RPS classification system also intends to facilitate a higher degree of reproducibility, resulting in a better patient care. A renal biopsy examined by routine light microscopy, Immunofluroscence and electron microscopy contributes toward diagnosis, prognostic information, and appropriate management.
- » PDF
-
Effect of single dose of Di isobutyl Phthalate on hepatic development in Wister rats treated prenatally
Shetty PN, Ray B, D’Souza AS, Sushma RK, Nayak D, Rao ACK, Chakraborti S
- » Abstract
Phthalate esters are plasticizers widely used in the manufacture of plastics. Di iso butyl phthalate (DIBP) is used as a plasticizers, ranging from the plasticization of PVC to the production of paints, printing inks and adhesives. Therefore, DIBP exposure in people in adhesive industries and pharmaceutical industries are higher in comparison to general population where it is low. Major route of excretion of DIBP is through urine, with some excretion in the faeces, presumably due to biliary excretion. Aim of this study was to determine the effect of single dose of DIBP on developing liver of Wistar rat. One hundred and eight adult pregnant Wistar rats were divided into control and experimental groups. Rats in experimental group were given DIBP on10, 12and 14day of gestation at 0.375, 0.75 and 1.25ml/kg body weight doseintraperitoneally in a single dose.Sections of liver collected on day 21of gestation were stained with haematoxyline and eosin and examined histologically.The remarkable histo-pathological changes were not observed, when exposed to above dose of DIBP.But, there was a significant reduction in the weight of foetalrat liver, when mother rat exposed to DIBP on 10thday of gestation compared to 12th and 14th days. As pregnant women are constantly exposed, effect of DIBP on the liver of a developing fetus would denote the consequence in future generation.
- » PDF
-
A clinical study of neurotoxic manifestations following snake bite in a tertiary care centre of south Karnataka
Anitha M S, Lade V V
- » Abstract
Background: As agriculture is the major occupation of Indian subcontinent; as an occupational hazard most of our farmers are exposed to the risk of poisonous snake bites every single day and night. After the occurrence of snakebite snake venom is injected into the body and has so many deleterious effects in the form of local swelling and intense pain, haematotoxicity, neurotoxicity, myotoxicity, nephrotoxicity. Aim of this study was to observe clinical manifestations of neurological manifestations and to study the outcome of the patients with respiratory paralysis after giving them the proper management in the form of antisnake venom and cardio-respiratory support. Material and Methods: Present prospective study has been conducted in emergency ward and intensive care unit of Medicine department of K. R. Hospital, Mysore, India during the period from July 2003 to June 2005. Results: In the present study, maximum number of patients belonged to the age group of 3rd to 5th decade. There were 106 patients studied among them males were 79 (74.53%) and female were 27 (25.47%). Most of them i.e.75 (70.75%) were from agricultural background. Though the distal part of body was the commonest site of snake bite, three patients had unusual site of snake bite (over external ear, scalp and body trunk). About 22 (20.75%) patients had neurological manifestations, out of them 8 (7.55%) patients had respiratory paralysis and required mechanical ventilation. Conclusions: Emergent treatment of neurovascular manifestations of snakebite with anti snake venom and mechanical ventilation is important for better outcome such patients.
- » PDF
-
An inventory control model for deteriorating items with shortage under time varying holding cost for instantaneous replenishment
Pravin B Bansode, Sunil V Kawale
-
Comparison of intra ocular pressure changes in third trimester of normal pregnancy and pregnancy induced hypertension
Pitta Paramjyothi, Battu Vijayalaxmi, A N R Lakshmi
-
Evaluation of balance related tasks in hearing impaired children
Tejas Borkar, Pradeep Borkar
-
A rare case of skin metastasis from soft palate cancer
Meenu Gill, Reeti Saini, Rajeev Sen
-
The study of biochemical composition of breast milk in malnourished mothers versus well-nourished mothers
Sharmila M Mane, Neelam J Patil, Alka V Nerurkar, Sachin Patharkar
-
A study on association of Eustachian tube function with graft uptake in chronic suppurative otitis media (tubotympanic) patients in tertiary level care hospital
Yoganandh M, Balasubramani J, Getrude Banumathi P, Sujatha S, Jaiganesh D
-
A phantom study on the influence of viscosity of blood, percentage diameter stenosis, length of stenosis and cross-sectional area of blood vessel on blood flow dynamics in peripheral (brachial and femoral) artery models using Doppler ultrasound spectral analysis
Sudha Pattan, Santhosh Joseph, Venkata Sai P. M., Aruna P., Ravishankar P.
- » Abstract
Objectives: To study the influence of viscosity of blood, percentage diameter stenosis, length of stenosis and cross-sectional area of blood vessel on blood flow dynamics in peripheral (brachial and femoral) artery models using Doppler ultrasound spectral analysis. Methods/Analysis: An experimental study was carried out using an indigenously fabricated Doppler ultrasound compatible blood flow phantom. Doppler frequency spectral analysis was the method used for the study. To study the influence of various factors on blood flow dynamics, brachial and femoral artery models with 25%, 50%, 75% diameter stenosis of 5mm, 10mm lengths and 2cP, 3cP, 4cP viscosity blood mimicking fluids (BMF) were used. To study the influence of the parameters, the change in ratios of Pre and Post stenotic Peak Systolic Velocities (PSV ratio) obtained with respect to change in the parameter were assessed. Findings: The magnitude and pattern of change in the PSV ratio with respect to pre-destined values of viscosity, percentage diameter stenosis, length of stenosis and cross-sectional area of the blood vessel were analysed. Novelty: As the analysis of flow dynamics under such conditions of variability cannot be exercised clinically (as a patient-based study), a model-based experimental study was performed with a cost-effective indigenously fabricated Doppler ultrasound blood flow phantom.
- » PDF
-
Isolation and characterization of thermostable lipases from themophilic bacteria isolated from hot water spring
R J Pungle, S G Sapkal, B D Vyawahare, P R Bhandwalkar, S B Bedwal, R S Pise, S A Rathod
-
A study to assess the effectiveness of cranberry juice on urinary tract infection among post natal mothers in selected hospitals
Shwetha Shamlal Kayasth, Nilima R. Bhore
-
Radiographic study of anatomical basis of Coracoacromial arch impingement due to varied morphology of acromion process
Aruna Y Yadav, A D Patil
- » Abstract
The purpose of this study to know the different shapes of acromion process according to Beglani and Edelson and Traitz on radiographs. For this study 260 radiographs were taken - 200 radiographs of patients having shoulder pain due to impingement and 60 Radiograph of normal patients without shoulder pain. In this study according to Beglani, there were 33 radiographs of Type I, 137 radiographs of type II and 30 radiographs of Type III, Type II radiographs being more in number than Type I and Type III in case of symptomatic patients. In case of normal patients, there were 7 radiographs of Type I, 52 radiographs of type II and 1 radiographs of Type III, Type II radiographs are more in number than Type I and Type III and anatomically Type III acromion process is responsible for impingement. According to Edelson and Traitz classification, 56 radiographs of Cobra shape, 109 radiographs of Intermediate shape and 35 radiographs of Square tip were found in case of shoulder pain patients and in case of normal patients, 4 radiographs of Cobra shape, 47 radiographs of Intermediate shape and 9 radiographs of Square tip were found. In majority of cases Cobra shape acromion is responsible for impingement, also Cobra shape acromion gets rapidly converted into Type III acromion than Square tip and intermediate Shape acromion. Also, we see the Coracoacromial arch distance is very less in Type III acromion than other Type of acromion. According to Beglani, P value is 0.000. According to Edelson and Traitz also P value for coracoacromial arch is 0.001 which ishighly significant. In normal radiographs of patients without shoulder pain p value is not significant.
- » PDF
-
The impact of patient’s pre operative characteristics on post operative health status in THR patients
Jaywant Nagulkar, Samiksha Talreja
-
Recent developments in anticancer applications of the Schiff bases and their metal complexes
Madhuri Chaurasia, Sulekh Chandra
-
Ayurvedic importance of the process of anulepana in sanskrit plays
Anjali Oak
-
Nanoparticles coupled with microorganisms mediated photocatalytic mineralization, detoxification and disinfection of phenolic waste water
Bholay A D, Khairnar Sayali, Bhagwat Ayushi
-
A comparative study of lipoprotein (a) level in young adults with and without family history of hypertension/diabetes mellitus
Muhammed Ashraf K, Pradeep Kumar K M, Geetha P A, Bhaskaran Chalil
-
Greywater treatment by vermifilter: A low-cost option for rural sanitation in India
Patil Y. M., Munavalli G. R.
-
Risk and prevalence of thyroid disorder among Indian population: A meta-analysis
Ankita Sharma, V. K. Shivgotra
-
Biochemical effects of two phytochemical mixture Eugenol with (+)-O-Methylarmepavine during the morphogenetic development of Blattella germanica
Anand Konkala, Sabita Raja
-
Phenotypic characterization of coagulase negative staphylococci from various clinical isolates
Mamta Gour, Kalpana Date, V. R. Thombare, K. K. Gour
- » Abstract
Background: Despite their frequency as contaminants, coagulase-negative staphylococci (CNS) have become important nosocomial pathogens, accounting for 9% of all nosocomial infections. These infections are difficult to treat because of the risk factors and the multiple drug resistance shown by these organisms. Material and Methods: One hundred and forty CNS were isolated from various clinical samples like blood, pus, urine body fluids, urine, catheter tip, gastric lavage and wound swab. After confirming the isolates as CNS, species level identification was performed by simple, nonexpensive conventional methods and antibiotic sensitivity testing was also carried out. Result: 140 isolates could be identified to species level. Among these 140 identified CNS isolates, S. saprophyticus was the most frequently isolated 58 (41.43%) from various clinical sample, followed by S. epidermidis 45 (32.14%), S. lugdunensis 23 (16.43%), S. hemolyticus 11 (7.86%), S. schleiferi 3 (2.14%). In the present study, the susceptibility pattern of CNS species against antimicrobial agents showed that 65.71 % of the isolates were Methicillin Sensitive (MSCNS). Majority of the CNS species were sensitive to Amikacin, (94.29%), Nitrofurantoin (85.71%), Tetracycline (75.71%), and clindamycin (75%). None of the CNS species showed resistance to vancomycin and Linezolid. Conclusion: The increased pathogenic potential and multiple-drug resistance demonstrates the need to adopt simple, reliable and non-expensive methods for identifying and determining the antibiotic sensitivity of CNS.
- » PDF
-
Glycosylated proteins (fructosamine) and albumin levels in diabetic patients after multi-vitamin multi-mineral supplementation
Bhushan Mahajan, S. K. B. Patil, Vaishali Mahajan
-
Study of association of MTHFR 677 C→T gene polymorphism in coronary artery disease
Shetty Prithviraj Manohar Vijaya, Qadri Zareeful Huda, Murarka Arpith, Mittal Honey, David Mary, Vidhate Deepali Amarsin, Thomas James
-
Hydrogeochemical characteristics of shallow and deep aquifers and its suitability for drinking and irrigation use in Uttar Mand sub-basin of Krishna river basin, Maharashtra, India
Gaikwad M R
-
Extended Spectrum Beta - Lactamase Producing Escherichia coli at a Tertiary Care Hospital in Maharashtra, India: Phenotypic Detection and Antimicrobial Sensitivity Pattern
N.M Suryawanshi, A.P Pichare,M.S. Davane, K.D.Deshpande
-
ANTIBIOGRAM OF GRAM NEGATIVE UROPATHOGENS IN HOSPITALIZED PATIENTS
K.D. Deshpande, A.P. Pichare, N.M. Suryawanshi, M.S. Davane
-
Absence of Musculocutaneous Nerve Along With Accessory Head of Biceps Brachii
U.W. Mane, S. R. Pandhare
-
Limberg Transposition Flap in the Treatment of Pilonidal Sinus – Our Experience
K. Senthil Kumar, R. Anantharamakrishnan
- » Abstract
Introduction: Pilonidal sinus disease is a common surgical condition usually seen in young adults. Although several techniques have been described each one has its own merits and demerits. This study was carried out to evaluate the advantages of primary excision and Limberg flap reconstruction in the management of pilonidal sinus disease. Materials and Method: This study was done in a surgical unit at a tertiary care hospital, Chettinad Hospital and Research Institute from June 2009 to June 2012..During the study period 25 patients were enrolled and the duration of operation, postoperative pain, duration of hospital stay, postoperative complications, time until to return to work and recurrence rate were noted. Results: In our study the mean age of presentation was 23 years with male predominance. Average operating time was 81 minutes with postoperative hospital stay of 6 days. Of all the complications, flap necrosis and seroma formation were common with no recurrence in any of our patients during the one year follow up period. Conclusion: When compared with the available data Limberg flap is very effective for pilonidal disease with short hospital stay, earlier healing and shorter time off-work, low complication rates, low recurrence rates,. The surgery can be mastered easily. The results of this study favour rhomboid excision and Limberg flap reconstruction for pilonidal disease over excision with primary closure.
- » PDF
-
Clinical Study of Patients of Chronic ear Discharge attending OPD in Govt. Medical College Hospital
Jagdalpur, Bastar Shukla S K
-
An Effort to Domesticate Wild Edible Mushrooms Growing in the Forest of Jharkhand
Ajay K Srivastava, Fr Prabhat Kennedy Soreng s.j
- » Abstract
Abstract: Jharkhand has a rich biodiversity of wild edible mushrooms. A number of edible mushrooms growing in their natural habitats are being collected by the local people during the rainy season for their consumption or sale. Some of the common wild edible mushrooms of Jharkhand are Macrolepiota procera , Termitomyces clypeatus,T. heimii, Lycoperdon, Calvatia, Geastrum, Boletus edulis, Russula, Termitomyces microcarpous, Amanita, Clitocybe, Armillaria etc.They are rich in protein and can easily fit into all’s platter, being a vegetarian product. The villagers are acquainted with them, but they just collect them and consume. The idea to conserve and cultivate them is still eluding them. The ongoing study is an effort to domesticate some of these wild edible mushrooms in an artificial condition that they can be conserved and grown all throughout the year and standardize a package of practice for these mushrooms so that villagers could find some avenues to generate income through mushroom cultivation and marketing.
- » PDF
-
Glucose and Total Sugars Content and Changes therein in the Seeds of Schleichera oleosa (Lour.) Oken.(kusum) due to Bioterioration by Pathogenic Fungi during Storage
AK Srivastava, GK Pandey
-
Antifungal Properties of Gamma-Irradiated Chitosan from Sea Crab Shells
F.C.K. Ocloo, A. Adu-Gyamfi, E. A. Quarcoo, Y. Serfor-Armah, D.K. Asare
-
Hydrochemical Characteristics and Quality Assessment of Groundwater in Parts of Kannad, District Aurangabad (MS) INDIA.
G.D. Mahajan
- » Abstract
Abstract: An attempt has been made to appreciate the quality and the suitability of groundwater for drinking and irrigation. In order to attend this objective, a total of 20 representative water samples were collected from dug wells; and analyzed for pH, total dissolved salts, electrical conductivity, total hardness, calcium, magnesium, sodium, potassium, chloride, sulphate, bicarbonate and nitrate. Based on the physicochemical analyses, irrigation quality parameters like sodium absorption ratio (SAR) and residual sodium carbonate (RSC), was calculated. The suitability of the water from the groundwater sources for drinking purposes was evaluated by comparing the values of different water quality parameters with WHO and BIS guideline values for drinking water. A preliminary hydrochemical characterization shows that most of the samples are within permissible limit for drinking water standards. The correlation of the analytical data has been attempted by plotting graphical representations such as U.S. Salinity Laboratory, which are employed to critically study the geochemical characteristics of groundwater which indicates that groundwater is suitable for irrigation purpose.
- » PDF
-
Assessment of Knowledge and Practices about Menstrual Hygiene amongst Rural and Urban Adolescent Girls –A comparative Study
S.B.Salve, R.K. Dase, S.M.Mahajan, S.A.Adchitre
- » Abstract
Abstract: Adolescence is the period of transition from childhood to adulthood, spanning the age between 10 to 19 years. In girls Menarche starts during this period, and girls feel shy to discuss the topic openly, So to assess the knowledge and practices amongst rural and urban adolescent, present study was carried out in Study area comprises Z.P. High school Ambelohale form rural area and Sharda Mandir Girls High School Aurangabad from Urban area. In the field practice area of MGM Medical College Aurangabad. (M.S.). During the period January 2011 to April 2011. A total of 189 rural and 132 urban girls of 8th to 10th standard were included in this study. Pretested questionnaire was used to collect the information. Post test health Education was given about reproductive health, menstrual hygiene by Gynecologists. Findings were analyzed and statistical relationship was determined by using chi-square test.
Results:- 93(49%) rural & 94(71%) urban girls had started menarche ,regularities of menstruation was better in rural girls i.e. 87(94%) compared to urban girls, 53(56%). Percentage of using market available sanitary napkins was more in urban girls 56(60%) compared to rural girls 6 (06%) whereas homemade sanitary napkins were used by 87(94%) rural girls & 38 (40%) urban girls and this difference was statistically significant .amongst rural girls ,female teacher was the main source of knowledge 89(47%) while it was mother in urban area 48(36%).knowledge about reproductive system, determination of foetal sex, age of marriage etc. was better amongst urban girls. Social taboos like separate sitting, restriction on attending school & social functions were more amongst rural girls while sanitary facilities like attached toilet , full wall bathroom ,sufficient water etc were less in rural areas. Differences came out of study were statistically significant.
Conclusion: - knowledge, practices, sanitary facilities were less amongst rural girl compared to urban girls.
Recommendation:-1) sanitary facilities should made available to each house under NRHM.
2) Sanitary napkins should made available at lowest cost with AWW/ANM/ASHA
3) Health education in small groups of girls, to increase health awareness and healthful practices should be given regularly
- » PDF
-
School Children as ‘Messengers’ for Improving Vitamin A Knowledge and Practices in Urban Slums.
Pradip Sawardekar, Gopa Kothari, Madhavi Marathe
-
Role of Ultrasonic Bone Surgery Device (Piezosurgery®) in Harvesting Intraoral Autogenous Bone Graft – A Case Report
Pooja M Pharne, Dinesh Hingorani, Ulhas S.Mali, Smita Vitthal Patil
-
Ethnomedicinal Plants Used by the Tribal’s in Cure of Wounds in Buldhana District (MS) INDIA
A. N. Korpenwar
-
Assessment of thickness of the temporalis muscle in orthodontic patients with various growth pattern using ultrasound imaging system
Joe Joseph, Gokulakrishnan Periakaruppan, Arun B Chitharanjan, P M Venkata Sai
-
Adult type ureterocele in lower moiety of duplicated draining system- case report
S R Kulkarni, Ashar Shaikh, Ronak Chaudhari, Sandeep Gupta, Tejas Chincholi, Kishor Bandagar
-
Electrophysiological study of changes in retinal function following pan retinal photocoagulation in patients with diabetic retinopathy
C Biju John,P S Girija Devi
-
Comparison among intrathecal fentanyl and nalbuphine in combination with bupivacaine and plain bupivacaine for lower limb surgeries
Ravikiran J Thote, Prashant Lomate, Shilpa Gaikwad, Jyotsna S Paranjpe, Manohar Mane
-
Hepatotropic effects of acute heavy metal poisoning in rats
R Jayashree
-
Optical, lower microwave and radio frequency response of binary mixtures of organic liquids - A dielectric approach
Ashvin N Prajapati
-
Evaluation of relation betweendysmenorrheaandbody mass index in rural adolescents girlsandits impact on quality oflife
Shashikant G Somani, Sonali Rathi Somani, Vrunda Choudhary, P Sudhir Babu, A Vijay Laxmi
- » Abstract
Objective: To evaluaterelationbetweendysmenorrheaandbody mass indexandits impacton health-related quality of life
(HRQoL). Method: Study wasconducted in rural areaatKamineniInstituteofMedical Sciences, Narketpally. Thorough menstrual history was taken from 100adolescentpatientswith dysmenorrhea.Severityof dysmenorrhea wasdetected byverbal multi-dimensional scoring. Body mass index was calculated. Their absenteeism from school or class were assessed. SF-36 scalewas used to determinate HRQoL.Results: In present study, 38%, 44%and 18% patients weresuffering from mild, moderate and severe dysmenorrhea. Majority of girls (51%) were severly underweight having BMI <16.5kg/m2, 26 % underweight. This indicatespoor nutritional status of Indian adolescent girls, in rural setup. Majority ofgirls with moderate and severe dysmenorrhea had BMI <16.5Kg/m2which wassignificant (p <0.05). 30% patientshad symptomssevere enough to be absent from schooland31%from classes. 18% patientsreported social withdrawal. Scores received from many of SF-36 domains (physical functioning, role–physical, bodily pain, general health perception, vitality and social functioning) were significantly low. Also, withincreasing severity of dysmenorrhea, scores were decreasing in these domains. Conclusion:Dysmenorrhea is important publichealth problem.Ithasnegative effects on day today activities and health-related quality of life.Thereis a positive correlation between dysmenorrheaandlow BMI. Present study was conducted forbetterment of society for creating awareness ofdiet and health educationto assist in improvingquality of life.
- » PDF
-
Mucopolysaccharidosis type I-Hurler’s syndrome
A M Deodhar, Vedprakash Biradar, Rushikesh M Patwardhan, Parikshit Mule, Pallavi Rawal, Rajeshri Ekale
-
Dynamic temporalis muscle transfer revisited – aTechnique for correction of lagopthalmos in leprosy patients
Manish Singhal, Rupnarayan Bhattacharya, Shilpi Jain
-
Clinical profile and outcome of organophosphate poisoning cases in a tertiary care hospital in central Kerala
Edwin J George, Jayaraj K, John J Manjaly, Raghunath M
-
Zinc oxide nano thin film for solar cell device applications
Sarika Jadhav, Limbraj Ravangave
-
Comparative prospective study of outcome between aggressive and expectant management of premature rupture of membranes
Shivamurty H M, N Spandana, Y Anusha Sunkara, Ahswini Konin, V Sridivya Chowdary
- » Abstract
Background: Premature rupture of membranes (PROM) is the loss of integrity of membranes before onset of labor.
PROM occurs in approximately 5–10 % of all pregnancies.and is a significant obstetric problem and is important cause of maternal and neonatal morbidity. When PROM occurs at term, labor typically ensues spontaneously or is induced within 12 to 24 hoursObjectives: To compare the expectant and aggressive management and its neonatal and maternal outcomes.Material and Methods:This is a prospective study carried out in the Obstetric and Gynecology Department of J.J.M Medical College, Davangere, Karnataka.Results: There were 573 cases of PROM giving incidence of 8.15%. The incidence was found to be higher in case of rural, young, primigravida. Out of thesePROM cases 81.5%were managed aggressively (group A),18.4%were managed expectantly (group B). Mode of delivery was as follows.Group A (Expectant management) Vaginal delivery in 70.75%, LSCS in 29.25 %.Group B (Aggressive management)Vaginal delivery 83.7% LSCS 27%. Perinatal mortality, Group A 7.54 %, Group B1.28%. Perinatal morbidity, Group A 7.54 % group B 4.49%. Maternal morbidity, Group A was 18.86% Group B 1.07%,Matrenal mortality Group A 0.94% one, Group B was zeroConclusion: Aggressive management by induction of labor within 12 hours in PROM reduced the time of delivery and the rates of chorioamnionitis, endometritis, and admission to the neonatal intensive care unit. A proposed plan of "Aggressive management" is the final answer to decrease maternal and neonatal morbidity and mortality.
- » PDF
-
Correlation between pathological staging, histological grading, ER/PR and Her2neu status in breast cancer
Pereira Carlsen Bernard, Sheldon G Mathias
-
Transgenic plants as sole source for biopharmaceuticals
Mukund Joshi, Kuldip Singh Sodhi, Rajesh Pandey, Jasbir Singh, Subhash Goyal
-
Study of serum enzymes Lactate dehydrogenase (LDH) and Gamma-glutamyltransferase (GGT) in patients of cervical cancer
Trupti D Ramteke, Sucheta Ghule, Rajesh Jambhulkar, Avinash Jadhao
-
Study of awareness and impact of training on STI/RTI towards capacity building of medical officers in the district of Vizianagaram, Andhra Pradesh
Dash Satyanarayan, Ukey Ujwala U
-
Study of various characteristics of Pulmonary and extra pulmonary tuberculosis patients enrolled for DOTS under RNTCP
Sanjiv Zangde, Anjali Deshmukh
- » Abstract
Introduction: India has nearly 30% of global tuberculosis burden. With an estimated burden of new smear positive tuberculosis of 85 per 1 lakh population, nearly one million new smear positive case and about 2 million total new cases are added every year. More adults die from tuberculosis than from any other infectious disease in India, one every minute more than 1,000 every day. Aims and objective: To study of various characteristics of Pulmonary and extra pulmonary tuberculosis patients enrolled for DOTS under RNTCP. Material and method: All the newly diagnosed cases of pulmonary and extra pulmonary tuberculosis attending OPD/IPD of Govt. Medical College Nanded and residing in area under coverage of RNTCP centre of GMC Nanded were included in this study. Name, age, sex, address, occupation, income, number of family members, presenting complaints in chronological order, past history, personal history, through general and systemic examinations, investigations were carried out and the findings were recorded. All the standard definitions defined by Central TB division of Directorate General of Health Services were used. Results: 57.01% patients were having pulmonary Tuberculosis and 42.99% patients were having extra pulmonary tuberculosis. Among the cases of extra pulmonary tuberculosis TB Lymph Nodes contributes 23.08%, followed by pleural effusion 13.57%. It was seen that 84.13% parinets were subjected to category I (sputum positive and seriously ill sputum negative) and only 15.87%patients i.e. sputum negative and not seriously ill were subjected to category III. Maximum number of patients enrolled in present study were between15- 44 i.e. economically productive age group of life. Cough was the most common symptom observed and next was fever Conclusion: Sputum positive pulmonary tuberculosis was the most common type of tuberculosis as compared to extra pulmonary and sputum negative pulmonary tuberculosis. Young male belonging to lower socioeconomic class was most common group suffering from tuberculosis.
- » PDF
-
Utility of thyroid peroxidase autoantibodies as risk marker of thyroid dysfuction in pregnant women
Jayaram Swati, Krishnamurthy U
-
Prevalence of asymptomatic bacteriuria in pregnant women in a rural tertiary care hospital at Jalna
Sufia M Siddiqui, Arvind B Deshmukh, Prasad L Bhanap
-
A study of thyroid profile in primary infertility
Sarika Munghate, Vinita Belsare, Bhushan Mahajan, Sandip Lambe
-
A comparative study of pulmonary function in chronic kidney disease patients pre and post hemodialysis
Tanmoy Banerjee, Nataraj S M, Suhas Y Shirur
-
Hydrogeochemical Assessment of Groundwater Quality in Parts of Phulambri Block, Aurangabad, INDIA
Salve P L
- » Abstract
Detailed hydrogeochemical analysis of twentytwo samples of groundwater collected from parts of Phulambri block of Aurangabad district, has been carried out in an effort to assess the quality of groundwater in the area. These samples were analysed for pH, EC, TDS, TH, Ca, Mg, Na, K, Total Alkalinity, Cl NO3 and SO4. The suitability of the water from the groundwater sources for drinking purposes was evaluated by comparing the values of different water quality parameters with Bureau of Indian Standards and World Health Organization guideline values. The result of the analysis shows that the Water chemistry of Phulambri block is deteriorated at some places. The Suitability of groundwater for irrigation was determined by analyzing sodium adsorption ratio (SAR), Kelly’s ratio (KR), Sodium percentage (Na%), Magnesium Ratio (MR) and study reveals that most of the samples of the study area falls below the permissible limit indicating groundwater is suitable for irrigation purpose. The geochemical characteristics of the groundwater’s are impeded by natural geology and anthropogenic activities, and a proper groundwater management strategy is necessary to protect sustainably this valuable resource.
- » PDF
-
Study of relationship between cardiorespiratory fitness and blood pressure in young obese individuals
Suhas Y Shirur, Rajeshwari L, Swathi H N
-
Study of relationship between cardiorespiratory fitness and obesity in young individuals
Suhas Y Shirur, Rajeshwari L, Swathi H N
-
Effect of yogic practices on cardiovascular risk factors in postmenopausal woman
Shrinivas S Chitta, Prerna D Nandedkar, Prashant T Tayade, Piyush M Kherde
- » Abstract
Background: In postmenopausal women Coronary heart disease is one of the most important causes of death. Obesity, hypertension and dyslipidemia are modifiable risk factor of this disease. The yogic practices are important for prevention and treatment of dyelipidemia. Therefore, the present investigation is focused at efficacy of SKY practices on cardiovascular risk factors like obesity, hypertension and lipid profile in postmenopausal woman within 6months. Aim: To estimate lipid profile and to measure BMI, WHR and BP in postmenopausal women who are at risk of CAD on 0 day and 6 months after regular SKY yogic practices. Settings and designs: This cross sectional study was undertaken in the Department of physiology and Department of Biochemistry of Government Medical College and hospital Akola, Maharashtra. Material and method Statistical Analysis: BMI, WHR and BP measured and lipid profile were analyzed and compared between 30 age matched postmenopausal women who are on risk of CAD study group and normal healthy control group of age group 40â€55 years using unpaired twoâ€tailed Student‘t’ test. Results: Values of BMI (p<0.05), WHR (p<0.05), Systolic BP (p<0.05) and diastolic BP (p<0.05) were significantly lower in both study and control group. Values of TG (p<0.05), TC (p<0.05), LDL-C(p<0.05), VLDL-C(p<0.05) were significantly lower in control group expect HDL-C which is not significantly increased while all parameters of lipid profile are improved in study group. Conclusion: Regular Yogic practices are more effective in postmenopausal women who are at risk of CAD.
- » PDF
-
Groundwater quality studies of Kamlapur village industrial area of Aurangabad, India
S M Deshpande, R A Suryawanshi, K R Aher, G D Gaikawad, R K Aher
- » Abstract
The present paper deals with the assessment of variation in the groundwater samples and its suitability for drinking purposes. Spatial distribution of pH, electrical conductivity (EC), total dissolved solids (TDS), Calcium, Magnesium, Total hardness, chloride, and total alkalinity content of 30 ground water samples collected from the kamlapur village, near industrial area of Aurangabad has been studied. In the study area majority of samples shows high content in parameters such as electrical conductivity (EC), total dissolved solids (TDS), Calcium, Total hardness and Chloride. The degradation of water quality can be attributed to the use of agricultural fertilizer, urbanization and industrial discharges in the study area.
- » PDF
-
Dyslipidemia in hemodialysed patients of chronic renal failure
Fating Prasanna M, Tadas Arun K, Katore Sarika D, Tadas Swati A
- » Abstract
Background: Cardiovascular disease (CVD) is major cause of mortality and morbidity among patients with Chronic kidney disease (CKD). More than 50% of patients with CKD die due to cardiovascular complication and dyslipidemia is an independent risk factor for CKD. The incidence of coronary artery disease is seen in 28 percent of dialysis patients. So we considered to study this relation of chronic renal failure (CRF) and lipid profile in dialysed patients. Aim: To estimate lipid profile in hemodialysed patients of chronic renal failure. Settings and Designs: This cross sectional study was undertaken in the Department of Biochemistry and kidney Unit, Department of Medicine and Department of Nephrology of Government Medical College and superspeciality hospital Nagpur, Maharashtra (India). Material and Methods: Total cholesterol (TC), Triglycerides (TG), High density lipoprotein (HDL), low density lipoprotein (LDL), very low density lipoprotein (VLDL), atherogenic ratio i.e. TC/HDL, LDL/HDL, was assessed in hemodialysed CRF patients (n=50) and healthy individuals (n=50). Mean of biochemical parameter were compared by performing student’s t-test. Results: Values of triglyceride, LDL-C and TC/HDL, LDL/HDL were significantly higher in hemodialysed patients of CRF but values of HDL-C (p<0.001) were significantly lower in hemodialysed patients of CRF as compared to controls. Conclusion: Atherogenic dyslipidemia was more pronounced in hemodialysed patients as compared to normal patients.
- » PDF
-
Diseases of the vulva- a clinicopathological study
Hilda Fernandes, Lovely George, Jacintha Martis, Nagaratna
-
A Study of Factors like Immunization, diarrheal and respiratory infections Responsible for Protein Energy Malnutrition in rural Maharashtra
Balaji V Ukarande, A S Nagaonkar
-
Significance of measuring of dimensions of lumbar spinal canal on plain radiographs in narrow spinal canal
Shastrakar Rupali Sureshrao, Kasote Arunkumar P
-
Micro-organisms and their sensitivity pattern in acute otitis media from a developing country
Wagh Kailash B, Ghule Shubhangi B, Mohite S T
- » Abstract
Objective: Acute otitis media (AOM) has been associated with much morbidity including economic burden. Many bacterial organisms were identified to be the causative agents and several risk factors have been identified to increase the incidence of AOM. Considering the differences in the etiological agents and their susceptibility pattern, it becomes necessary to have up-to-date information on microbial resistance to guide the rational use of the existing antimicrobials. Hence, the present study has been envisaged to evaluate the spectrum of micro-organisms causing AOM and their antimicrobial susceptibility pattern in a tertiary care hospital. Methods: The present study was a cross-sectional study and was initiated following approval from the institutional ethics committee and written informed consent was obtained from all the study participants. Patients who have been diagnosed to have AOM by clinical symptoms and signs were enrolled in the study. Demographic details (age, sex), history associated with risk factors (unhygienic mopping, past history of antibiotic use/ear infection/surgery in the ear or head) were collected from each study participant. Three cotton swabs were used to collect the discharge and were subjected to Gram stain; aerobic culture and direct examination (KOH Preparation) for fungal elements and fungal culture were done. Results: A total of 106 consecutive AOM patients were identified of which, 76 (71.7%) were males and 30 (28.3%) were females. Majority [94/106 (88.7%)] had unilateral and one-third of the individuals (32%) were less than 10 years old. Majority of the study participants [79/106 (77.5%)] had purulent discharge and a total of 84/106 (82.4%) had history of unhygienic mopping of the ear discharge with sticks and 51/106 (50%) reported of having applied oil or hot water in the ears. Culture was positive in 102/106 (96.2%) patients. A total of 118 organisms have been grown in the culture, of which 117 were bacterial isolates and the remaining one was Candida albicans. Of the 117 bacterial isolates, 51 (43.6%) was Staphylococcus aureus and 42 (35.9%) was Klebsiella pneumoniae. Many of the isolated organisms [80/117(68.4%)] were sensitive to ciprofloxacin, 69/117 (59%) were sensitive to Amikacin, 63/117 (53.9%) to Piperacillin and 60/117 (51.3%) to Gentamicin. Conclusion: We found that majority of the patients of AOM had clinical presentation similar to other parts of the world. Even the growth and sensitivity of the isolated micro-organisms were similar to previous studies.
- » PDF
-
Adsorptive removal of methylene blue dye from aqueous solution by limonia acidissima rind biomass
N Ramulu, V Thirumurugan, R Rajajeyaganthan
-
A rare case of primary disseminated abdominal hydatidosis
Sandip Pattanshetti, Nishith Shetty
-
Spermatocytic seminoma masquerading as chronic orchitis
R Sujitha, Sowmya S
-
Post operative wound infection in clean and clean contaminated surgery
Gaurav Salunke, Maria Jose Wiseman Pinto, Savio Rodrigues
-
Serum lactate: an independent predictor of severe sepsis in obstetric patients
Alveera, Prema D’ Cunha
-
Correlative study of fine needle aspiration cytology and histopathology in intraabdominal lumps
Saroj A Bolde, Smita S Pudale, Smita S Shette, Ashwini Raut, Nitin Kole
- » Abstract
Introduction: Intra-abdominal masses always remain an enigma in surgical practice. Fine needle aspiration cytology (FNAC) preferably ultrasonographically guided (USG) of 50 cases of intraabdominal lump was performed and co-rrelated with histopathology. Aims: To co-rrelate the study of cytology with histopathology in cases of intraabdominal lumps. Material and Methods: This study included 50 intraabdominal lesions which were detected clinically.USG guided FNAC was done in 40 cases. Under light microscopy the lesions were reported, cytohistopathological correlation was done in 36 cases. Hematoxylin, eosin and papanicolau’s stains were used. Results: Cases from all age group were included. Maximum number of cases14 (28%) were in age group of 51-60 yrs, with Male: Female ratio of 1.63:1.The diagnostic yield was higher in USG guided FNAC. There were 24(48%) malignant, 09 (18%) inflammatory, 09 (18%) suggestive of malignancy,02(4%) nonneoplastic and06(12%) unsatisfactory smear. Hepatic lesions were most common. Hepatocellular carcinoma and Adenocarcinoma were the most common malignant lesions. Accuracy rate for cytohistopathological correlation was90% as out of 40 cases 36 cases were showing same diagnosis histologically. We found various lesions of liver, gastrointestinal tract, kidney and few cases of pancreas, gall bladder, spleen , mesenteric lymph nodes. We have came across a rare lesion of Gaucher disease (2 cases) diagnosed successfully both by cytology and histopathology. Conclusion: Intra abdominal FNAC is a simple, economical and safe procedure with high sensitivity, specificity and diagnostic accuracy. It can be utilized as pre- operative procedure for the management of intra- abdominal lump.
- » PDF
-
Environmental hazards due to rate of siltation in the Wular Lake (Jammu and Kashmir), India
Kulkarni U.D., Khan Asiya
-
Kuttner’s tumour: a rare case report
Nanda Patil, Alok Kumar Yadav, Shrutika D. Dhawan
-
Contributory geochemical factors for variation in groundwater quality along confluence of Mula-Mutha and Bhima River, Dist. Ahmednagar, Maharashtra
U. D. Kulkarni, Y. M. Nandurkar, R. R. Sangpal
- » Abstract
Sixty groundwater samples were collected in different seasons from the study area. The water soluble products of congruent weathering reactions such as Na, K, Ca, Mg, HCO3, and SiO2 have been probed. Apart from these, anthropogenic parameters such as Cl, NO3, PO4, and SO4 have also been analyzed. The mathematical and graphical tools are used to assess the groundwater quality for drinking and irrigation purpose. The study reveals that the concentration of major ions is controlled by the water-rock interactions. The water is not at all suitable for drinking purpose. As per pH, TDS, SAR, chloride and sulphate concentration water is suitable for irrigation purpose. Critical verification of hardness, EC, RSC, salinity hazard compels to assign water quality doubtful for irrigation purpose. Such doubtful zones need special care and suggested to adopt alternative salt tolerance cropping pattern. Also it is advised to avoid excessive use of artificial fertilizer and excessive irrigation.
- » PDF
-
Anomalous muscle bellies in the flexor compartment of forearm - a case report
Sunita U Sawant, Sunil M Kolekar
-
Effect on sexual dysfunction in depressed females after treatment with SSRI antidepressants
Abhivant Niteen N., Sawant Neena S.
-
Schizencephaly: a case report of a rare developmental disorder of brain
Kapil S. More, Vijaykumar R. Kapse, Sonali Kagne, Deepak Kubde
-
Comparative study of glycosylated hemoglobin and lipid profile in gestational diabetic women and normal pregnant women
B. J. Pradeep Kumar, Sudhir Modala, Parimala P., Manisha Baghel
-
Inducible clindamycin resistance in Staphylococcus aureus isolatedfrom clinical samples
K. Vidyasagar, R. Ravikumar
-
Evoked response audiometry in high risk infants
Lakshmi T., Zaheera Sultana S., S. V. Brid
- » Abstract
Background: Hearing is the means by which the newborn comes into contact with the world of sound and with language. The first three years of life are the most important period for speech and language acquisition. Reduced hearing acuity of any severity in infancy or early childhood may prevent the child from receiving adequate auditory, linguistic and social stimulation required for speech and language development. Hearing loss is one of the most common abnormalities present since birth. The prevalence of hearing loss is reported to be 1.5 to 6 per 1000 newborn in the well baby nursery population. Several risk factors associated with hearing loss during early infancy have been described by Joint Committee on Infant Hearing which includes hereditary cause, inutero infection, prematurity, asphyxia, hyperbili-rubinemia and ototoxic medications. Objectives: To assess the degree of hearing impairment in high risk infants by using BERA and to analyse and compare BERA responses in high risk infants with age matched controls. Methods: 100 high risk infants having one or more risk factors attending Pediatric OPD of Bapuji hospital and Chigateri General Hospital and 30 age matched controls satisfying the inclusion criteria were randomly selected from immunization centre were subjected to BERA. Parameters such as absolute latencies of waves I, III, and V, Interpeak latencies I-III, I-V and III-V were assessed and analysed by using unpaired t-test. Results: The high risk infants had increased wave V threshold when compared to the control group. Absolute latencies of wave III, V, interpeak latencies of I-III and I-V were prolonged in the cases. The incidence of hearing impairment was 64.9% in the high risk infants.
- » PDF
-
Study to find the efficiency of multi-detector computed tomography in evaluation of renal masses
Shailender Singh N, Satishchandra H
-
Prescription pattern of antihypertensive drugs and life style practices of hypertensive patients in an urban locality of Mysore
Kalabharathi H L, Mohammed Sibgatullah, Pushpa V H, Satish A M, Suresha R N
-
Effectiveness of the First Antiepileptic Drug in the Treatment of Epilepsy in Children
Sangeeta Basu, C D Aundhakar, Jitendra Kumar, Amit Galgali, Rakesh Patil, Sharanabasav Kirdi
-
Study of Effect of Meditation on BMI
Sangeeta J. Sarkate, Sangita R. Phatale, P. S. Bhakare
-
Pseudocyst of Pancreas Presenting in Respiratory Failure Due to Myasthenia Crisis
Mohammad Hafiz Deshmukh, Ashish Deshmukh, Sunil Jadhav, Shivprasad Kasat, Sandeep Dandin
-
Association between Periodontitis and Cardiovascular Diseases: A Clinicobiochemical Study
Kalpana U. Rakshit, Neelima Rajhans, Pankaj Kamble, Nilkanth Mhaske, Nikesh Moolya, Sudeep HM
-
A Comparative Study of Lipoprotein Levels in Normal and Hypothyroidism Patients
Kedar Joshi, Deepak K. Bokankar, Hardas V. M.
- » Abstract
Introduction: Thyroid hormones influence all the major metabolic pathways. Their most obvious and well known action is increase in basal energy expenditure obtained acting on protein, carbohydrate and lipid metabolism. With specific regards to lipids, thyroid hormone affects synthesis, mobilization and degradation of lipids, although degradation is influenced more than synthesis. Aims and objectives: To study changes in lipoprotein levels in overt and subclinical hypothyroidism patients and compare it with matched healthy controls in population. Material and method: The present study was conducted in Government Medical College and Hospital, Aurangabad from October 2005 to October 2007. Lipid profile of patients of hypothyroidism was compared with control group. Results: Thus among the patients with overt hypothyroidism, we found highly significant increase in TC, LDL and HDL values and no significant change in TG and VLDL when compared with controls. Among the patients with subclinical hypothyroidism, we found significant increase in TC and LDL while no change in TG, HDL and VLDL when compared with controls. Conclusion: that in overt and subclinical hypothyroidism patients, the lipid profile is clearly atherogenic.
- » PDF
-
Causative Microorganism for Sepsis in NICU
Kiran B Bhaisare, Sunil S Holikar, L. S. Deshmukh
-
A Study of Prevalence of HIV Infection in Children Attending Pediatric Department
Vikas N. Solunke, Milind B. Kamble, Amol R. Suryawanshi, Pallavi Saple, Manish M. Tiwari, Bhete S. B., Garad S. B.
-
Assessment of Ground Water Quality in Bachigudam Village near Patencheru in Medak District in Month of July
Baby Abrarunnisa Begum, N. Devanna, Md. Sibgatullah, Asma
- » Abstract
Abstract: Rapid industrialization has resulted in pollution of ground water recourses. Patencheru in Medak district is one such industrial hub near Hyderabad. The treated industrial waste in released into stream nakkavagu which joins river manjeera a tributary of river Godavari. Bachigudem village was selected for ground water assessment as it lies in the nakkavagu catchment area. Parameters from eight sources were analyzed for parameters such as color, turbidity, pH, total alkalinity, total dissolved solids, total hardness, chlorides, sulphates, nitrates, fluorides and electrical conductivity. The sampling was done in month of july which is a peak rainy season. The results showed gross contamination of the ground water in bachigudem village. Fresh water is one of the essentials for life on earth. The Indian subcontinent is one of the wettest places on the earth with annual precipitation of over 4000 km3 with a river flow of 1880 km3 and potential ground water resources of about 431 km 3 besides water glaciers, ponds and lakes. But still we have the demand for good quality water because of growing population and use and abuse of existing resources.
- » PDF
-
Association of Serum Apolipoprotein in Patients with Coronary Heart Disease – An Observational Study
Deepak Kishan Bokankar, Kedar Balwant Joshi, Patil V. P.
-
Histopathological Pattern of Skin Diseases in a Teaching Hospital Puducherry
Sandhya Panjeta Gulia, Swati Anil Wadhai, Lavanya M , Roshni Menon, Madhusudan Chaudhary, SP Arun Kumar
- » Abstract
Aims: This study is conducted to study the prevalence of various skin lesions attending the outpatient department of dermatology over a period of one year dec2012-dec2013. Materials and Methods: A total of 125 cases of skin lesions for over a year were taken for the study. Diagnosis was confirmed by histopathological examination with Hand E stain. Special stains were done wherever required. Results : Out of 125 cases, 30(24%)were reported under the category of non-infectious erythematous papulosquamous diseases, 20(16%) cases of leucocytoclasticvasculitis, 6(4.8%) cases of vesiculobullous and vesiculopustular diseases, 15 (12%)cases were reported as connective tissue disorders amongst which morphea, 12(9.6%)was the commonest, granuloma annulare 1 case(0.8%), erythema nodosum 2 (1.6%), 5(4%) cases of cutaneous drug toxicities, infectious etiology was reported in 15(12%) cases, pigmentary disorders of the skin was reported in 5(4%), 2(1.6%) cases of tumors arising from epidermal appendages, 5(4.0%) cases of tumors and cysts of epidermis and miscellaneous category,15(12%) cases. Conclusion : Among skin infections papulosquamous lesions were more common in our region with psoriasis being the most common lesion.
- » PDF
-
Study of Fetal and Maternal Outcome in Eclampsia
Kuljit Kaur, R. D. Shrivastav, Veena Rahatgaonkar, U. T. Bhosale
-
A Rare Presentation of Sternal Tuberculosis with Pulmonary Tuberculosis in an Immunocompetent Adult
V. R. Lokhande
-
Study to Assess the Awareness and Perception of Eye Donation among Medical Students
Venukumar Lachmaya Rangu, Rupali Venukumar Rangu, Nitin Akhade
-
Analysis of Stevens-Johnson’s Syndrome and Toxic Epidermonecrolysis Patients in a Rural Based Medical College with an Emphasis on Steroid Therapy
Venkateshwarlu Nandyala, Gandiah P., Govind Das, Harish Kumar J., P Anand G. Reddy, Sandeep Kumar G
-
Spontaneous Pancreatico-Cutaneous Fistula: a Rare Case Report and Review
Jaykar R.D., Jadhav S.C., Agrawal S.G
-
Tropical Pulmonary Eosinophilia – A Rare Presentation of a Common Disease in Tropics
Venkateshwarlu Nandyala, Gandiah P., Indira G., Anand Gopal Reddy P.
-
Study of Surgical Intervention in Patient of Meningocele with Hydrocephalus: Simultaneous V/S Sequential Group
D. B. Katikar, R. D. Jaykar, Mahendra Kamble, Sumeet
- » Abstract
Background: Meningocele is sac protruding from the spinal column, Myelomeningocele is most severe type of spina bifida, which is commonly encountered by surgeon in new born due to failure of caudal neurulation. The incidence of meningocele is 0.2-2/1000 live births, and 15-25% of neonates with myelomeningocele have hydrocephalus at birth. Hence required significant amount of medical intervention, about 80-90% of them need shunt procedure. Methods: For all patients evaluation plan was as follows: Detail clinical history followed by thorough clinical examination. Investigations: Routine laboratory investigation required for pre anesthetic checkup such as Hemogram, Blood sugar level, Serum electrolytes, Blood urea level, Serum creatinine, Serum bilirubin; Ultrasonography (local, abdomen and pelvis, cranium); CT scan head. Consent: A written informed consent for surgery as per the risk was obtained from parents of patients. Pre-Operative Treatment: One dose of pre-operative antibiotic i.v Ceftriaxone 100mg/kg before operation. Anaesthesia: General anaesthesia Procedure: a) Low pressure V.P Shunt was used. b) Skin closure with 2-0 Nylon in both the procedures. Post-operative Treatment: All the patients from both the study groups were given- Antibiotics - I.V Ceftriaxone 100mg/kg x 5 days I.V Amikacin 15mg/kg x 5 days Local care -dressing on day 3, 5 and on wards if required Postoperative: Each patient’s operative time requirement for both study groups was recorded. The operative time was considered as the time from skin incision to the application of dressing. Patients were discharged after the operation as per their comfort and instructed to follow up on for suture removal. Patients were followed up at every week for two week, then on fourth week, eighth week and three months after discharge on outpatient department basis. Problems expected during postoperative period were: 1. Local wound infection. 2. Non healing of the wound. 3. Dehiscence of the wound. 4. Meningitis. 5. Ventriculitis. 6. Shunt failure. Local infection leading to septicaemia: In our comparative study, we had compared 40 patients of meningocele with hydrocephalus operated in one stage group and in two stage group. All patients were infants with age less than seven days. The meningocele sac was more commonly situated in lumbosacral region in our study groups. Our average operative time for single stage group was 105 min and average operative time for two stage group was 135 mins. The average hospital stay for single stage group was 10 days and two stage group was 22 days. We had two mortalities in our study, one each for both groups. Both the children developed septicemia and meningitis in spite of aggressive antibiotics treatment, they succumbed. We had complications like fever, local wound dehiscence and cerebrospinal fluid leak, none of which were life threading and all got corrected with appropriate treatment. The incidence in both group was almost similar. Both the procedure appeared to be equally safe and the complication rates were similar. The operative timing and hospital stay was less in one stage procedure which makes it economical and emotional burden lessens for the patients family. If the child appears to be fit and undergoes one stage procedure, it appears to be safe economical and without additional complication. Conclusion: Our comparative study revealed as 1. Mean operative time was less in one stage procedure than two stage procedure. 2. Hospital stay in one stage procedure was less than two stage procedure. 3. Complications rate in both the group were comparable. 4. One stage procedure enhanced flap survival and prevented CSF leakage. 5. It can be safely done, 6. It is economical and shortens hospital stay. 7. It avoided need for second aneasthetic administration. 8. It leads to reduction in hospital burden and patient morbidity. 9. Complication such as CSF leakage, wound dehiscence and shunt infection were comparable.
Children who are having meningocele and hydrocephalus can be operated by either one stage procedure or two stage procedure. Both the procedures appear to be equally safe and the complication rate was similar. The operative timing and hospital stay was less in one stay procedure which makes economical and emotional burdens less for the patient’s family. If the child appears to be fit, and undergoes one stage procedure, it appears to be safe, economical and without additional complication. A bigger sample size would be needed to validate their finding. Simultaneous surgery had the advantages of exposing these children to ones rather than twice for anaesthesia.
- » PDF
-
Study on the Diagnostic Efficacy of Clinico-Laboratory Parameters in Serologically Diagnosed Cases of Dengue Fever
Sreejith M. G., Peter George
- » Abstract
Background: Dengue fever (DF), is the most common mosquito borne arbo-viral infection in humans. The high mortality associated with DF mandates early diagnosis and therapeutic interventions. Aims: To study the utility of clinic-laboratory parameters in serologically diagnosed cases of DF and to correlate with serological tests with the progression of disease. Material and methods: This is are prospective study done among patients, admitted to a tertiary care facility in South India between 1rstMarch and 31rst August 2013, with the diagnosis of Dengue fever (DF) either by dengue NS1 or Ig-M positive test. Their clinical and laboratory parameters were compared for the diagnostic utility withthat of NS1 or Ig-M dengue tests in relation to the day of performing the tests. Results: 200 serologically diagnosed DF patients were evaluated with 145 positive for NSI antigen and 55 for Ig-M antibody. 114 patients were male and 86 females. Clinical features of fever with headache, body ache and myalgia were present in 90%, whereas retro-orbital pain in only 40 % of cases. High grade fever and headache were the most specific clinical feature(92%). Almost 94% of NS1 positive cases presented within 4 days of onset of fever. Among NS1 positive cases leucopoenia alone had a sensitivity of 55% and specificity 48% with PPV 73%. Thrombocytopenia had sensitivity 89% with PPV 70.45%. Anicteric hepatitis had sensitivity of 75% and specificity 40%. Combination of clinical features with 2 out of four laboratory parameters (high haematocrit, leucopenia, thrombocytopenia, anicteric hepatitis) increased sensitivity to 94%. The chances of developing complications were very less during the first 4 days (3%) and the sensitivity of NS1 was 0-40% after 5 days of symptom, but IGM was 70-100%. Conclusion: During the early stages of disease we observed the diagnostic efficacy of clinico-laboratory parameters is similar to NS1 antigen. In a developing country with limited resources, were DF is endemic the routine use of expensive serological investigations is questionable.
- » PDF
-
Study of Engine Performance and Emission with Neem Oil (NOME) Based Bio-Diesel
Tejaswita Kajale, Abhay Pawar, Channapatana
- » Abstract
Abstract: The world is getting modernized and industrialized day by day. As a result vehicles and engines are increasing. But energy sources used in these engines are limited and decreasing gradually. This situation leads to seek an alternative fuel for diesel engine is biodiesel. Biodiesel is a non-toxic, biodegradable and renewable alternative fuel that can be used in diesel engines with little modification. Biodiesel is currently expensive. It could be produced from low-cost Neem seed oils. The objective of this study was to investigate the effect of the biodiesel produced from high free fatty acid feed stocks on engine performance and emissions. Biodiesel performance and testing is done in C.I. engine. Neem oil was extracted from neem seed by solvent extraction. Refractive index, density, viscosity, ash content, Saphonification value, iodine number was studied. Biodiesel has been prepared from NEEM oil by esterification and transesterification. It was examined for physical and chemical properties and chemical properties. HC, CO, NOx, SOx, and particulate matter was studied. The conversion of the biodiesel fuel's energy to work was equal to that from diesel fuel. The results also clearly indicate that the engine running with biodiesel and blends have higher NOx emission by up to 20%. However, the emissions of the CI engine running on neat biodiesel (B100) were reduced by up to 15%, 40% and 30% for CO, CO2 and THC emissions respectively, as compared to diesel fuel at various operating conditions.
- » PDF
-
An Analysis of Indications for Caesarean Section at Government Medical College, Latur
Prashant Bade, Varsharani Kendre, Yallapa Jadhav, Atul Wadagale
- » Abstract
Background: According to WHO, the optimal caesarean delivery rate is 10-15%.However the caesarean rate is much higher in India. The increased caesarean rate has resulted in increased economical burden on health care and possibly increased maternal morbidity. Objectives: To study various indications for caesarean sections performed at Govt. Medical College and Hospital, Latur. To suggest recommendations to reduce the caesarean section rate. Materials and Methods: This study is a record based cross sectional study, conducted at Government Medical College and Hospital, Latur. All women who underwent caesarean section from March 2013 to august2013 were included in the study .Data was entered in MS Excel and analyzed with percentages and chi square test using SPSS ver.21. Results: Caesarean section rate observed in our study was 23.97 %. It was significantly more common in the age group of 21-30years, women with parity 2 and rural women. The primary LSCS rate was 41.99% and that of repeat LSCS was 58.01%.The Emergency LSCS rate was significantly higher (74.22%) than elective LSCS rate. The commonest indication for LSCS was previous LSCS (24.8%) followed by, cephalopelvic disproportion (17.6%), failure to progress (16.6%), and fetal distress (11.7%). Conclusions: In this study, caesarean section rate is higher than WHO standard and previous LSCS was the most common indication. So reduction in overall caesarean section rate can be met through reduction of elective LSCS with the promotion of trial of labour and by improving maternal health. Interpretation: Though the benefits of the caesarean section cannot be denied, unnecessary caesarean sections should be avoided.
- » PDF
-
Palmaris Longus - Upside Down!!!!
K. S. Nemade, M. M. Meshram
-
Kuppuswamy’s Socio-Economic Status Scale – A Revision of Income Parameter For 2014
Gururaj, Maheshwaran
- » Abstract
Socioeconomic status (SES) refers to an individual’s position within a hierarchical social structure, which is one of the important determinants of health status. Composite scales are generally used to measure the SES, which has a combination of social and economic variables. Several studies namely hospital and community based require assessment of socio-economic status of an individual / family. This reflects the affordability of health services, necessities and purchasing power of the same. Several methods or scales have been proposed for classifying different populations by socioeconomic status: Rahudkar scale 1960, Udai Parikh scale 1964, Jalota Scale 1970, Kulshrestha scale 1972, Kuppuswamy scale 1976, Shrivastava scale 1978, Bharadwaj scale 2001.1-7 However, social transformation and fast growing economy have rendered these scales ineffective in measuring the SES over the years. The Kuppuswamy scale proposed in 1976, measures the SES of an individual based on three variables namely, education and occupation of the head of the household and income of the family.5 Of the three variables, education and occupation of the head of the household do not change frequently with time. However, the steady inflation and the resultant devaluation of the rupee necessitate periodic revisions of the income variable. The previous revisions of the scale were done in the years 1998 and 2007.8,9
- » PDF
-
Drug Prescription Practices among Paediatric Patients in Yavatmal, Central India
Ajapuje P., Dhengre P., Giri V.C., Khakse G.M
-
Comparative Analysis of Prescription Writing by Teaching and Non-Teaching Clinicians in and around Guntur
G. B. Simpson, G. Naveen Choudary
-
A Clinicomicrobiological Study of Enterococcus Species with Special Reference to Its Virulence Factors
Sharma Revati, Pai (Bhat) Chitra, Urhekar A.D
-
Role of Neonatal Foot Length as Alternative Predictor of Low Birth Weight
Holambe V. M., Kakrani V. A. , Godale L. B.
-
Comprehensive Eye Care with Community Development in Rural Area
Pradeep Sawardekar, Sunita Thorat, Gopa Kothari
-
Detection of Mediastinal Masses in Adult Patients Using Spiral Computerised Tomography
Sartaj S Pathan, Minhaj S Pathan
-
Synthesis And Characterization Of Lanthanum Doped Mg-Zn Ferrite Nanoparticles Prepared by SOL-GEL Method
R. U. Mullai, P. Priyadharsini Pradeep, G. Chandrasekaran
-
A Study to Assess Pattern of Migration across India Based on Census Data
Radha Taralekar, Prasad Waingankar, Pandurang Thatkar
- » Abstract
Introduction: Migration is an important demographic event and needs to be studied by Public Health Experts. As migration is a facet of population growth & development assessing patterns helps understand the dynamics of society.In this study, the pattern of interstate & international migration in different zones is compared and various socioeconomic factors influencing migration are assessed along with their reasons for migration.Materials and Methods: The study is based on the secondary data of 1991, 2001 Census of India. Zone wise comparison was studied for patterns & reasons for migration among interstate&international migrant (based on last place of residence, for all duration).The official census data was analyzed using SPSS version 17.Results:The study findings show that, North Zone of India has highest interstate migrants, amounting to 11 % of the total population as per Census 2001 data. The work & business have been found as main causes for interstate migration in Western zone while education as the major cause for interstate migration in southern zone of India, excluding marriage and other reasons for migration. Looking at data from 1971 to 2001, there is significant correlation (Pearson Correlation 0.752) between Gross National Income per capita and Internal Migration (P < 0.01).On Further analysis of Census 2001 data it was noted that there is significant correlation (Pearson Correlation 0.388) between literacy rate of states receiving in-migrants and education as a reason for migration (P < 0.05) among interstate migrants. Similarly ‘work’ as the reason for migration among International migrants was observed to be more in states with higher GDP (Pearson’s Correlation 0.411) Conclusion: Higher the literacy rates, GDP, urbanization, all favors migration. More research is required to know the educational levels of migrants who mention education as reason for migration.
- » PDF
-
Giant Retroperitoneal Lipoma: a Case Report and Review
Jaykar R.D., Kasabe P., Bhushan C., Kamble P.H
-
Plasma Osteopontin Level in Ischemic Heart Disease
Sudhir P. Sase, Jayshree V. Ganu, Ashok N. Bhupali, Pramod Shinde
-
Clinical Profile, Etiological Factors and Outcome of Acute Renal Failure in Children: A Clinical Study
Sk Mohammed Ajaz, Minhaj S Pathan, Khaled Mohsin Badaam
- » Abstract
Abstract: Acute Renal failure is a syndrome characterised by acute decline in glomerular filtration rate leading to retention of nitrogenous wastes such as urea and creatinine. 56 Acute Renal Failure patients were included in the study who attended our hospital during the study period. Out of the total 56 patients included for the study analysis, 34 patients were males and 22 were females’ indicating that frequency of acute renal failure was more in males as compared to females with a male: female ratio of 1.54:1. Children in the age group of 5-8 years were most commonly affected followed by children between 9-12 years, 1-4 years and less than one year in decreasing order. Oliguria was the most common presenting complaint in the patients. Vomiting, haematuria, fever were other common complaints. Intrinsic renal pathology was the commonest cause of acute renal failure in enrolled patients, followed by pre-renal and post-renal causes. Acute glomerulonephritis was the commonest etiology of intrinsic renal failure. Age less than one year, female sex, Acute Tubular Necrosis, Obstructive Uropathy, Haemlytic Uremic syndrome, presence of CNS complications and prolonged oligoanuria were associated with poor prognosis. The mortality rate was 25% in the present study.
- » PDF
-
A Prevalence Study of Risk Factors for Chronic Diseases among Police Personnel in a Metropolitan Area
Nikhil N. Tambe, Vivek Singh, Kiran Narang, Vikrant Tambe, Rajesh B. Goel
- » Abstract
Abstract: Police are backbone for maintaining law and order within the limits of city. Their motto is ‘to protect the good and punish the evil’; but they are themselves punished by the evil- CHRONIC LIFESTYLE DISEASES. They suffer from stress related to their work-uncertain duty hours, transferable jobs, inadequate sleep, addiction to alcohol and tobacco. Hypertension, diabetes, acute coronary syndromes, obesity and even cancer are some of the major chronic health diseases commonly observed due to their hectic and stressful lifestyle. This study was carried out to assess the risk factors among police personnel, contributing to chronic diseases like obesity, hypertension, diabetes and creating awareness of the same. It emerged that almost 49% of police personnel in study population of 443 were overweight, alcohol and tobacco consumption accounted to 28%, 20% were hypertensive, 11% diabetics and smoking observed in 8%. This study provided us with data about the health status in police community and will help us in devising new strategies to bring about a healthy change in their life style. Such study if carried out periodically will help reduce the rampant problem of chronic health diseases in police community at primordial level.
- » PDF
-
Protein-Protein Interaction-Yeast two Hybrid System
Ajay K Srivastava, Preety Prasad
-
Anatomy Post Graduation as Career Option: A Situational Analysis
Sunita Bharati, Praful Nikam, Ujwal Gajbe, Vivekanand Giri
-
Anomalous Anterior Cerebral Artery
Kardile Poorwa Baburao, Ughade Jaideo Manohar, Ughade Manohar Namdeo, Sudhir Vishnupant Pandit
-
Effect of Pranayama Training on Cardiovascular Parameters
S.P. Surwase, D.N. Deore, U.S. Zingade, P.R. Deshmukh, A.K. Zombade, Shazia
-
Allopurinol in Inflammatory Arthritis (probably Gout): Indian Perspective in Light of EULAR Recommendations
Amit R Burande, Amit Kale, Meeta A Burande, Nitin Deshpande
-
Influence of Certain Factors on Overweight and Obesity among Undergraduate Medical Students at Vizianagaram
Dantu Padmasree, Ukey Ujwala U
-
Unilateral Merging of Musculocutaneous Nerve with Variant Branching of Median Nerve
Kardile Poorwa Baburao, Ughade Jaideo Manohar, Joshi Rajani A, Herekar Narsimh G, Jadhav Asmita S, Katti Anupama S, Ughade Manohar Namdeo
-
Impact of Health Intervention on Cancer Awareness of Mumbai Urban Slum Population
Sarang Pedgaonkar, GD Velhal, Hemant Mahajan, Bhuwan Sharma
-
Effect of Specific Stabilization Exercise versus Conventional Back Extension in Management of Chronic Herniated Pulposus
Sucheta Golhar, Amit V. Nagrale, Tanpreet kaur Bagga
-
Why and How Aerobic Mesophilic Composting is Effective? A Comprehensive Study on Aerobic and Anaerobic Composting of Green Waste under Mesophilic and Thermophilic Conditions
D.Anand, V.Veerakumar, JagdishGabhane, SPM Prince William, V.P.Bhange, A.N.Vaidya, M.P.Patil, J.K.Bhattacharyya, S.R.Wate
-
Maternal Risk Factors Determining Birth Weight of Newborns: A Tertiary Care Hospital Based Study
P. S. Thomre, A. L. Borle, J. D. Naik, S. S. Rajderkar
- » Abstract
Introduction: Globally, more than 20 million infants are born with low birth weight. The number of low birth weight babies is concentrated in two regions of the developing world: Asia and Africa. 72% of low birth weight infants in developing countries are born in Asia where most births also take place, and 22% are born in Africa. India alone accounts for 40% of low birth weight births in Asia. . The reduction of low birth weight also forms an important contribution to the Millennium Development Goal (MDG) for reducing child mortality. The factors associated with intrauterine growth retardation are multiple and interrelated to mother, placenta and foetus. Objectives: 1) To study the ‘Birth weight’ pattern among study group. 2) To identify the maternal factors associated with low birth weight of newborns. Material and Methods: The present cross sectional study was carried out in Government Medical College & Hospital, Miraj amongst all the mothers and newborns delivered at institution during the period of one calendar year from January 2007 to December 2007. The data was collected with the help of interview technique using predesigned and pretested questionnaires followed by the thorough clinical examination and anthropometric measurements of mother and newborn. Interview was followed by thorough clinical examination and necessary investigations. Results & Conclusion: Low birth weight was found to be present in 92 (18.1%) newborns. The internal comparison was made among the study subjects with normal birth weight babies and those with low birth weight babies using the bivariate analysis and multiple logistic regressions. The factor found significantly associated were gestational age at delivery, number of antenatal visits, anemia, gestational age at 1st ANC visit, bad obstetric history, mothers weight, socio-economic status, birth interval, type of work, iron and folic acid supplementation, religion, sex of new born and gravida.
- » PDF
-
Congenital Dyserythropoitic Anemia Type I Presenting as Congestive Cardiac Failure in Neonatal Life
Anilkumar M. Khamkar, Manish M. Tiwari, Pallavi P. Saple, Amol Suryawanshi, P.M.Zadke, Manisha Surwade
-
Risk Factors for Nosocomial Sepsis in NICU
Sunil S. Holikar, Kiran B. Bhaisare, L. S. Deshmukh
-
Study of Pneumoconiosis in Thermal Power Station Workers
K. D. Garkal, Shete Anjali N.
-
A Crossectional Study of Glycosylated Haemoglobin (HbA1c) Values in Type II Diabetes Mellitus & its Relationship with Lipid Profile and Diabetes Complications
Ahmed Munibuddin, Khaled M Badaam, Zingade U. S.
- » Abstract
Abstract: The present study was carried out with an objective to find out the correlation of glycosylated haemoglobin with blood sugar, serum cholesterol and triglyceride levels in patients having type II diabetes with and without complications. In this study 30 diabetic patients without any complication and 40 diabetic patients with microangiopathies, in which 20 were having diabetic retinopathy and 20 having diabetic nephropathy with retinopathy were compared with 30 normal subjects of same age group acting as a control group. Blood glucose levels (Fasting & Post meal), glycosylated haemoglobin, serum cholesterol and triglyceride were estimated in these three groups. In diabetes with microangiopathy the fasting blood glucose level was 232.92 ± 20.03, post-meal blood glucose level was 267.96 ± 25.68, HbA1c % was 10.48 ± 1.22, serum cholesterol 262.0  11.30 and triglyceride 174.60  7.87. In diabetes without any complications the fasting blood glucose level was 163.07 ± 20.31, post-meal blood glucose level was 208.33 ± 18.50, HbA1c % was 7.62 ± 0.69, serum cholesterol 213.66  11.51 and triglyceride 151.08  10.86. And in non-diabetic control subjects the fasting, post-meal blood glucose levels, HbA1c% serum cholesterol and triglyceride were 95.12 ± 9.31, 140.15 ± 9.43, 4.99 ± 0.98, 164.75  13.39 and 120.0  9.21 respectively. It was observed that the glycosylated haemoglobin % is more in diabetics and much more in diabetics with complications, and this increase in glycosylated haemoglobin % has a positive correlation with fasting, post-meal blood glucose, serum cholesterol and triglyceride levels.
- » PDF
-
Correlation of Alpha-1 Antitrypsin and Smoking in Chronic Obstructive Lung Disease: An Observational Study
Deore Deepmala, Yogesh B. Gavali, Zingade Urjita, Badaam Khaled
-
A Crossectional Study of VO2max and Plasma Lactate Values in Football Players
Khaled Mohsin Badaam, N.D. Somwanshi, U.S. Zingade, Ahmed Munibuddin
-
Assessment of Groundwater Quality and its Suitability for Drinking Uses in Warora tehsil, District Chandrapur, India
S.M.Deshapnde, K.R. Aher and , G.D.Gaikwad
- » Abstract
Abstract: In order to evaluate the quality of groundwater in study area for its suitability for drinking purposes, sixty groundwater samples were collected during pre-monsoon period of the year 2011 and analyzed for various parameters. Physical and chemical parameters of groundwater such as electrical conductivity, pH, total dissolved solids, Ca2+, Mg2+, Na+, K+, Cl−, CO32−, HCO3− and SO42− , NO3−, PO4−, and F − were determined. The value of TDS, Cl− and SO4 − ion concentration is within the limits in majority of the samples. The excess amount of Ca++, Mg++, TH and NO3− and F − in the groundwater is due to anthropogenic factors and geological characteristics of the aquifer. Assessment of groundwater samples indicated that groundwater in study area is chemically not suitable for drinking uses. Total hardness (25%), Calcium (59%), Magnesium (13%), fluoride (50%) and nitrate (17 %) are crosses the maximum permissible limits for human consumption as per the drinking water standards.
- » PDF
-
Self-Health Care Practices Among Type 2 Diabetes Patients Attending Diabetes Clinic in India: A Descriptive Cross-Sectional Study
Priya D., Hiwarkar P.A., Khakse G.M., Wahab S.N
-
An Integrative Approach towards Conceptual Frameworks for Injury Prevention.
Nikhil N. Tambe, Rajesh B. Goel
-
Study of CNS Infections in HIV Positive Patients
Hemant Mahajan, Deepak Bhutkar, Naresh Gill, Maya Padvi
-
Control of rat population through Bhelwa oil in Panch -Pargana area of Jharkhand
Srivastava AK, Sudhanshu Kumar
-
Morphology, Occurrence, Natural habitat, Structure and Texture of Geastrum
Srivastava A K, Fr. Prabhat Kennedy Soreng s.j.
-
Food Selection Acceptance: Activities for Promoting Pro-Vitamin A Foods among Young Children in Urban Slums
Madhavi Marathe, L.I. Bhattacharjee, Pradeep Sawardekar, Sunita Thorat, Gopa Kothari
-
Growth and Development of Cleft Lip and Cleft Palate Children Before and After Reconstruction Surgery
Nitin S. Mehkarkar, C.G.Chaudhari
-
Progesterone Hydrotherapy in Management of Small, Mid and Lower ureteric calculi
Mandar Tilak, Nikhil Bhamare
-
Improving Outcome in Tracheostomy: Our Study
Girish Thakur, Vinod Kandakure, Amit Thote, Ayesha Kausar, Anup Gilada
-
Health Education: an Effective Intervention in Hypertensive Patients.
Hemant Mahajan, Yasmeen Kazi, Bhuwan Sharma, GD Velhal
-
Dermatoglyphics in Children Having Congenital Talipes Equino Varus
Amit R. Burande, Meeta A. Burande, Vasudha Nikam, Asha D Patil, Anita R. Gune
-
An Action Plan towards Injury Free India from Womb to Tomb
Nikhil N. Tambe, Rajesh B. Goel
-
Acute Gall Bladder Volvulus; an Unexpected Abdominal Emergency
Ashish Motewar, Mandar Tilak, Nikhil Bhamare
-
Nanoparticle and Stem Cell Nanotechnology: Interdisciplinary Research Area Involving Pharmacology and Anatomy
Meeta A. Burande, Amit R. Burande
-
Geochemistry and Assessment of Groundwater Quality for Drinking and Irrigation Purposes: A Case Study of Sukhana River Sub basin, District Aurangabad, Maharashtra, India
K.R. Aher
- » Abstract
Abstract: An attempt has been made to check the quality of groundwater of Sukhana river sub basin of Aurangabad district, Maharashtra, India for drinking and irrigation purposes. Thirty five groundwater samples were collected from different dugwells and borewells. The quality assessment is made through the estimation of pH., EC, TDS, total hardness as CaCO3, Ca2+, Mg2+, Na+, K+, Cl−, CO32−, HCO3− and SO42− and Based on these analyses, parameters like sodium adsorption ratio, sodium soluble percentage and residual sodium carbonate were calculated. The value of TDS, Cl− and SO4 − ion concentration is within the limits in majority of the samples. The excess amount of Ca++, Mg++, TH and Na+ in the groundwater is due to anthropogenic factors and geological characteristics of the aquifer. The correlation of the analytical data has been attempted by plotting different graphical representations such as Wilcox and US Salinity Laboratory for the classification of water, and results show that most of the samples are fit for irrigation
- » PDF
-
Efficacy of Saccharomyces boulardii strain in acute diarrhoea in children: An Indian Perspective
Meeta A. Burande, Amit R. Burande
-
A study of caustic injury of upper gastro intestinal tract
Babu Elangovan, Sreenevasan K, Sankar S
- » Abstract
Introduction: Ingestion of corrosive substances remains an important public health issue in Western countries despite education and regulatory efforts to reduce its occurrence. These injuries are still increasing in developing countries, related to the social, economic, and educational variables and mainly to a lack of prevention. This is record based study to see various clinical characters and differences in the two groups. Aims and Objective: To study the various clinical characters of Cauticinjuiry of upper Gastrointestinal tract, and to see any differences observed in early (<5yr) and Late Group (>5Yr) Methodology: This is ten years retrospective study in this all the patients (N=65) ( of caustic injury within 10 years were studied , in that these patients were divided into two group based upon within 5yrs –Early group and more than 5yrs –Late group Result: significantly more number males and female were there from early group, Significantly more no of co-morbid conditions like Diabetes, Depression, No any Co-morbid condition, Other social illness were found in Early ingestion group. While no any significant difference found in Co-morbid conditions like Hypertension, Other medical illness. In purpose of ingestion of caustic in that there was significantly more trend of suicide by caustic ingestion in late group as compared to early group, but other purposes in early and late group were not significantly different. Conclusion: The caustic injury is mostly due to suicidal tendency, so early detection of this tendency and proper psychiatric counseling can reduce the incidence of this poisoning.
- » PDF
-
Radiological Analysis of Sella Turcica
S. R. Chavan, M. A. Kathole, A. S. Katti, N. G. Herekar
-
Outcome of External Dacryocystorhinostomy
M J Venkatesan, M Loganathan
-
Study of Student’s Feedback on Present Teaching and Learning Patterns
Usha Patil, Surekha Vaidya, Smita Jore, Meena Parekh, M.S. Patwardhan
-
Green Waste As a Resource for Value Added Product Generation: A Review
Vivek P. Bhange, SPM. Prince William, A.N.Vaidya, A.R.Chokhandre
- » Abstract
Abstract: Green waste includes foliage, plant residues, fallen flowers, garden refuse, leaf litter, cut grass, residues of pruning, weeds and other organic matter discarded from gardens and greeneries but exclude organic waste of the type obtained from municipal collections. These green wastes would land in dumping sites, or will be burned, if not collected and processed contributing to the large scale contamination of land, water and air. Leaves accumulating in the urban and suburban locations such as sidewalks, lawns, and playgrounds are not only an unseemly sight but adds to the overall problem of municipal solid waste (MSW) disposal. In India and several other countries, foliage is often piled-up and set on ï¬re. The resulting ash returns some of the NPK content of the foliage to the soil but much of nitrogen, phosphorous, and organic carbon gets lost. The burning of leaves also adds to air pollution and global warming. Green waste when decomposes in soil may release methane and foul odors, before getting converted into humus. However green waste can be a potential resource for energy and other value added products, if properly processed. The present review aims at summarizing different processing options for green waste towards energy production and value added product generation. Green waste is mostly dealt with aerobic treatment (composting), anaerobic treatments, incineration, biomass briquetting, cellulosic ethanol from biomass, biohydrogen production, bioplastics etc.
- » PDF
-
Pattern of adverse drug reactions of anticancer drugs used in patients with oral cancer
R Lenin, G Rajaram, P Sugirda
- » Abstract
Aim: Adverse Drug Reactions are a global problem. The incidence of oral cancer is 2% worldwide. In India, the higher incidence (30% of all cancers) of oral cancer is due to tobacco, betal chewing and alcohol. Cancer chemotherapy is more helpful in advanced stages of oral cancer. But, these drugs themselves can cause adverse drug reactions affecting the patients’ health. Objective: To study the pattern of adverse drug reactions of anticancer drugs used in patients with oral cancer in a tertiary care hospital. Materials and Methods: This study was conducted in Stanley Medical College Hospital, Chennai-01 from August’2014 to February’2015 among 60 oral cancer patients receiving anticancer drugs in Dept of Oncology. This was a hospital based, prospective, observational study. ADRs were documented in suspected ADR reporting forms designed by CDSCO; causality assessment was done using Naranjo’s algorithm and severity assessment by Modified Hartwig Siegel Scale. Result: Cisplatin, 5-Fluorouracil, Paclitaxel, Gemcitabine were the common anticancer drugs used in various combinations. The most common combinations used are 5FU + Cisplatin, Gemcitabine + Cisplatin, 5FU+ Paclitaxel+Carboplatin. ADRs were reported among 54 patients taking treatment. Causality assessment – Probable 5.6% ,Possible 94.4% ; Severity assessment – Mild 94.4%,Moderate 5.6%. Conclusion: The anticancer drug combinations used in the treatment of oral cancer were associated with varied adverse effects. But, the early detection of drug toxicity may be helpful in modifying the doses to minimize the toxic effects.
- » PDF
-
Legalising Medical Abortion...Where We Stand?
Deepa Kala, Rajesh B. Goel, Dipti Khedekar
-
A study of segmental vitiligo treatment with hair follicle auto graft
Shankar R Savant, Sunil Patel
- » Abstract
Introduction: Vitiligo is an acquired pigmentary disorder presenting as hypopigmented or depigmented macules and affects 0.5-2% of the population worldwide. Segmental vitiligo has depigmented macules arranged in a dermatomal or quasi-dermatomal distribution, which does not cross the midline and is usually unresponsive to medical treatment. There are two clinically recognized distinct variants of vitiligo based on distribution of depigmented areas; generalized and localized. Generalized or bilateral symmetrical form of vitiligo is a disease that destroys skin and mucosal membranes melanocytes progressively, and in some cases could involve ears and eyes Aims and Objective: To study effect of follicle auto graft in the treatment of segmental vitiligo. Methodology: After approval from Institutional Ethical committee This clinical trial was carried out at tertiary care hospital in 30 patients Diagnosed of segmental vitiligo who suffered from persistent form of segmental vitiligo for more than 3 years in the year 2014. The patients were not in the progressing phase of their disease at the time of enrollment. Patients were enrolled after their informed written consent. Result: In this study was no re pigmentation around the segmental vitiligo but this re pigmentation after the treatment goes on increasing at, 2 wks. Mean repigmentation area was 1±0.93mm, 4 wks. -2±1.12mm,8wks-4±1.23mm,12wks-5±1.54mm,16wks-6±.94,20wks-8±1.21,24wks-9±1.32 which were highly significant if compared between previous and after weeks mean re-pigmentation area. (P<0.001,t=9.78,df=29, P<0.001, t=6.585,df=57, P<0.001, t=3,df=47, P<0.001,t=7.14,df=54 respectively) Conclusion: As repigmentations was significantly higher at the end of six month and more than the before the treatment so this method is useful for regimentation in segmental vitiligo, so this method should be used whereEver possible in the treatment of segmental vitiligo.
- » PDF
-
A Study of Microbial Flora and MRSA Harboured by Mobile Phones of Health Care Personnel
Nikhil N. Tambe, Chitra Pai
- » Abstract
Abstract: Mobile phones are increasingly being used by health care workers in day today life. They come incontact with various surfaces while carrying out health care activities and are thus likely to get contaminated by variety of organisms. This study was carried out to know the microbial flora harboured by mobile phones of health care personnel and to know the antibiotic resistance patterns of pathogenic bacteria. Mobile phones of health care personnel were swabbed and inoculated on enriched and selective media, incubated for 24 hours and a variety of biochemical tests were carried out to know the bacterial and fungal species. Antibiotic sensitivity tests were done for pathogenic bacteria using K irby Bauer disc diffusion method. It was found that out of 120 mobile phones of health care personnel, 99 (82.5%) were contaminated, while 85 (70.8%) harbored pathogenic bacteria. Out of 120 mobile phones; 65 (54.16%) harbored S. aureus, 25 (20.83%) Micrococci, 9(7.5%) Diphtheroids, 5 (4.1%) Enterococci, [4 (3.3%) each] Pseudomonas, Citrobacter and Bacillus, [2(1.6%) each] Acinetobacter, Enterobacter and Streptococcus viridians. S. aureus was resistant to methicillin, amoxicillin, augmentin, erythromycin and lincomycin. [11/65 (16.9%)] Methicillin Resistant Staphylococcus Aureus were isolated from health care providers. Fungi isolated were Candida 8 (6.66%), Aspegillus 6 (5%), Mucor 1 (0.8%) and Trichophyton 1 (0.8%).
- » PDF
-
Clinico-epidemiologcal study of gallbladder lump
Tridip Dutta Baruah, Chetan Anand
- » Abstract
Introduction: Gallbladder disease represents a major health problem worldwide and has been known since the time of the Egyptian dynasty. More than 98% of all gallbladder and biliary track disorders are one way or another connected to cholelithiasis, and calculus diseases constitutes most of the cases that seek surgical attention. It may present as acute chole-cystitis which many progress to empyema, chronic calculus cholecystitis or mucocele. Carcinoma of the gallbladder (GBC), although it has a low overall prevalence, is the most common cancer of the biliary tree and one of the most highly malignant tumors with poor prognosis Aims and Objective: To study the clinico epidemiological factors responsible for gall bladder disease presenting as lump. Methodology: All the cases presenting with gall bladder disease over the period of 12 months from 30 June 2007 till 29 June 2008 in the Surgery Out patient Department and Casualty at Gauhati Medical College And Hospital, Guwahati were included in this prospective study. Out of 149 cases, 56 were included in this study.
Result: Overall the presentations of acute cases of gall bladder was more, than chronic and malignant, 29 (44.62%), 23(41.07%), 4 (40%). Maximal incidence in females was seen in the fifth decade, whiles the maximum incidence in males was seen in the fourth decade. The male to female ratio was 1:4.09 but in the malignant group the ratio is 1:3. Gallbladder disease with palpable lumps was maximally seen housewives, which is around 66.07%. Next common occupation was male cultivators constituting 10.71%. 32.2% of the case belonged to the lower middle class of society Conclusion: As the cases were more common in Females in forty and in middle and low socio economic groups patients so special attention should be given for prevention and in the diagnosing these cases.
- » PDF
-
Determinants of Exclusive Breast Feeding in a Rural Community of Maharashtra.
Wadde Satish K., Yadav Vallabh B
-
Clinico-epidemiologcal study of gallbladder lump
Tridip Dutta Baruah, Chetan Anand
- » Abstract
Introduction: Gallbladder disease represents a major health problem worldwide and has been known since the time of the Egyptian dynasty. More than 98% of all gallbladder and biliary track disorders are one way or another connected to cholelithiasis, and calculus diseases constitutes most of the cases that seek surgical attention. It may present as acute chole-cystitis which many progress to empyema, chronic calculus cholecystitis or mucocele. Carcinoma of the gallbladder (GBC), although it has a low overall prevalence, is the most common cancer of the biliary tree and one of the most highly malignant tumors with poor prognosis Aims and Objective: To study the clinico epidemiological factors responsible for gall bladder disease presenting as lump. Methodology: All the cases presenting with gall bladder disease over the period of 12 months from 30 June 2007 till 29 June 2008 in the Surgery Out patient Department and Casualty at Gauhati Medical College And Hospital, Guwahati were included in this prospective study. Out of 149 cases, 56 were included in this study.
Result: Overall the presentations of acute cases of gall bladder was more, than chronic and malignant, 29 (44.62%), 23(41.07%), 4 (40%). Maximal incidence in females was seen in the fifth decade, whiles the maximum incidence in males was seen in the fourth decade. The male to female ratio was 1:4.09 but in the malignant group the ratio is 1:3. Gallbladder disease with palpable lumps was maximally seen housewives, which is around 66.07%. Next common occupation was male cultivators constituting 10.71%. 32.2% of the case belonged to the lower middle class of society Conclusion: As the cases were more common in Females in forty and in middle and low socio economic groups patients so special attention should be given for prevention and in the diagnosing these cases.
- » PDF
-
Starch and Glucose Content and Changes therein in the Seeds of Schleichera oleosa(kusum) due to Bioterioration by Pathogenic Fungi during Storage.
AK Srivastava, GK Pandey
-
Anaesthetic management of a child for surgical ligation of patent ductusarteriosus with severe valvular aortic stenosis with ventricular septal defect
Ajita Annachhatre, Suhrid Annachhatre, Nagesh Jambure
-
Hydrogeochemistry of Sukhana River subbasin of Aurangabad district, INDIA
G.D. Mahajan
- » Abstract
Abstract: Water quality has significant role in human health and sustenance of human, animals and plants. The quality of groundwater within a region is governed by both natural processes such as precipitation rate, weathering processes and soil erosion and anthropogenic effects such as urban, industrial and agricultural activities and the human exploitation of water resources. This paper deals with the drinking water quality of the Sukhana river sub-basin of Aurangabad districts. Twenty groundwater samples collected and were analyzed for major physicochemical parameter such as pH, Electrical Conductivity (EC), Total Disolve Soilids (TDS),Calcium (Ca2+),Magnesium(Mg2+),Total Hardness (TH), Sodium (Na+),Potassium (K+), Bicarbonate alkalinity (HCO3−),Sulphate (SO4−),Chloride (Cl−) and Nitrate (NO3−) in order to understand the different geochemical processes affecting the groundwater quality. The analytical data were interpreted with World Health Organization and Indian Standard Institution drinking water standards. The analytical results indicate the majority groundwater samples are suitable for drinking purposes except few which indicates signs of deterioration in the study area. The aquifers of Sukhana river subbasin are subject to contamination at same places due to sewage effluents, industrial discharge and excessive use of fertilizers and pesticides in agriculture.
- » PDF
-
A comparative study of once intraoperative versus intraoperative plus two post-operative injections of triamcinolonein wedge excision of keloid
Sunil Patel, Shankar R Savant
- » Abstract
Introduction: It is well known that keloids are “Confused scars that do not know when to stop growingâ€. The basic pathology is an imbalance between anabolic (proliferation) and catabolic (apoptotic) phases of the healing process. The various treatment modalities so far described in managing keloids aresurgical excision, intraregional steroidal injections, compression therapy with silicon sheets, cryotherapy, laser, α-2b interferon and chemotherapeutic agents like 5 fluorouracil. Surgical excision totally eliminates the lesion but the main disadvantage is ≥50% recurrence if used alone. Aims and Objective: To study the effectiveness of Intraoperative Plus Two Post-Operative Injections of Triamcinolone versus Once Intraoperative Triamcinolone in Wedge Excision of Keloid. This was a randomized controlled trial was conducted at the Department of Plastic Surgery at tertiary care health Centre. All the patients diagnosed and want operations or treatment during the complete year 2014 was included into the study those who does not give consent were excluded from the study. There were 70 patients in this study. The study protocol was approved by the institutional ethics committee. Patients fulfilling the inclusion criteria were picked up using consecutive sampling. Patients were randomly allocated into two groups by using computer-generated random number table; Group A having patients who were given single per-operative injection of triamcinolone, and Group B. Result: Most common site affected was Ear pinna followed by Chest, Wrist, Back, Buttock, and Face. Mean size of Keloid Preoperatively was 2.54 ±0.516 and 2.61±0.569 respectively in Group A and Group B but the observed difference was not statistically significant (t=0.539,df=68,p>0.05). But the Recurrence was 10 (28.57%) in Group A was significantly higher than that of the Group B i.e. 3(8.57%) (z= 2.15.p<0.03). Mean size of Keloid Post-operatively was 2.64± 0.495 significantly higher in Group A as compared to Group B i.e. 1.23±0.521 (t=11.60,df=68,p<0.001). Conclusion: It is better to use Two Post-Operative Injections of Triamcinolone in Wedge Excision of Keloid than single use of injection Triamcinolone alone to prevent the not only the recurrence but the size of keloid those in who it was recurred.
- » PDF
-
A study of retrohepatic segment of inferior vena cava and hepatic vein openings
D Malar
-
Etiological factors and clinical courses of birth asphyxia
Dilip Kumar Mandal, Prasant Kumar, Uday Shankar Prasad, Shyamali Datta
- » Abstract
Introduction: perinatal asphyxia, neonatal asphyxia partum factor or birth asphyxia is a medical condition resulting from deprivation of oxygen to a newborn infant that lasts long enough during the process to cause physical harm, PROM, Cord accidents usually to the brain. And it is almost all neonatal deaths occur in our rural and urban area, where the majority is delivered at homes with negligible antenatal care and poor prenatal services. Methods: In this collaborative study conducted prospective, descriptive study. As a case of 150 newborn babies and as a control 1190 newborn babies are fulfilled the selection criteria for prenatal and birth asphyxia. Results: Incidence of birth asphyxia in relation to ante partum and intra partum factors. And shows that mother with complication like eclampsia, APH, PROM, cord accidents, failed progress of labor, obstructive labor and prolong 2nd stage of labor, etc were more likely to deliver asphyxiated baby, and analysis of maternal risk factors for birth asphyxia. Many pathological, biochemical and metabolic changes occurs as a result of birth asphyxia. And the data were analyzed by slandered statistical test, namely, Z test, Chi square test, and uniovariate and ultivariate logistic regression analysis of risk factor. Conclusion: In our study it was observed that, Pregnancy related complication in rural and urban population of Kishanganj district was mostly Eclampsia, pre-eclamptic toxaemia, Oligohydramnios, PROM(M24hr) etc.To prevent birth asphyxia trained personal and neonatal resuscitation equipment should be mandatory in all maternity home/hospital because prevention is the best and be only option to reduce the Pre natal andbirth asphyxia.
- » PDF
-
Urinary tract infections in intensive care unit of a tertiary care hospital
A Mohankumar, J Kaur, M Deb
-
Distribution of cases and outcome at dermatology and venereal disease inpatient department of tertiary care hospital
Nilesh Ramesh Bhirud, Prakash Narayan Patil
- » Abstract
Introduction: There are numbers of people in India suffering from common skin Problems. They are found in children, young and adults as well as in old persons. The common skin problems are Acne, Burn scars, Hyperhidrosis, Psoriasis, Scabies, Skin grafting, Vitiligo, Pediculosis, Herpes simplex infection, Varicella, Herpes Zoster, Erythema, Urticaria etc. Dermatological problem in India manifests as primary and secondary cutaneous complaints. Among them, allergy and itches are widely observed in most of the patients. Aims and Objectives: To study Distribution of Cases and Outcome at Dermatology and Venereal Disease Inpatient Department of a Tertiary Care Hospital Methodology: This was cross sectional, hospital based study during the period of Jan 2013 to Jan 214 in All the patients with dermatological illness admitted to tertiary care hospital . All the information necessary was collected by using pretested, semi-structured questionnaire. During this year total 296 patients were included into the study. Result: Overall the Scabies, Skin infections like Fungal ,Bacterial and Viral, Auto-immune, Auto-immune UTI/STDs are more common in Males but Acne found to be more common In Female .Also it is clear that Scabies was more common in <10 and 10-20 years age group, Skin infections like Fungal, Bacterial and Viral were more common in 20-30, 30-40 yrs., age group, Acne was more common in the 20-30 and 30-40 years age group. Auto immune diseases were common in 30-40 and 40-50 yrs. age group. UTI/STDs were more common in 30-40 and 20-30 yrs. age group. mean duration of time to improvement required was highest for UTI/STDs 12±4.5 followed by Acne 9±2.1, Skin infections like Fungal ,Bacterial and Viral 6±3.1, Auto-immune 5±3.1, Scabies3±2, Others,4.5±3.1. Conclusions: Knowledge of various prevalence patterns of specific dieses of Dermatology and Venereology as per the age, sex, should be considered while diagnosing and management of patients.
- » PDF
-
Comparative study of temporalis fascia and fascia lata graft in type I tympanoplasty
A A Mohite, R S Mane, J K Watve, B C Patil
- » Abstract
Hearing outcome in tympanoplasty depends on many variables, one of them being the type of graft used. A number of materials like skin, vein, periosteum, perichondrium and fat have been used as grafts to seal the perforation, each having some advantages as well as disadvantages. Over past three decades temporalis fascia continues to be the graft of choice for tympanoplasty. However with the advent of endaural/endomeatal incision and cosmetic awareness, fascia lata an autologous free fascia graft from the thigh is gaining importance as graft in tympanoplasty. At Dr. D Y Patil Medical College Hospital, Kolhapur, we conducted a prospective randomized controlled trial on 100 subjects with inactive mucosal type of chronic suppurative otitis media and central perforation, with the aim to evaluate the comparative efficacy of temporalis fascia and fascia lata graft in type I tympanoplasty. In 50 patients temporalis fascia was used as a graft and in remaining 50 fascia lata was used. In this study surgical success was evaluated in terms of intact drum, average gain in hearing threshold and average hearing gain in audiometric frequency spectrum (low frequency-250, 500 and 1000Hzand high frequency-2, 4 and 6 kHz) at 3 months post-operatively. Temporalis fascia and fascia lata both achieved a graft uptake of 96%. Statistical analysis was done by using Z-test for proportion by using Graph pad quickcal software. The means of threshold gains, high frequency gains were significantly better at specific frequencies in the fascia lata group, and low frequency gains were better in temporalis fascia group and significantly much better in fascia lata group. However by Z-test for proportion this difference was statistically not significant. Except for residual perforation in two patients of each group and thigh wound infection in two patients of fascia lata group, no other complications were encountered. Thus we conclude that fascia lata may also be a preferred graft material in tympanoplasty.
- » PDF
-
Morphometric study of foramen magnum in human skulls
Zuberi Hussain Riyaz, Azhar Ahmed Siddiqui
-
A study of clinical profile of elderly hypertensives in a medical college hospital in Kerala
Sundeep S, Arun Raj C N
- » Abstract
Aims: To study the common symptoms at presentation, prevalence of target organ damages and the effect of risk factors like obesity, alcoholism, smoking, diabetes mellitus and dyslipidemia in producing these complications among elderly hypertensives. Methods: This was a cross sectional study conducted in two hundred adult patients with hypertension who were aged above or equal to60years, admitted to the medical wards of Travancore Medical College hospital, Kollam. Statistical analysis was done using chi square test and Gaussian test wherever required. Results: In our study, among the elderly hypertensives, headache was the chief commonest complaint (36%).The commonest target organ damage involved were of cardiovascular system (35%).The prevalence of target organ damage among elderly hypertensives with risk factors like obesity, alcoholism, smoking, diabetes mellitus and dyslipidemia were higher, compared to elderly hypertensives without these risk factors. Conclusion: Headache was the common symptom of presentation among the elderly hypertensives. Of the target organ damages, those involving cardiovascular system were the most common. Although the prevalence of target organ damage among elderly hypertensives with risk factors, were higher thanelderly hypertensives without these risk factors, statistical significance was present only for dyslipidemia
- » PDF
-
A study of diagnostic accuracy of ultrasonography in breast disease
Ryan Denis Fernandes, Syed Aezaz Quryshi
-
Clinico-epidemiological study of gallbladder lump
Tridip Dutta Baruah, Chetan Anand, Arun V K
- » Abstract
Introduction: Gallbladder disease represents a major health problem worldwide and has been known since the time of the Egyptian dynasty. More than 98% of all gallbladder and biliary track disorders are one way or another connected to cholelithiasis, and calculus diseases constitutes most of the cases that seek surgical attention. It may present as acute chole-cystitis which many progress to empyema, chronic calculus cholecystitis or mucocele. Carcinoma of the gallbladder (GBC), although it has a low overall prevalence, is the most common cancer of the biliary tree and one of the most highly malignant tumors with poor prognosis. Aims and Objectives: To see the clinic epidemiological factors responsible for gall bladder disease. Methodology: All the cases presenting with gall bladder disease over the period of 12months from 30 June 2007 till 29 June 2008 in the Surgery Outpatient Department and Casualty at Gauhati Medical College And Hospital, Guwahati were included in this prospective study. Out of 149 cases, 56 were included in this study. Result: Overall the presentations of acute cases of gall bladder was more, than chronic and malignant i.e. 29 (44.62%), 23 (41.07%) and 4 (.40%) respectively. Maximal incidence in females was seen in the fifth decade, whiles the maximum incidence in males was seen in the fourth decade. The male to female ratio was 1:4.09 but in the malignant group the ratio is 1:3. Gallbladder disease with palpable lumps was maximally seen in housewives, which is around 66.07%. Next common occupation was male cultivators constituting 10.71%. 32.2% of the case belonged to the lower middle class of society. Conclusion: As the cases were more common in Females in fourth decade and in middle and low socio economic groups patients so special attention should be given for prevention and diagnosis these groups.
- » PDF
-
A study of skin prick in patients with chronic urticaria
Meryl Sonia Rebello, Ramesh Bhat M, Sukumar D, Geethu F Alapatt
- » Abstract
Background: Chronic urticaria can be caused by a number of known and unknown allergens. Some of these allergens can be identified by prick tests. Objectives: To assess the positivity of skin prick test (SPT) in patients with chronic urticaria Patients and Methods: Forty patients diagnosed with chronic urticaria attending Skin department of our institute were included in the study and evaluated by prick testing. Results: Among the 40 patients, 33 patients showed positive reactions to various allergens tested i.e 82.5%. The mean age of the patients was 30 years. Female to male ratio was 1.6:1. On SPT, number of patients with 1-5 positive reactions were13, 6-10 were 15 and more than 10 were 5 patients. Ten most common allergens in order of their frequency include mite D-farinae (52), mite D-pteronyssinus (48), cockroach (32), prawn(28), housefly (25), chicken (22), cyanodon (22), parthenium (20),mosquito (20), crab (16). The five most common food allergen positivity include prawn (29%), chicken (24%), wheat (18%), crab (16%), black pepper(13%). Conclusions: A greater proportion of patients with chronic urticaria demonstrate sensitivity to house dust mites, cockroach, pollens along with food. Thus, SPT is an important diagnostic procedure in cases of chronic urticaria, It is also important to perform SPTs among patients suffering from chronic urticaria not only for food allergens but also for pollens, house dust mites.
- » PDF
-
Knowledge, attitude and practice (KAP survey) of contraception among women seeking termination of pregnancy at a tertiary care hospital in Maharashtra
Savita Khiste, Gauri Dank, Lakshmi Rachkonda, Gautam Shroff, Swati Shiradkar
-
Primary closure of common bile duct after choledocotomy over feeding tube as a stent – A prospective study
Dhiraj Agarwal, Abhisek Gupta, Tanmay Jain, K K Dangayach
-
Efficacy and safety of erbium-doped yttrium aluminium garnet fractional resurfacing laser for treatment of facial acne scars
Geethu F Alapatt, Ramesh Bhat M, Sukumar D, Meryl Sonia Rebello
-
Profit-function of two- identical cold standby satellite system subject to failure due to unexpected large disturbance at the second stage separation resulting in a sub-orbital flight of the vehicle and failure due to developmental flight, payload placed into lower than planned orbit
Ashok Kumar Saini
-
Etiology and management of pubertymenorrhagia in adolescent girls
Manaswini Khuntia, Ritanjali Behera
-
Critical alert values in cytopathology
Subalakshmi Balasubramanian, S Rajendiran, J Thanka
-
Efficacy of external fixation in high risk intertrochantric fracture of femur patients
Pawan Jadhav
-
Effect of temperature on dielectric parameters of ferroelectric materials at microwave frequency
Bhagwan K Bongane, Prashant G Gavali
-
Managing ingested foreign bodies – not a piece of cake
B Selvaraj, K Senthil Kumaran, G P Sekar
-
MRSA and MRSE: Its prevalence, antibiotic sensitivity and correlation with biofilm formation observed in various clinical isolates
Deepika Atray, Anshu Sharma, Meena Atray
- » Abstract
Biofilm formation has become a major factor in enhancing the antibiotic resistance of staphylococci. In the present study, we observed methicillin resistance and further biofilm production by two methods – Congo red agar method and Christenson’s test tube method and compared the antibiotic resistance pattern between biofilm producers and non biofilm producers. 102 S. aureus and 168 S. epidermidis were isolated from various clinical samples with 70.5% and 79.7% methicillin resistance resp.51.4% MRSA and 61.2% MRSE were biofilm producers. Antibiotic sensitivity was observed in biofilm producing S. epidermidis and S aureus for Vancomycin (63%/85%), Doxycycline (48%/61%), Tetracycline (41%/52%), Cephalexin (19%/15%), Cefotaxime (41%/43%), Ceftrioxone (31%/37%), Cotrimoxazole (10%/11%), Ciprofloxacin (45%/52%), Amoxicillin (34%/35%), Ampicillin (4%/2%), Amoxyclave (26%/17%), Erythromycin (6%/14%), Amikacin (71%/76%), Gentamycin (66%/65%) and for urinary isolates Norfloxacin (9%/11%) and Nitrofuranoin (57%/78%) which was significantly less as compared to non biofilm producers.
- » PDF
-
An unusual case of uterine inversion: A case report
Shreyaa A Shriram, U T Bhosale
- » Abstract
Uterine inversion is a rare obstetric emergency. The incidence varies considerably and can range from 1 case in 2000 to 1 case in every 50,000 births. This postpartum complication has an academic importance due to its rarity and severity. When not immediately identified, the massive and often underestimated blood loss can lead to hypovolemic shock and maternal death that can reach 15% in some series. The best management options for this condition are not fully known, given the worldwide scarce experience of each obstetrical team managing this type of situation. There are several therapeutic strategies described in the literature, including drugs, manual maneuvers and surgical interventions. The aim of this article is to describe a case of complete acute uterine inversion after a normal delivery, and provide a literature review of uterine inversion, its definition, etiology, predictive and risk factors, diagnosis and treatment.
- » PDF
-
Role of early laparoscopic cholecystectomy in acute cholecystitis – A retrospective analysis
Loganathan Mannu, Habeeb Mohammed Shajahan, Balakrishnan Varadharajan, Karunanithi Ramaiah, Natarajan Ramalingam
-
A cadaveric study of variations in branching pattern of brachial plexus
Smita K Balsurkar, Surwase Ramdas G, Ferozkhan J Pathan, Ugale Mahesh, Reddy Anand
-
Evaluation of lipid profile in patients with liver cirrhosis and their association with severity of the disease
Vijay laxmi Nangliya
-
Study of gram negative septicemia in cases of neonates admitted in neonatal intensive care unit at tertiary care hospital
Preeti M Huggi, Sanjeev B Navadagi
-
Effect of modulation of environment of learning by ‘Mantra-Meditation’ in MBBS students
Santosh C Gursale, Mohankrishna Ghanta
- » Abstract
Introduction: Learning is a multidimensional and dynamic process requiring a stress free and relaxed environment. There is some evidence in literature that meditation could positively influence memory and help medical students in reducing stress. Chanting of mantra is basically mind oriented with minimum body activity involvement, passive method of meditation Aims: At the end of ‘Mantra-Meditation’ technique, for three lectures, to assess the effect of ‘Mantra Meditation’, just prior to a learning session, on the students’ concentration towards lecture, academic performance, relaxation of mind and pulse rate. Material and Methods: Institutional Ethical Committee approval was taken. 69 students were included in the study, after taking their written informed consent. Test group- 34 Students were asked to chant mantra (Mantra-Meditation) for 8 min. at the start of the lecture, then lecture was delivered. Control group- Without Mantra-Meditation, same lecture was delivered to 35 students. Evaluation was done after three lectures by i) Students’ feedback questionnaire- ii) Multiple choice question test- was carried out before and after third lecture in both groups . iii) Discussion with students iv) ‘Pulse rate per minute’ of each student was recorded, before and after entire session. Statistical analysis used: Analysis of the difference in the performance in MCQ tests between two groups was done using independent samples t test. The change in pulse rate was analysed using paired t test. Results: In MCQ tests, difference in students' post MCQ test scores between control and test group was not statistically significant. But pre MCQ test score of meditation group was significantly better than control group. Significant number of students of mantra meditation group reported to be more attentive, relaxed, increase in concentration towards lecture, reduction in thoughts and in wandering of mind. There was significant reduction in mean pulse rate in mantra meditation group. Conclusions: This simple and easy mantra meditation could be adopted to enhance student learning.
- » PDF
-
A comparative study of symptomatic and radiologic findings in cases of gall bladder disease undergoing cholecystectomy
Sushant Kumar, Pranaya Kunal, Deepak Kumar Yadav
- » Abstract
A prospective clinical study of 100 selected cases admitted in the Department. Of General Surgery, M.G.M Medical College and L.S.K. Hospital, Kishanganj during the period of July, 2012 – September, 2014 was undertaken to assess the mode of clinical presentation, laboratory and radiological impressions and finally their management. A brief review of available literature was also made. Majority cases (35%) belonged to age group of 31-40yrs with a female preponderance (F:M- 3:1) with most of the women in their child bearing age. Pain abdomen over the right hypochondrium with referred pain to the inferior angle of scapula and positive Murphy’s sign were the commonest clinical presentation followed with nausea, vomiting, flatulence and dyspepsia. Only 1 case had jaundice during the first clinical presentation. Ultrasonography of abdomen not only revealed evidence of gall stones with impressions of acute or chronic cholecystitis in 95% cases but also revealed some changes in common bile duct, liver, pancreas etc. Total WBC count was found to be elevated (mild to moderate) in 100% cases. Liver function test results- 16% cases was with elevated serum bilirubin, 24% cases with elevated alkaline phosphatase and 6% with elevated liver enzymes was observed. All cases were managed conservatively in acute phase of which 20% cases needed early operation being refractory to conservative means. Rest underwent interval cholecystectomy after 4-6 weeks. Open Cholecystectomy through right subcostal Kocher’s incision were carried out in all cases out of which Choledocholithotomy and Choledochoduodenostomy were done in 5% cases. 80% cases revealed multiple stones, 14% solitary stone and 3% sludge only. Macroscopically 60% cases showed mixed stones, 22% pigment stones and 6% cholesterol stones. Macroscopically 72% revealed gross thickening with fibrosis, 28% with congestion. Microscopically chroniccholecystitis was found in 100% cases. Bacteriological examination of gall bladder contents showed 56% to be sterile, Klebsiella sp. And Staphylococcus aureus predominant in infected cases (42%). E. coli, Enterococcus, Enterobacter were also detected. The post operative period of all cases were uneventful except pain abdomen and wound sepsis in few. There was no mortality and significant morbidity.
- » PDF
-
A comparative study of phosphate binders in patients of end stage kidney disease undergoing haemodialysis
Manjuprasad M S, Padmaja Udaykumar, Shreya Hegde
-
Potential drug interactions in chronic kidney disease patients - A cross sectional study
S Hegde, P Udaykumar, M S Manjuprasad
- » Abstract
Chronic kidney disease (CKD) is a major systemic condition whose prevalence is rising in India. Presence of comorbid conditions like hypertension, diabetes mellitus, metabolic bone disease and electrolyte disturbances along with the deteriorating renal function makes the management of CKD complex .The aim of this study was to assess the pattern of drug drug interactions in CKD patients. This was a prospective cross sectional study conducted in a tertiary care medical hospital in India. A total of 120 patients were enrolled and the list of drug interactions in them was analysed using drug interaction software. The mean age of the study group was 58.53±8.38 years. Hyperphosphataemia, hypertension and diabetes mellitus were among the frequently associated comorbid illnesses.146 potential drug drug interactions (PDDI) were found with an average of 2.39 interactions per patient. Of these 38.14% were mild, 45.36% were moderate and 16.41% were severe. Hypotension, hypertension, hyperkalemia, hypokalemia, anemia, hyperphosphatemia, hyperuricemia were among the commonest outcomes of interactions. Sodium bicarbonate, ferrous sulfate, calcium carbonate, aspirin, pantoprazole, allopurinol were the drugs commonly involved in PDDI. There was a positive correlation between the age and number of interactions (Karl Pearson correlation coefficient: 0.607; p value<0.001) and the number of tablets and number of interactions (karl pearson coefficient: 0.876; p value<0.001). The prevalence of PDDI among CKD patients in this study was high (80.83%). Hence, rational prescription, early detection of harmful drug combinations and careful monitoring of these patients can prevent the occurrence of drug interactions.
- » PDF
-
Urinary tract infection in children in Chennai- Mangadu area
Inayath Ali Badusha, Sumathi
-
Single incision two ports and two slings technique of laparoscopic cholecystectomy – A retrospective analysis of our practise
Loganathan Mannu, Habeeb Mohammed Shajahan, Balakrishnan V, Karunanithi Ramaiah, Natarajan Ramalingam
- » Abstract
Background: Since the advent of Single incision laparoscopic surgery, there has been genuine effort from the Laparoscopic fraternity to improvise the technique and make it safe, lesser discomfort and cost effective for the patients. One such effort is the use of standard laparoscopic trocars and instruments in accomplishing Single incision laparoscopic surgery. Various modifications have been introduced by various surgeons all over the world. Our modification is the first instance in literature, where cholecystectomy using standard laparoscopic instruments in single incision, has been done with only two ports. Here we analyse the expediency, safety, benefits, and drawbacks of our practice. Methods: For a duration of 2 years, 65 patients with cholelithiasis without any complications were operated upon by our modified single incision laparoscopic technique. Results were analysed. Results: All 65 patients were successfully operated upon by SITPS (Single incision two ports and two slings) technique. VAS score <4 in 64 patients and >5 in one patient. There was no significant postoperative complications. Seven patient had port site edema. No patient had port site infection. There was no incidence of port site hernia after one year follow up. Conclusion: SITPS technique of laparoscopic cholecystectomy is a technically feasible and safe alternative to standard laparoscopic approach, with reduced postoperative pain, with no visible scar and hence cosmetically superior.
- » PDF
-
Does hypovitaminosis D have a role in lipid profile alteration among non-obese diabetics?
Hariharan A, Asmathulla S, Suresh S
-
A rare case of kimura’s disease presenting as posterior auricular swelling
S Deivanayagam, Vinod Balaji, Jawahar, Yeshwanth Kumar
-
A rare case of maxillary central incisors with two root canals
Rosamma George, Kavyashree G, Jayalakshmi C
-
Comparative study of RR, PR and JT intervals during the different phases of menstrual cycle
Rajeshwari L, Uma R, A R Gorkal
-
A study of effect of injection drotaverine hydrochloride in agumentation of labour
Maya Narayan Arvikar, Prashant C Patil, Shubhangi Choudhari
-
A study of knowledge on osteoporosis among peri –menopausal women in an urban slum area of Berhampur
Gurukrushna Mohapatra
-
Intrathecal block for breast augmentation surgery in poland’s syndrome: A case report
Abhirup Samanta, Shama Shikalgar, Prashant Lomate
-
Cytodiagnosis of Gouty Tophi – Case report
A D Jungare, S A Jungare, U D Suryawanshi, B B Sonawane
-
Breakage of the tip of a flipcutter during ACL reconstruction: A rare complication of the knee arthroscopy
Mozimul haq siddiqui
-
Screening of Glucose-6-Phosphate Dehydrogenase deficiency in Neonates
Raviraj Naik, Sarita Dakhure, Rittu Chandel, Leela Abichandani
-
Serum cortisol levels in critically Ill versus non-critically Ill patients
Chandrashekar M, Shivaraj B M, V P Krishna
-
Non invasive prediction of esophageal varices using right lobe of liver to albumin ratio
Sanjay Raj, Chandrashekar M
-
Ethnomedicinal Plants Used by the Tribal’s in Cure of Wounds in Buldhana District (MS) INDIA
A. N. Korpenwar
-
Study of Glutathione S-Transferase in gastrointestinal cancer
N R Hazari, V S Hatolkar
-
Introduction of project as a learning tool in forensic medicine
Sachin Janbaji Gadge, Alka Rawekar
-
Sympathetic cardiovascular function integrity in children with parental history of diabetes mellitus
Amruta Nitin Kumbhar, Lalit H Nikam
-
An unusual case of prominent duct of accessory parotid gland
Anil Joshi, Rajani Joshi
-
A study of factors associated with disabilities of hands and feet among leprosy patients
Shivani Ranjan, Devraj Dogra, Naina Dogra
- » Abstract
Introduction: Leprosy (Hansen’s disease, hanseniasis) is a chronic infectious disease caused by Mycobacterium leprae, affecting the peripheral nervous system, the skin, mucous membranes and occasionally other tissues. In leprosy patients, disabilities involving hands, feet, eyes, face are seen. Deformities of hands include ulcers, cracks, scars, blisters, claw hand, wrist drop, dactylitis, contractures of fingers, resorption of fingers, stiff joints. Defomities of feet include ulcers, cracks, scars, blisters, foot drop, claw toes, resorption of toes, contracture of tendo achilles, equinovarus deformity. Aims and Objectives: To study the various factors associated disabilities of hands and feet among leprosy patients reported in a tertiary care center. Material and Method: The present study was conducted in the Post Graduate Department of Dermatology, Venereology and Leprology, Government Medical College, Jammu from November 2012 to October 2013. All patients clinically diagnosed as cases of leprosy both old and new registered in the hospital were included in the study. A detailed history was taken regarding the age, sex, occupation, education, duration of disease, reactional states, treatment status, past history and family history. Complete clinical examination of each patient was performed with respect to skin lesions, nerve involvement and distribution, site, symmetry, type and grading of disability of hands and feet. Results: It was observed that out of total 150 patients, 93 (62%) were diagnosed to be with disability. Among the newly diagnosed patients, 57.97% were disabled whereas among the on treatment patients 64% were disabled. Mean age was 40.22±13.15 years. The male to female ratio for disability was 4.2:1. Maximum number of disabled patients was seen among manual labourers (farmers and labourers) and housewives. Disability was more common among illiterates (73.33%) as compared to literate patients (45%). It was observed that as the duration of disease increases and registration was delayed, the proportion of disabled was increased. Disability rate was increased with increasing number of nerves involved. All the patients with histoid and polyneuritic leprosy were disabled. Disability among lepromatous leprosy and borderline lepromatous leprosy was seen in 89.29% and 75.61% respectively. Conclusion: Thus from the above results we conclude that increasing age, male sex, manual labourers and illiterates were common demographic factors associated with disabilities of hands and feet among leprosy patients. It was also seen that delay in registration, increase in duration of disease and increasing number of nerves involved were common reason for disability. Disability is common in lepromatous leprosy and borderline lepromatous leprosy.
- » PDF
-
Comparison of upper lip bite test and modified mallampati test in prediction of difficult endotracheal intubation
Babu Isaac, Sharma Monika
-
A study of diagnostic categories in prisoners with psychiatric disorders
S R Suryavanshi, I S Netto, A V Pawar
- » Abstract
Background: There are very few recent studies regarding the diagnostic categories in prisoners with psychiatric disorders in the Indian setting. Methodology: The study was conducted on 50 prisoners admitted to a closed prisoner’s ward. The patient’s history was recorded and their mental status examination was done. The Kuppuswamy’s socio-economic scale and the MINI Plus were administered to the patient. The diagnostic categorization of the prisoners was done according to ICD-10 research criteria. Results: There were 46 males and 4 female prisoners. Out of the 46 male prisoners, 14 were convicted and 32 were under-trial and all the four females were under-trial. 46 males and 4 female prisoners were evaluated and most were from the lower socioeconomic class and rural areas. Schizophrenia, bipolar affective disorder-mania, major depressive disorder, and psychotic disorder NOS, psychotic disorder due to general medical condition and psychosis with mental retardation were the main diagnostic categories observed. The most common diagnostic category was schizophrenia in both males and females prisoners. Murder, attempt to murder, rape, kidnapping, grievous injury and theft were the crimes committed by the prisoners. Murder was the most common crime committed by both male and female prisoners. Most prisoners with violent crimes (murder) had a diagnosis of schizophrenia. Conclusion: This has implications for mental health services, training of mental health professional research and policy in forensic psychiatry in the Indian setting.
- » PDF
-
A study done using pulmonary function test as a tool in health assessment among individuals with different lifestyle
C Indira Devi, Mohd Rasheeduddin Imran, Sayeeda Anjum, Mohd Abrar Hassan
-
Pattern of disabilities of hands and feet among leprosy patients reported at tertiary care centre
Shivani Ranjan, Devraj Dogra, Naina Dogra
- » Abstract
Introduction: In leprosy patients, disabilities involving hands, feet, eyes, face are seen. Deformities of hands include ulcers, cracks, scars, blisters, claw hand, wrist drop, dactylitis, contractures of fingers, resorption of fingers, stiff joints. Defomities of feet include ulcers, cracks, scars, blisters, foot drop, claw toes, resorption of toes, contracture of tendo achilles, equinovarus deformity. Aims and Objectives: To study the pattern of disabilities of hands and feet among leprosy patients reported at tertiary care centre. Material and Method: The present study was conducted in the Post Graduate Department of Dermatology, Venereology and Leprology, Government Medical College, Jammu from November 2012 to October 2013. All patients clinically diagnosed as cases of leprosy both old and new registered in the hospital were included in the study. A detailed history was taken regarding the age, sex, occupation, education, duration of disease, reactional states, treatment status, past history and family history. Complete clinical examination of each patient was performed with respect to skin lesions, nerve involvement and distribution, site, symmetry, type and grading of disability of hands and feet. Results: It was observed that out of total 150 patients, 93 (62%) were diagnosed to be with disability. Disability among lepromatous leprosy and borderline lepromatous leprosy was seen in 89.29% and 75.61% respectively. Both hands and feet were involved in 70.97% of disabled patients. Bilateral involvement of hands and feet was seen in 83.87% of disabled patients. Grade II disability was seen in 62.37% of disabled patients whereas grade I disability was diagnosed in 37.63% of disabled patients. In hands, 62.07% of patients had wasting in form of flattening of thenar or hypothenar eminence or guttering as the commonest deformity followed by clawing in 51.72% and ulceration in 18.97%. In feet, 24.14% of patients had ulceration as the commonest deformity followed by wasting. Disability increased with increasing number of nerves involved. This finding is statistically significant (χ²=61.28; p=0.0005). Conclusion: Thus we conclude that wasting and clawing was most common disability in hand whereas ulceration and wasting was common disability in feet. The most common pattern of disability was bilateral involvement of both hands and feet with grade II class of disability. Increasing age, male sex, lepromatous and borderline lepromatous leprosy was the common factors associated with disability.
- » PDF
-
Preliminary study on the influence of moringa seed extracts supplementation on the yield and quality of cottage cheese
T. Mahami, F.C.K. Ocloo, S.T. Odonkor, C. Owulah, S. A. Coffie
- » Abstract
Abstract: Variability of quality of product makes cottage cheese production unattractive to urban populations. Meanwhile demand for value-added dairy products is on the increase in the urban areas. This study investigated the effect of moringa seed extract (0.5%, 1%, 1.5% and 2%) supplementation on the yield and quality of cottage cheese prepared from fresh cow milk coagulated with latex from Callotropis procera. Yield, milk coagulation time, pH, moisture content, percentage protein, percentage fat, phosphorous and ash content of cottage cheese were determined. The pH of cottage cheese increased with increase in moringa seed extract. The control sample gave a pH of 6.52, whiles 0.5%, 1%, 1.5% and 2% concentrations of moringa seed extract gave pH values of 6.54, 6.55, 6.56 and 6.62 respectively and their difference were significant (p<0.05). Yield of cottage cheese also increased significantly (p<0.05) with increase in concentration of moringa seed extract. The 500mls of milk yielded 18.19% cheese in the case of the control whereas 0.5% moringa seed extract yielded 19.75%. Also, 1%, 1.5% and 2% concentrations of moringa seed extract gave outputs of 22.55%, 23.66% and 24.42% cheese respectively. Protein content of cheese increased from 14.50± 0.00% to 14.96 ± 0.00% when 0.5% moringa seed extract was added, to 16.01 ± 0.00% after the addition of 1% moringa seed extract, to 18.31 ± 0.00% when 1.5% moringa seed extract was added and to 18.50± 0.00 following an addition of 2.0% moringa seed extract. The differences were statistically significant (p<0.05). This study also revealed that phosphorous content, ash content and fat of cheese all increased significantly (p<0.05) with increase in moringa seed extract concentration. Effect of moringa seed extract on moisture content was however not clear. Moringa seed extract enrichment resulted in significant increases in the yield, protein content and mineral content of cottage cheese and therefore has the potential to be used in improving the yield and quality of cottage cheese
- » PDF
-
A role of ultrasonography in right iliac fossa pain and avoidance of unnecessary removal of normal appendix
Sanjeeva Kumar Choudhary, Ved Rajan Arya, Bhaskar Kumar
-
Correlation of birth weight with placental weight in pregnancy induced hypertension and normal pregnancy
Kailash Balkund, Uddhav Mane, Vijay Nayak, Utkarsh Srivastava
- » Abstract
Pregnancy induced hypertension is one of the threatening problem among pregnancy related health problems. Complications arising from it are also common which leads to several maternal and foetal deaths. During pregnancy, examination of mother and foetus done properly but what is overlooked is placenta, as it cannot be measured directly until after birth. Foetal distress, intrauterine foetal death and placental abnormalities are common in pregnancy induced hypertension. Rate of preterm birth ranges from 5 to10 percent of deliveries in developing countries (Hsleh TʼSang- TʼSang 2005). About two third of preterm deliveries are due to spontaneous onset of preterm labour or preterm premature rupture of membranes. Approximately one third follow induction of labours or caesarean section performed for maternal or foetal indication such as preeclampsia, haemorrhage, non-reassuring foetal heart rate or intrauterine growth retardation. Thus, pathologists are frequently called on to evaluate preterm placenta, to determine the cause of the spontaneous preterm birth and/or correlate placental finding with the clinical history (O. M. Faye-Petersen 2008). The risk is increased if placental function has been impaired by pre-eclampsia, post maturity and threatened abortion. The margin may be narrow and hazard may be greater if the placenta is unusually small. Weight of placenta is “functionally significant†because it is related to villous surface area and to total foetal metabolism (Udainia A, Bhagwat S). Pregnancy complicated by hypertension is commonly associated with placental insufficiency, there by resulting in foetal growth retardation. Again reduced utero-placental blood flow has been recognized in cases of severe preeclampsia with hypertension. As stated above, foetal growth is retarded in preeclampsia and that a small infant has usually a small sized placenta. In previous studies it has been revealed that there is clear relationship between pregnancy induced hypertension and morphometric changes in placenta and which ultimately reflects foeto-maternal status. Placental weight is one of placental measure by which placental growth can be characterised. So the present study is carried out on placentae from mothers with pregnancy induced hypertension and placentae from mothers without any materno-foetal complication (normal placentae). Two hundred and one placentae, 101 from normal pregnancies and 100 from pregnancy induced hypertension pregnancies, were examined. Weight of placenta was taken in gram by using standard weighing machine after removing membranes and cutting cord leaving 2.5 cm attachment. Weight of new born baby was taken on standard weighing machine immediately after cord tying and cutting. In present study the mean placental weight in normal group is 469.50gm. And in pregnancy induced hypertension group is 420.98gm., from this finding it is concluded that the placental weight in pregnancy induced hypertension cases is significantly less than the placental weight in normal group. The mean birth weight in normal group is 2556.9gm. and in pregnancy induced hypertension it is 2192.50gm. So the birth weight in pregnancy induced hypertension is significantly low as compared to normal group. The ratio between birth weight and placental weight in pregnancy induced hypertension group is significantly lower than normal. It is concluded that correlation between birth weight and placental weight in normal group is moderately correlated (r=0.484), where as in pregnancy induced hypertension is strongly correlated(r=0.836).
- » PDF
-
Immunization status of 1-5 year children and factors affecting it: A hospital based study
Vinod Chaudhary, Anil Khamkar, Manish Tiwari, Manoj Ghoghare
-
A comparative study of different predictive severity scoring system for acute pancreatitis in relation to outcome
Sanjeeva Kumar Choudhary, Ved Rajan Arya, Bhaskar Kumar, Md Sarfaraz Nawaz
- » Abstract
Acute pancreatitis has wide spectrum of clinical illness that ranges from mild self-limited symptoms to early severe acute pancreatitis (ESAP), rapid deterioration and death. Prior assessment of severity allows the managing physician to identify those patients who are most likely to have a severe episode early administration of therapies to reduce severity. The present study was intended to compare the predictive accuracy of 04 different severity scoring systems for acute pancreatitis- Ranson’s score, Acute Physiology and Chronic Health Evaluation [APACHE] II, Balthazar CT Severity Index (CTSI) and Goris Multi Organ Failure(MOF) scale for prediction of severe pancreatitis. This prospective study has been conducted by selecting 30 consecutive CECT confirmed patients of acute pancreatitis admitted during the period October 2012 to June 2014 in MGM Medical College, Kishanganj, Bihar. Patients have been evaluated, examined and investigated as per the study proforma. Severity assessment was done for every patient on admission and at 48 hrs using clinical, hematological, biochemical and radiological parameters by calculating severity scoring points in respect to Ranson’s, APACHE II on admission, APACHEII after 48 hrs, Balthazar CT severity index score, Goris MOF score (at cut off>0), (at cut off ≥2) on admission and after 48 hrs .All cases were followed up for a period of next 06 months. In this study, out of 30 patients 24 (80%) cases were in the age group of 20-59 yrs. However only 6 (20%) cases were in the age group >60 yrs. Sex ratio was Male: female = 27:3. Alcohol and Gall stone disease was aetiology of pancreatitis in 17 (56.67%) patients and 7 (23.33%) patients. There was one case of hyperlipidemia and the remaining 5 cases were of idiopathic pancreatitis. 80% of the cases presented with upper abdominal pain and repeated vomiting. Classical presentation of radiation of pain to back and relief on leaning forward was present only in 09 (30%) and 6 (20 %) cases respectively. 20 (50%) patients presented with history of obstipation and about 44% patients presented with abdominal distension misleading the diagnosis initially towards intestinal obstruction on admission. In 8 patients amylase was not elevated and basis for a diagnosis of pancreatitis was characteristic pain, strong clinical suspicion and evident pancreatitis in CECT abdomen. In this study out of total 30 patient 11(37%) developed severe pancreatitis whereas 19(63%) developed mild pancreatitis. Out of 11 severe pancreatitis cases one patient died due to sepsis and multi organ failure during 5th week of hospital admission .Incidence of organ failure and MODS in this study was 83.33% and 10%. Hepatic dysfunction was present in all patients who developed organ failure. The sensitivity, specificity, Positive predictive value, Positive Likelihood Ratio and negative likelihood ratio of Ranson’s score was found to be 73%, 63%, 53%, 1.97 and 0.43 respectively. There is no significant difference in median APACHE II score on admission and after 48 hrs in our study. CTSI score had almost equal AUC under ROC curve (0.653), NPV (79%) and equal specificity (73%) as of Ranson’s score. However about 50% cases who had necrosis in CECT did not develop clinical severe pancreatitis This demonstrate a very low PPV (50%) for CTSI score. Goris MOF score (at cut off >0) on admission and after 48 hrs had the highest sensitivity (82%) of all scores. In this study, all patients who were predicted to develop severe pancreatitis due to persistence or progression of organ failure during first week actually developed severe pancreatitis later on. Also, all the patients who did not develop severe pancreatitis were correctly predicted as mild pancreatitis by the absence of persistent/progressive organ failure during first week. Thus a specificity and PPV of 100% were obtained by persistent organ failure criterion. Persistence or progression of organ failure during the first week of admission was also found to have the greatest area under the curve (AUC=0.727) under the receiver operating characteristic (ROC) curve and specificity (100%) denoting its highest predictive accuracy in comparison to other scores. However, the drawback of this score was that it takes one week observation of the patient prior to prediction of severity. Whereas APACHEII or Goris MOF score can be obtained as early as on admission making them more useful.
- » PDF
-
Accessory spleen - a case report
Ruta Bapat, R A Joshi, V G Sawant
-
Cytohistopathological correlation of head neck and face lesions
Nishant Bawankule, Shubhangi Jibhkate
-
Effect of Atropa belladonna on wound healing in rats
Alaya Laxminarayana Udupa, Harish Naik, U P Rathnakar, Sudarshan Reddy C
-
A study of non invasive cardiac output and other cardiorespiratory parameters in various neurosurgical positions
Nishant Bawankule, Shubhangi Jibhkate
- » Abstract
Neurosurgical patients are operated in supine, prone, lateral and sitting positions, which cause physiological changes in cardiorespiratory parameters. Various monitors, both non invasive and invasive are used to monitor these changes. NICO monitor developed by Novametrix Medical System Inc is a non-invasive cardiac output monitor, which also measures and displays various other parameters like stroke volume, cardiac index, pulmonary capillary blood flow, alveolar and dead space ventilation, peak flow rates, airway pressures and respiratory volumes. We felt that a study using the NICO monitor in anaesthetised patients being operated in different positions would provide a complete characterization of cardiopulmonary function, help in defining risk factors and improve intraoperative management. Hence, forty consecutive patients undergoing neurosurgical procedures- twenty in prone, sixteen in lateral and four in sitting position were studied. The haemodynamic and cardiorespiratory parameters were noted in supine position about 15 minutes after induction of general anaesthesia using standard protocol and 15 minutes after giving surgical position using NICO monitor. We concluded that under anaesthesia, while the respiratory parameters are not significantly affected, the prone and sitting position negatively affect derived cardiac parameters like cardiac output, cardiac index and stroke volume and lateral position tends to improve these parameters.
- » PDF
-
Profile of medico-legal cases at tertiary care centre
Raju K, Hemanth Raj M N
-
Oxidative stress in patients with beta thalassemia major
Vinita Belsare, Hrishikesh Belsare, Sarika Munghate, Sandip Lambe
-
In vitro propagation of ayurvedic important plant Tinospora cordifolia (willd.) Miers
Megha Tupe, Narayan Pandhure
- » Abstract
Tinospora cordifolia (Willd.) Miersis an important medicinal plant belongs to family Amaranthaceae found in India. The plant has medicinal properties like treat convalescence from severe illness, arthritis (or joint diseases), liver disease, eye diseases, urinary problems, anemia, cancer, diarrhea, and diabetes. It also helps to remove toxins from the body. The successful protocol for in vitro propagation has been achieved for the medicinal important plant T. cordifolia by using nodal and apical shoot tip segments as explants. In vitro plantlets raised on Murashige and Skoog (MS) medium containing 0.5–3.00 mg/l BAP in combination with 0.2-1.00 mg/l IAA, 3% sucrose, and 0.3% clerigar. After 21 days maximum percentage of shoot organogenesis was obtained on medium containing 2.0 mg/l BAP and 0.2 mg/l IAA. The regeneration protocol developed in this study provides an important method of micropropagation of this plant. Furthermore, this protocol may be used for a large scale production of its medicinally active compounds and genetic transformations for further improvement.
- » PDF
-
Comparative study of serum magnesium and copper levels in type 2 diabetes mellitus patients and non diabetic healthy subjects
Deepali Tonde, Bhushan Mahajan, Manohar Muddeshwar, Sandip Lambe
-
Study of auditroy reaction time in autism
Prafullata S Bhakare, Sangita R Phatale, Aruna Vinchurkar
-
Mesentric fibromatosis presenting as a giant intra abdominal tumor - a case report
S S Quadri, Mohd Ghouse Mohiuddin, Fakeha Firdous, Zohra Fatima
-
Unwanted pregnancy and care seeking behaviour in social perspective: An experience from eastern India
Subhrajyoti Naskar
-
Exploring ototoxicity of aminoglycosides
B G Patil, Alka B Patil
-
A study of COX-2 expression in prostatic adenocarcinoma and its clinical relevance
Rukzana Fathima S
-
Bilateral undescended testes: its embryological and clinical importance
Bashir Khan, Navid Shah
-
The role of thrombocytopenia in the clinical course of leptospiral infection
Linda Rose Jose, M N Sumana
-
To find out treatment outcome between HIV positive and HIV negative tuberculosis patient in a rural hospital of Wardha district Maharashtra
Rajesh C Sambutwad, V S Rathod, Vasant Wagh, A Mudey, Sanjay Chaudhary
-
The study of seroprevalence of HIV in pregnant women from rural area
Lamture Alka
-
Role of various parameters of sacrum in determination of sex
Uttama U Joshi, Medha Puranik, Manisha R Dhobale, Nitin Mudiraj
- » Abstract
Introduction: The identification of sex in human skeleton is important for many anthropologists, anatomists and forensic experts. Pelvis remains the most reliable region for assessing sex. Sacrum, as a part of pelvis also demonstrates differences. The most useful aspect of such studies is to determine appropriate standards of parameters for sexual dimorphism in different populations. Hence this study was undertaken to evaluate the role of different parameters of sacrum in sex determination. Materials and Methods: Study was carried out in Department of Anatomy, BVDU Medical College, Pune. Adult, dry sacra were collected randomly from Anatomy department of different Medical colleges of Maharashtra, with the kind permission of the concerned authorities.141 sacra were classified in to male and female bones by observing parameters like length of sacrum, width of sacrum, transverse diameter of body of S1, anteroposterior diameter of S1, length of ala of sacrum. Results: As a part of univariate analysis, demarcating point (D.P.) was obtained for each of the parameter. The % of bones identified beyond D.P. was found for each of them. The accuracy of this method varied from parameter to parameter. Ventral straight length of sacrum, mid-ventral curved length, anteroposterior and transverse diameter of body of S1 were more in male than female sacra with statistically significant difference in them. Whereas values for the parameters like sacral width (breadth) and length of ala of sacrum were more in female than male sacra with statistically significant difference. Conclusion: For different populations based on geographic areas different anthropometric criteria should be applied which could be specific to that particular population. It can be concluded that to identify the sex of sacrum with 100 % accuracy, single parameter was not sufficient instead it requires multiple parameters and indices to reach at the most accurate result.
- » PDF
-
Variation in the termination of common facial vein – a case report
Pathan Ferozkhan Jafarkhan, Surwase Ramdas Gopalrao, Smita Balsurkar, Rubeena Hashmi
-
Mifepristone: A conservative approach for Retained products of conception and placenta accreta
Divya Pandey, Sudha Salhan
-
Morphometric study of radial artery
Nitin R Mudiraj, Manisha R Dhobale
-
Traditional demonstration versus modified demonstration in the department of anatomy
Surwase Ramdas Gopalrao, Ferozkhan J Pathan, Smita Balsurkar, Mahesh Ugale, Prity Solanke
-
Lung cancer misdiagnosed as sputum negative pulmonary tuberculosis can we avoid this pitfall with the investigations available today
B Selvaraj, K Senthil Kumaran, G P Sekar
-
Distribution of preventable otological diseases among school going children
D M Ambekar
-
IoT based object sorting and portable skin tone meter system
V A Chaudhari, P Girgaon, P Sutar, P D Rupanwar, T H Mujawar
-
Juvenile myelomonocytic leukemia
88-90
-
Clinical case of conjunctival intraepithelial neoplasia presented as pterygium
V H Karambelkar, D K Sindal, Smita Javadekar, Vaishali Pawar, Supriya Patil
-
A cross – sectional study on factors associated with tobacco use among adolescents in an urban slum area of South India
Pravin N Yerpude, Keerti S Jogdand
-
Complications and Outcome of Lower Extremity Amputations at Tertiary Care Hospital in Aurangabad District of Maharashtra: An Observational Study
Junaid M Shaikh, Ansari Mohammed Abdul Muqtadir, Sarojini P Jadhav, Anagha S Varudkar
-
Profile of suicidal poisoning in Puducherry area
Naveen N, Madhuvardhana T, Arun M, Balakrishna Rao A J, Kagne R N
- » Abstract
Introduction: Any substance irrespective of its quality or quantity when given with an intention to endanger, injure or kill a person, will be called poison. In India intentional, occupational and accidental poisoning is a major public health problem. Manner of poisoning is mainly suicidal and accidental, whereas even few cases of homicide are reported. In Puducherry region during 2013, the suicidal rate was 35.6 per one lakh populations and suicidal poisoning deaths were 12.3%. Knowing the pattern of poisoning cases in a region helps in suggesting proper earliest preventive measures and also in early management of cases.This study will aim at determining sociodemographic profile, pattern of poisoning and the outcome of cases reporting to Sri Manakula Vinayagar Medical College and Hospital during the study period. Aims and Objectives: To study the socio demographic profiles of the poisoned individuals and type of poisoning. Materials and Methods: This present study was conducted in the Department of Casualty and Forensic Medicine, Sri ManakulaVinayagar Medical College and Hospital, Puducherry for a period of one year from June 2013 to May 2014.All the cases who have consumed poisons reported to Casualty, during the study period were included. The victims profile like name, age, sex, marital status, education and occupational status are obtained and two identification marks are recorded. History about the poisoning regarding, time, date, type of poison were recorded in the proforma. Data collected will be entered in the computer database, analysis done. Results: A total of 322 cases reported to during the study period were recorded. Out of this the majority of the victims were female (55.60%), married (53.41%) and the most commonly affected age group was between 21-30 years. Most of the victims were unemployed (77.63%), illiterate (19.25%). Nuclear family (86%) and from low economic class (70.6%). Insecticides and Pesticides (41. 92%) were the most common type of poison. Conclusion: Information gathered from this study can be used in formulating regulations which will help society from the hazardous effects of poisoning. Therefore the findings of this study will be helpful for the government authorities and planning bodies, to plan and implement strategies towards prevention of poisoning.
- » PDF
-
Impact of lifestyle changes and dietary habits oncardiovascular risk factors amongobese and non-obese children-A comparative study
Anantha Narayana Gowda B L, Arun Daniel J, Yamuna B N
- » Abstract
Background: The prevalence of overweight and obesity in childhood and adolescence is high, lifestyle and dietary habits has major impact in developing obesity. Excessive body fat at young age is likely to persist into adulthood and is associated with physical and psychosocial morbidities, with increase in incidence of cardiovascular risk factors. Objectives: To compare the dietaryhabits and lifestyle patterns and their association with cardiovascular risk factors among the obese and non-obese children. Materials and Methods: Study was conducted in 112 children aged 5-15 years, who had presented with complaints of obesity to pediatric outpatient department in a tertiary care hospital, Tumkur, Karnataka from December 2013 to September 2014. Prevalence of childhood obesity was calculated based on BMI using NCHS guidelines. Cardio vascular risk factors like blood pressure, lipid profile and fasting blood sugar were evaluated. Dietary pattern, physical activity and behavioral patterns were record edonapre-tested proforma informed by parents. Results: Out of 112 children included in the study28 (25%) children were obese, 28 (25 %) children were overweight, 56 (50 %) children were normal. Pre- hypertension (18.9%) and Hypertension (24.5%) were found to be statistically significantintheobesegroupwhencomparedtothenon-obesegroup.Obesegroup had higher levels of total cholesterol, LDL-C and low levels of HDL-C compared to non-obese group. Obese children had higher significant risk factors like excess caloriein take and sedentary activities compared to non-obese group. Conclusion: Childhood obesity was associated with excess calorie intake and certain behavioral changes like TV watching habit. These children are at a higher risk of “childhood onset of adult diseases†especially hypertension and dyslipidemia. This demands a timely intervention to decrease the adulthood morbidity and mortality due to obesity in these children.
- » PDF
-
Study of acute poisoning cases in and around chitradurga, a retrospective study at district hospital
Raju K, Hemanth Raj M N, V Chandan
- » Abstract
Introduction: Acute poisoning is a major public health issue in many countries around the world. The nature of poison used varies in different parts of the world and may vary even in different parts of the same country depending on the socioeconomic factors and cultural diversity. In developing countries such as India the reported mortality of 10% is significantly higher than the 0.5% reported in developed countries. Materials and Method: The present study was a retrospective study conducted over a period of twenty-four months at district hospital, Chitradurga. Case records of poisoning cases from January 2011 till December 2012 were reviewed retrospectively. Results: A total of 408 patients of various poisoning cases were studied. Incidence was more common among males (74.6%) compared to females (25.4) with a ratio of 3:1. Most cases of acute poisoning presented in the age group between 20 and 29 years (31.2%) followed by 12 to 19year age group (30.2%). By occupation, 44.8% of the cases were farmers and laborers (183) followed by housewives (13.2%, 54), students (12.5%, 51), unemployed (10.2%, 42) and businessmen (8.8%, 36).A majority of the poisoning cases (36.0%) were due to organophosphorus compound (OPC) followed by snake bite (16.2%), drugs (11.0%), rat poison (7.3%) and others. Conclusions: Incidences of intentional poisoning are rising day by day due to social, emotional and professional stress. Most commonly used agents for intentional poisoning are pesticides or medicines by the people. The findings of the study conclude that intentional poisoning was more in male adults and in female adolescent group. The mortality and morbidity due to poisoning can be reduced by conducting educational programs in rural areas and providing counselling services and poison information services to the needy people.
- » PDF
-
Profile of Road Traffic Accident cases in a Tertiary care Hospital, Puducherry
Madhuvardhana T, Naveen N, Arun M, Balakrishna Rao A J, Kagne R N
- » Abstract
Introduction: Road traffic accidents are one of the major causes of death in developed as well as developing countries. India accounts for about 10% of road accident fatalities worldwide and more deaths are recorded due to traffic crashes than due to cardiovascular diseases or neoplasms. A very high number of road traffic accidents were reported in rural Puducherry and Areas around Puducherry such as Cuddalore and Villupuram. Materials and methods: The present study was a done in the casualty, Sri Manakula Vinayagar Medical College and Hospital, Puducherry. The Study included 781 Cases of Road Traffic Accident victims. The basic information’s like name, age are obtained followed by History of the accident Regarding, time, day, date, type of road, type of vehicle, road user status of the victim were collected. A meticulous clinical examination of injuries was done and the type, site, size and other features of the injuries were noted. Results: The majority of road traffic accident victims were male comprising of 85.02% and the male: female ratio is 6.67: 1.The age group commonly involved in accidents in both the sexes is 20-29 years (34%and21.4%).Accidents are more on Sundays (15.5%). Most of the accidents happen in the evening hours (44.6%). Accidents are more during the month of November (10.2%). Most of the accidents happen on semi urban tar roads (85.8). Two wheelers are the most common vehicles involving in accidents (41.3).The percentage of alcohol users involved in accidents is 16.1%. Head injury is the most common site to be injured (24%).Abrasion is the commonest type of injury (41.3%). A reasonable reduction in the number of accidents and injuries resulting from them can be achieved by making certain road safety measures. Conclusion: Awareness and health education regarding various traffic rules to the general population will help in reducing the frequency of road traffic accidents.
- » PDF
-
Serum zinc, copper and selenium level in inflammatory bowel disease patients and their relation with metabolic bone disease
Anjali
- » Abstract
Bone metabolism changes in patients with inflammatory bowel disease (IBD) awoke a growing interest in the past few years mostly because of their high prevalence, with estimations around 40-50% for osteopenia and 5-30% regarding osteoporosis. Contributing factors including inadequate nutrition, corticosteroid, and decreased physical activity. Trace elements play an important role in the growth development and maintenance of bones. The aim of our study was to assess the Bone mineral indexes and serum Zinc, Copper, Selenium levels in Inflammatory Bowel Disease patients and their correlation with bone mineral density. One hundred newly diagnosed patients of Inflammatory Bowel Disease and 50 healthy Controls of both gender ranging in age from 19-50 years were included in the study. Fasting blood samples were processed for all baseline parameters. Serum Zinc, Copper and Selenium assessed by Atomic Absorption Spectrophotometry. The subjects were evaluated for Bone Mineral Density (g/cm2) using Dual Energy X-ray Absorptiometry scan and T score was calculated to assess Osteoporosis. Student’s unpaired t-test, one way ANOVA and Pearson correlation tests were used for statistical analysis. Inflammatory Bowel Disease patients had significantly lower Bone Mineral Density than the Controls. Bone Mineral Density values were not different between the subtypes Crohn’s Disease and Ulcerative Colitis. Though Ulcerative Colitis and Crohn’s Disease patients had significantly lower Bone Mineral Density than the Controls. Significantly Low Zinc and selenium level was observed in Inflammatory Bowel disease patients however Copper was found significantly high. Zinc, Copper and Selenium level was significantly correlated with Bone Mineral Density(r=0.24,-0.25,0.22). Patients with Inflammatory Bowel Disease are more prone to develop metabolic bone disease. Along with other nutrients supplement Zinc, Copper and Selenium should be added to prevent bone loss as well as oxidative stress in Inflammatory Bowel Disease patient.
- » PDF
-
Studies on the Synthesis, Growth and Physico-chemical properties of a New Single NLO crystal: Potassium L-threoninate
S Anna Venus, S Anbarasu, Prem Anand Devarajan
-
Purification and characterization of L-asparaginase from Salinicoccus sp. M KJ997975
Bhat M R, T Marar
-
Microstrip patch antenna for x-band medical-stereotactic radio surgery applications with coaxial fed
Supriya Jana, Sudeshna Dey
-
Status of serum potassium in patients with type 2 diabetes mellitus with and without complications
Badyal Ashima, Pandey Rajesh, S. Sodhi Kuldeep, Singh Jasbir
- » Abstract
Accumulating evidence that metabolism of several essential elements is altered in diabetes mellitus (DM) and might have specific roles in the pathogenesis and progress of this disease.1 Data underscore the adverse effects of glucose and insulin on potassium levels and the high incidence of cardiovascular and renal complications in patients with diabetes mellitus. Chronic hyperglycemia of diabetes mellitus is associated with long term damage and dysfunction of various organs, especially the eyes, kidneys, nerves, heart and blood vessels. These findings have not been comprehensively evaluated in critical reviews.2 Aim: To estimate the serum potassium levels in type 2 diabetes mellitus with and without complications. Setting and Design: A hospital based cross sectional study in the rural setting of Haryana. Material and Methods: 250 subjects were selected, 50 were healthy controls and 200 were taking the treatment for T2DM, including patients with and without complications were recruited from Medicine OPD of MMIMSR, Mullana, Ambala (Haryana), and their potassium levels were measured and compared. Statistical Analysis: By SPSS version 12{SPSS v12 (Spss Inc; Chicago, IL)}. Results and Conclusion: Subtle changes in serum potassium levels in T2DM as they might have a bearing with disease complications.
- » PDF
-
Aquifer level groundwater management through community participation in district Jalna, Maharashtra
P L Salve
-
Evaluation of serum uric acid levels in type 2 diabetes mellitus: complex interplay with demographic and clinical parameters
Amruta Bakshi
- » Abstract
Introduction: Type 2 Diabetes Mellitus presents potential risk factor for development of macro and microvascular complications because of certain metabolic as well as clinicodemographic variables. The association of uric acid with such parameters in diabetic environment is highly complex and inconclusive, which forms the basis of our study. Materials and Methods: OPD based cross sectional study including 100 cases of T2DM and 100 controls evaluated in a stepwise manner. Results were assessed by appropriate statistical software. Observations and Results: Significant difference was noted in mean values of age, SBP, BMI WHR, BSL and UA between cases and controls (P< 0.05); while DBP was not significant high compared to controls (P =0.12). The number of males, smokers, alcoholics, physically inactive and mixed dietarians was high in cases compared to controls. Mean duration of diabetes was 6.7+1.1 years. Hyperuricemia was observed 51 cases, with a mean level of 8.8+1.7 mg%. Cases in hyperuricemic group were comparatively aged, with high BP, BMI and WHR than those with normal/ low UA. WHR showed strongest positive correlation with UA, while BSL and duration of diabetes showed negative correlation. The impact of central obesity shown by WHR is profound than general obesity shown by BMI. Inverse relationship of uric acid with duration of diabetes and blood glucose level shows uricosuric effect of glucose on kidneys. Conclusion: Impact of demographic and clinical variables on metabolic parameters like uric acid in diabetic settings often remains underevaluated in practice. Uric acid level in a patient is rather an ultimate outcome of several factors which must be taken into consideration before any precise causality is established.
- » PDF
-
A rare case of neurofibromatosis type I involving the right upper eyelid
Smita Javadekar, D K Sindal, Sagar Petkar, V H Karambelkar, Vaishali Pawar
-
A Case Report of Scrub Typhus with ARDS in Pregnancy- A Therapeutic Challenge
R B Sudagar Singh, K Vengadakrishnan, J Damodharan
-
Endometriosis following episiotomy: a case report with review of literature
N Lavanya Kumari, Valluvan Manimozhi, K Hari Prasad, P Viswanathan, RehanaTippoo
-
Diabetic ketoacidosis and acute myeloid leukemia predisposing mucormycosis in a middle aged lady
R B Sudagar Singh, J Damodharan, Siva Prakash
-
A rarity in itself an osseous neurilemmoma – a case study
Nitin Patil, Ravindra Gunki, Mandar Shaha, Himanshu Kulkarni
-
Profile of RTA cases attending a tertiary health care centre in Kanchipuram district of Tamil Nadu
Ruma Dutta
-
Estimation of Height (Stature) From Inferior Extremity Length and Foot Length in Children.
Swati Ramakant Pandhare, Anjali D. Patil, A. Kasote, M. M. Meshram
-
Musculoskeletal morbidities among bus drivers in city of Central India
Amod Borle, Sandeep Gunjal, Ashok Jadhao, Suresh Ughade, Arun Humne
- » Abstract
Introduction: Bus drivers must successfully balance the competing demands of safety, customer – focused service and company operating regulations. Driving frequently involve many risk factors such as prolonged sitting and motor vehicle driving, tight running schedules, reduced rest breaks, rotating shift patterns, traffic congestion, the sedentary nature of job etc. These risk factors are specially important when work demands exceed the physical capacity of the worker. Objectives: 1) To study prevalence and pattern of musculoskeletal morbidities amongst M.S.R.T.C. bus drivers. 2) To study some epidemiological factors related with these morbidities. Material and Methods: The present cross sectional study was carried out among 581 bus drivers of M.S.R.T.C. bus depots in Nagpur city. Data gathered with the help of interview technique using predesigned questionnaire. Information regarding musculoskeletal disorders was gathered with the help of Standardized Nordic Questionnaire. Interview was followed by thorough clinical examination and necessary investigations. Results & Conclusion: Commonest morbidity was backache present in 340 (58.5%) study subjects, followed by joint pain among 268 (46.1%) and commonest site being lower back in 318 (85%). Musculoskeletal discomfort was found significantly related with age, duration of service, daily average driving (km) and duration of driving (hrs/wk). It was also significantly higher in study subjects with BMI ≥ 30 kg/m2. Musculoskeletal discomfort increased significantly with increase in age, duration of service, daily average driving.
- » PDF
-
A Study of Demographic Pattern among Geriatric Population in the Field Practice Area of Rural Health Training Centre, Paithan of Govt. Medical College, Aurangabad.
Jadhav V.S, Mundada V.D, Gaikwad A.V, Doibale M.K, Kulkarni A.P
-
Hydro Geochemical Processes in the Groundwater Environment of Vemula area, Kadapa District, South India
L. Chandra Sekhar Reddy, S.M. Deshpande, K.V. Ramana Reddy, K.R. Aher
- » Abstract
Abstract: Groundwater is the most precious gift of nature to living beings, particularly to the mankind and is essential for life. In recent years, rapid development has created an increased demand for drinking water, which is increasingly being fulfilled by groundwater abstraction. Groundwater constitutes one of the principal sources of fresh water. Hence it assumes enormous importance in domestic as well as Industrial activities. In view of the groundwater being used for potable purpose, its quality remains one of the issues of concern. The present study was undertaken to assess major ion chemistry of ground water to understand geochemical evolution of groundwater and water quality for promoting sustainable development and effective management of groundwater resources. Sampling procedures and chemical analysis were carried out as per the standard methods. A total of 19 water samples were collected and the water chemistry of various parameters viz. pH, EC, Total Hardness (TH), Total Dissolved Solids (TDS), calcium (Ca++), sodium (Na+), potassium (K+), carbonate (CO3-), bicarbonate (HCO3-), chloride (Cl-), nitrate (NO3- ), and fluoride (F-) are carried out. A comparison of groundwater quality in relation to drinking water quality standards revealed that most of the samples are suitable for drinking purpose.
- » PDF
-
Sexually Transmitted Diseases (STDS) Among Adolescents In Second Cycle Institutions In Accra, Ghana: Trends In Sexual Behaviors
Stephen T. Odonkor, Justice Nonvignon, Joseph Adu, Mavis Okyere, Tahiru Mahami
-
Effect of Combined Slow & Fast Pranayamic Breathing Exercises on Autonomic Nervous System
S. B. Jore, T. B. Bhutada, U.S. Patil, S. V. Patil, P. B. Gaikwad
-
Radiation sensitivity of Listeria monocytogenes planktonic and biofilm-associated cells
T. Mahami, A. Adu-Gyamfi, S.T.Odonkor
-
Ethnomedicinal Plants Used To Cure Skin Diseases In Ambabarwa Wild Life Sanctuary Area Of Buldhana District (M.S.), India
A. N. Korpenwar
- » Abstract
Abstract: Plants are used by tribals and folklore traditions in India in the treatment of skin diseases, like leprosy, scabies, rash, wound, psoriasis, swelling, eczema, dandruff. The traditional healers are on the decline because the younger members of the tribe have started moving towards the towns and cities and are not willing to practice this form of medicine. There is danger that the knowledge of these medicinal plants will also die with them. Some of useful species are under serious threat due to unsustainable activities. Hence, a proper documentation of useful plants with their present status and local traditional knowledge as well as practices is urgently needed.
The paper enumerates the traditional uses of 55 plant species belonging to 52 genera representing 39 families, which are used by the tribal communities of Amba-barwa wild life sanctuary area of Buldhana district for the treatment skin diseases.
- » PDF
-
Antibacterial Activity Of Azadirachta indica A. Juss. Leaves Extracts Against Skin Pathogens
Mule Gajanan
-
Effect of Mutagenesis on Germination, Survival and Pollen sterility in M1 Generation of Soybean [Glycine max (L.) Merill]
Rajendra A. Satpute and Rajendra V. Fultambkar
-
A Longitudinal Study of Attitudes and Adverse Reactions of Influenza Vaccination among Health Care Personnel
Kriti A Patel, J.D. Naik, S.S. Rajderkar, Sanjay K Jathar
-
Distribution of Ambient Suspended Particulates and Volatile Organic Carbon in a Fast Developing Metropolis in the Niger Delta, Nigeria
Emerhi, E.A., Ideriah, T.J.K., and Trinya, W.
- » Abstract
Abstract: The concentrations of various sizes of suspended particulates and volatile organic carbons along selected roadsides and control sites in the fast developing city of Port Harcourt in the Niger Delta were determined at 0m and 50m from roads during the dry and rainy seasons. The parameters were determined using portable hand held air monitors which include an Industrial Scientific Corporation ITX Multi Gas Monitor and Aerosol Mass Monitor by Met One Instrument INC. The results showed highest concentrations of PM1 (0.004mg/m3), PM2.5 (0.19 mg/m3), PM7 (0.715 mg/m3), PM10 (0.829 mg/m3), TSP (0.946 mg/m3) and VOC (4.2ppm) in the dry season and PM1 (0.004mg/m3), PM2.5 (0.28 mg/m3), PM7 (0.226 mg/m3), PM10 (0.109 mg/m3), TSP (0.129 mg/m3) and VOC (1.2ppm) in the rainy season. The differences between the dry and rainy season values were significant at P≥0.05. The concentrations of the pollutants measured at the high density areas were generally higher than the concentrations measured at low density areas; however PM1, PM2.5, PM10 and VOC showed significant differences with traffic density at P≥0.05. There was no significant difference between the mean concentrations measured at 0m and 50m. The results showed very strong relationship between PM10 and TSP in both season, PM7 and TSP in the dry season as well as PM1 with PM2.5 and PM7 in the rainy season implying similarity in sources of the particulates. The pollutants in the study area do not originate from the same sources as the correlations between PM2.5 and other fractions as well as between the suspended particulates and VOC were very low with decreasing mean r = 0.2174PM1, 0.2052 PM2.5, 0.0591 PM7, 0.0386 PM10 and 0.0209 TSP. The levels of VOC call for serious environmental concern as their concentrations at the high density stations exceeded permissible limit recommended by the Federal Environmental Protection Agency of Nigeria and United States. The levels of the pollutants were influenced by traffic density, seasonal variations and distances from major roads, therefore farming activities and consumption of exposed foodstuffs should be discouraged in the study areas. Key words: Suspended Particulate Matter, Volatile Organic Carbon, Traffic density, Distance, Seasonal variation, Port Harcourt, Niger Delta
- » PDF
-
A Prevalence Study of Intestinal Parasitic Infections in a Rural Hospital
M.S. Davane, N.M. Suryawanshi, K.D. Deshpande
-
Morphometric Study on Anterior Papillary Muscles of Human Tricuspid Valve
Harsha B. R., Dakshayani K .R.
-
PMNL Status in Type-II Diabetic Patients with Multi-Vitamin Multi-Mineral Supplementation
Bhushan Mahajan, S. K. B. Patil, Manohar Muddeshwar
- » Abstract
Introduction: We have studied the effect of multi-vitamin multi-mineral supplementation on polymorphonuclear leukocyte(PMNL) membrane status in Type II Diabetes Mellitus patients. Material and Methods: The study was divided into four groups. Group A- Diabetic patients (DM0). Group B consisted of normal healthy controls (NHC), Group C of Diabetic patients given multi-vitamin multi-mineral supplementation capsules for 30 days (DM30). Group D consisted of diabetics withdrawn from multi-vitamin multi-mineral supplementation for next 30 days (DM60). Fasting blood samples were collected from the respective groups. PMNL Phospholipid phosphorous (PLp), cholesterol, triglyceride lipase, triglycerides, vitamin C, Magnesium and Zinc were estimated by standard methods. Analysis of variance was calculated by applying students “t†test. Results and discussion:- The PMNL cholesterol, triglycerides, phospholipids phosphorous were significantly high (p<0.05) whereas PMNL triglyceride lipase, vitamin C, Zinc and magnesium were significantly low (p<0.05) in DM without multi-vitamin multi-mineral supplementation as compared to NHC . The levels of Cholesterol, triglycerides, Phospholipid phosphorus significantly decreased after 30 days supplementation. Withdrawal of supplementation for next 30 days showed a slight increase in PMNL PLp. A significant increase in PMNL TG lipase activity was seen after multi-vitamin multi-mineral supplementation in diabetic patients. Supplementation of multi-vitamin multi-mineral capsules to diabetic patients showed significant elevation in PMNL Vitamin C, PMNL Mg and PMNL Zn. A significant change was observed in the levels of PMNL Vitamin C, Mg and Zn after withdrawing multi-vitamin multi-mineral supplementation for next 30 days.Conclusion:-This suggests that multi-mineral multi-vitamin supplementation in combination with conventional hypoglycemic treatment may modulate the PMNL function and provide better metabolic control in Type II Diabetes Mellitus patients.
- » PDF
-
Utility of Leukocyte Esterase Dipstick test in bed side diagnosis of Spontaneous Bacterial Peritonitis in Patients of Cirrhosis of Liver with Ascites
Anurag Lavekar, Tanuja Manohar, Aniket Saoji, Gajanan Gondhali
-
Rhinolith - A Rare Case
Suresh Palukuri, Koteswar Nalluri
-
Bacteriological Screening of Hands and Mobile Phones of Healthcare Workers and Its Management
Raghavendra M. P., Shruthi K. C., Shivalingaiah B.
-
Disseminated Cysticercosis: Uncommon Presentation of a Common Disease
Sonkamble Siddharth, S. J. Pednekar, Dharmendra P., Nishita S
-
Working and Short Term Memory Status of Male and Female Patients in Type 2 Diabetes Mellitus
Sanjay B. Bhagoji, Mahesh Patil2, Mrutyanjay Mirje, Mallikarjun Biradar
- » Abstract
Background and objectives: Working and short term memory loss is common in diabetic patients. Though cognitive deficits affect daily activities and differences between genders are not given much importance to assess working and short term memory at bedside. Hence this study was undertaken to compare working and short term memory in type 2 diabetics with gender matched normal subjects. Methodology: Present study was conducted in Al-Ameen Medical College and Government district Hospital, Bijapur on 114 diabetics (male=72, female=42) and 119 normal subjects (male=79, females=40) aged (40-60 yrs.). Cognitive function assessment was done for short term and working memory by using 5 memory tests-AVLT, VFT, VRT, WDST and VST were used. The results were expressed in average total scores (%). χ2 test was used for statistical analysis. Results: Memory scores of all 5 tests decreased in male diabetic patients when compared to normal male subjects and this decrease was statistically significant (P<0.0001). When female diabetes patients were compared with normal female subjects out of 5 memory tests memory scores in 4 tests were decreased (except VRT) and this decrease was found to be statistically significant (P<0.05). Male diabetic patients when compared with female diabetic patients, decrease in memory scores in male diabetic patients was found to be statistically significant in all tests (except in WDST). Interpretation and conclusion: The short term and working memory status in the present study decreased significantly in the male diabetic patients, which may be due to hyperglycemia, hypoglycemia, vascular dementia and insulin resistance, type of diabetes, age of onset, duration and type of therapy. Therefore these observed effects of gender are of potential clinical importance because working and short term memory loss may interfere with day today activities.
- » PDF
-
Hematological Profile in Patients of Sickle Cell Anemia and Sickle Cell Trait in Relation to Blood Gas Analysis—Revisited
Kulkarni R. A., Gangane N., Sharma S. M
-
A Comparative Evaluation of the Frictional Resistance between Stainless Steel, TMA and Low Friction TMA Orthodontic Archwires – An In-Vitro Study
P. Premanand, S. Saravana Kumar
-
Persistent Mullerian Duct Syndrome - Case Report
Pramila, Balakrishnan, Sivaelangovan
-
A Study of New Technique of Loop Stoma Bridge in Tertiary Care Hospital Hosamath
Vijaykumar, Sreekar Agumbe Pai, Harish K., Basti Sunita Devendra
-
Efficacy of Klemm and Borner Criteria in Evaluating the End Results of Management of Closed Diaphyseal Fracture of Tibia Treated by Closed Interlocking Nailing
Saurabh Chandra, Mukesh Tiwari
- » Abstract
Background. The tibia is the most common fractured long bone, because of its exposed anatomical location and inadequate muscular envelope. Objectives: Evaluate fracture healing and union time with closed Interlocking nailing with reaming in regards to its functional outcome (klemm and borner criteria) with respect to knee and ankle joint movements, deformity, muscle atrophy and radiological union aiming at early mobility of patients. We report a randomized analysis of 30 patients treated in one center in rural area. Methods: Study done at Orthopaedic Department of NIMS Medical College, Jaipur (Rajasthan) between May 2011and May 2013. The patients included were more than 18 years, only closed diaphyseal fractures considered. Fractures of tibia other than diaphysis and unfit patients were excluded. Mean age was 32.4 years.29 patients had road traffic accident,1patient had history of fall:16 had ipsilateral fibula fracture,6 had contralateral tibia shaft fracture ,3 had head injury,3 had metacarpal fracture,2 had fracture clavicle and one had floating knee. Results: Average union time 4.7 months Complications encountered were 3 delayed union,1 malunion,1superficial infection,1 deep infection and 15 developed anterior knee pain. Conclusion: 90%of the total cases had excellent results,6.66% had good results and 3.33% had fair results.
- » PDF
-
Incidence of Postoperative Wound Infection in Orthopaedic Surgery - An in Vivo Study
Vivian D’Almeida, John Benny, Raghuveer Adiga, Vivek Mahajan, Karen D’sa, Rohit Jhamnani
-
A Comparative Analysis: SILS over Conventional Laproscopic Procedures
S. Pradhaban
-
Study of Malondialdehyde (MDA) As a Marker of Oxidative Stress in Obese Male Individuals
Dhananjay Vasantrao Bhale, Dhanashri Shashikant Patil, Roshan Kumar Mahat
-
23 Gauge Transconjunctival Vitrectomy-Short Term Visual Outcomes and Complications
Biju John C.1, Apuca Susan Mathew
-
Sacral Fractures: Various Modalities of Treatment and outcomes
Nilesh Keche, Sanjay Khairnar, Abhang Khairnar, Kedar Jagtap, Kiran Patil, Harshal Kalambe
-
A Prospective Study of Blood Transfusion Practice in Elective Orthopaedic Surgeries
Suresh Chandra Dulara, Pooja Jangid, Rinku Jain, Ashish Jangid
-
A Prospective Study of Blood Transfusion Practice in Elective Orthopaedic Surgeries
Suresh Chandra Dulara, Pooja Jangid, Rinku Jain, Ashish Jangid
-
Correlation of Blood Glucose Level with Working and Short Term Memory Status in Type 2 Diabetes Mellitus
Sanjay B Bhagoji, Mrutyanjay Mirje, Mahesh Patil, Mallikarjun Biradar
-
A Study of the Extent of Neurological Involvement and Neurological Deficit in Different Types of Sacral Fractures
Nilesh Keche, Sanjay Khairnar, Abhang Khairnar, Kedar Jagtap, Kiran Patil5, Harshal Kalambe
-
Evaluation of Hypoglycemic Activity of Tramadol in Streptozotocin Induced Diabetic Rats
Totagi Vinod Gangadhar, A. M. Satish, M. K. Jayanthi, M. Brahadeesh, Lokraj Subedee, Suresha R. N
-
The Clinical Manifestation and Outcome of Scorpion Sting Envenomation in Children Admitted to Tertiary Care Hospital
Srinivasa K., Vishwanath B.
- » Abstract
Objective: To study the clinical profile, the pattern of presentation, treatment and the outcome in scorpion sting envenomation at a tertiary care hospital. Methods: A total of 120 children were prospectively studied. The data included demographics, the time of presentation to the hospital, the clinical features, and the premedication which was given before the arrival of the subjects at the hospital, response to the oral Prazosin and the hospital outcome. Results: Local pain, sweating and peripheral circulatory failure were the common clinical presentations. Complications like acute pulmonary oedema, myocarditis, shock and encephalopathy were also seen. These were treated with a combination of Prazosin with either inotropes or vasodilators. Mortality was seen in 3(2.5%) children. Oral Prazosin, a postsynaptic alpha –1 blocker, is a highly effective drug for scorpion sting envenomation. Conclusion: Scorpion sting envenomation is an acute life threatening emergency and an early presentation to the hospital and an early intervention with proper medication( Prazosin) can hasten the recovery in the scorpion sting victim.
- » PDF
-
Case Report of Delayed Presentation of Congenital Diaphragmatic Hernia
Sangeeta Basu, Jitendra Kumar, Basaveshwar Patil, C. D. Aundhakar
-
The Study of the Pattern of Maternal Vaginal Flora in Labour and Its Association with Neonatal Sepsis
Sangeeta Basu, S. Y. Ingale, V. R. Potdar, Basaveshwar Patil, C. D. Aundhakar
-
Acute Physiological and Chronic Health Examination Scoring System in Prediction of Mortality in Critically Ill Patients and It’s Comparison with Other Scoring Systems
Bhargava Reddy N., Swaroo Phegde, Neha Athale, Jaishree Ghanekar
-
Chronic Alcoholism and its Effect on Nerve Conduction Velocity
Sangita.R.Phatale, Anjali Shete
-
The Study of Pulmonary Function Tests in Chronic Alcoholics
Sangita R. Phatale, Boramma S
-
Situs Inversus with Dextrocardia Associated with Complex Congenital Heart Disease: A Case Report
Tungikar Sudhir, Kulkarni Pratima, Kawle Deepak
-
Profile of Suspect Adverse Drug Reactions in a Teaching Hospital
Shubhatara Swamy, Pratibha Nadig, Bhanuprakash, Muralimohan, Manjula Shetty
-
Screening of the Drug Sumatriptan for Its Antiinflammatory Potential in Albino Rats
Brahadeesh M., Suresha R. N., Satish A. M
-
Effect of Chitosan and Mordants on Dyeability of Cotton Fabrics with Natural Dye from Barks of Ficus Religiosa Linn
P. Saravanan, G. Chandramohan, J. Maria Jancy Rani, P. Shanmuga Sundaram
- » Abstract
Natural dyes can be anything that comes from natural sources such as barks, flowers, leaves, roots, insects, shells, and mineral substances. They are used for food coloring, painting and textile dyeing. Using natural dyes in textile processing have been shown a greater interest because they are more eco-friendly than synthetic dye and show a variety of colors from one natural dye depending on dyeing process and types of mordants. In present study, the cotton fabric was treated with chitosan at different concentrations to finda suitable concentration on dye ability with natural dye from barks of Ficus Religiosa Linn. The influence of dyeing methods with mordants, i.e. pre-mordanting, post-mordanting and simultaneous mordanting was determined. The light and wash fastness of chitosan treated samples were measured compared with untreated samples. Chitosan-treated cotton fabric improved both dyeability and fastness compared with untreated cotton fabric. The cotton fabrics treated with chitosan not only provided better depth of shade but also provided better wash fastness and light fastness than those of the untreated fabrics. The use of different mordants and mordanting methods affected the dye shade and depth of shade differently on the dyed fabrics both with and without chitosan. The range of colour developed on dyed materials were evaluated in terms of (L*a*b*) CIELAB coordinates and the dye absorption on the cotton was studied by using K/S values.
- » PDF
-
Anaesthethic Management of a Case of HOCM Posted for Rt. # IT Femur (DHS Plating)
Pramod V. Bhale, Medha Kulkarni, Radhika Ruhatiya, Selva Kumaran
-
Study of Serum Prostate Specific Antigen (PSA) Levels in Patients of Benign Enlargement of Prostate and Prostatic Cancer
Dhananjay Vasantrao Bhale
- » Abstract
Prostate specific antigen (PSA), neutral serine protease secreted exclusively by prostatic epithelial cells, has a number of applications in the management of men with prostatic carcinoma. While it is widely recognized that elevated PSA correlates with the presence of carcinoma, little data exist regarding the use of PSA as the initial test in the early detection of prostatic cancer Prostate-specific antigen (PSA) is a protein produced by the prostate and this protein may be elevated for several reasons, including prostatitis, benign prostatic hypertrophy and cancer. The value of the PSA test varies when used for screening, diagnosis, prognosis and as indicator of recurrence of prostate cancer. AIMS and Objectives: To study levels of Serum PSA in patients of Benign prostatic hypertrophy and prostatic carcinoma and comparing them with normal healthy individuals above 55 years of age. Material and Methods: The study was performed on 100 consecutive male patients (mean age 68 ± 10.8 years SD) comprising of 80 patients with benign disease (80%) and 20 prostate carcinoma patients (20%), who had histologically proven prostate cancer. Patients with total PSA between 2-25 ng/ml were included in the study. 30 normal healthy males with age 55 ± 10 years, served as control. Serum total PSA were analyzed using CLIA method.The mean total PSA in normal healthy control subjects was 1.72 ± 1.06 ng/ml. It was increased significantly in diseased condition. Its mean concentration in carcinoma patients was 12.6 ± 5.3 ng/ml and in benign patients it was 6.3 ± 4.6 ng/ml. Conclusions: Markedly increased PSA levels in serum suggests a cancer. This information may aid patients and clinicians in management of prostate cancer, such as selecting patients for watchful waiting. However, more research is needed to determine the performance characteristics of PSA in clinical practice. It is recommended that the use of PSA and Digital Rectal Examination in combination is important as a diagnostic procedure for the early detection of prostate cancer.
- » PDF
-
Comparative Study of Blood Glucose and Glycosylated Hemoglobin Levels and Clinical Profile in Low Body Weight (lean), Nonobese and Obese Type 2 Diabetes Mellitus
Dhananjay V. Bhale
-
Effect of Medium-dose Gamma Irradiation on Microbial Quality of Cut-cabbage (Brassica oleracea): A case study in Greater Accra Region of Ghana
G. K. Frimpong, V. Appiah, J. Nketsia-Tabiri, W.Torgby-Tetteh
-
Comparison of Suxamethonium with Rocuronium for Endotracheal Intubation
Pramod Bhale, Narender Bhandari, Selva Kumaran P., Rashmee Joshi
- » Abstract
Background: In the present day practice, muscle relaxation is used for facilitation of endotracheal intubation and to provide muscle relaxation throughout the surgery. Rocuronium bromide is a nondepolarizing aminosteroidal, vecuronium derivative drug with intermediate duration Side effects of suxamethonium are not observed with rocuronium bromide. Present study is aimed at determining the efficacy of rocuronium for routine endotracheal intubation within 60 seconds in general population. Objective: To compare the intubating conditions of rocuronium bromide with suxamethonium chloride. Methods: Patients were premedicated with inj. midazolam 0.05mg kg-1, inj. Pentazocine 0.5mg kg-1 and inj. glycopyrolate 0.005 mg kg-1, after which patients were preoxygenated for 03min with 100% oxygen. Induction was done with inj.thiopentone at the dose of 5mg kg-1. After loss of eye lash reflexes, muscle relaxant (rocuronium bromide/ suxamethonium chloride) was given as iv bolus. Intubating conditions were assesed at 60 seconds after injection of muscle relaxant, if intubating conditions were unsatisfactory, then repeat scopy was attempted after every 30sec interval (90, 120, 150 and 180 sec). Bag mask ventilation with 100% oxygen was continued till the repeat scopy was attempted. Monitoring of pulse rate, oxygen saturation, systolic and diastolic blood pressures, electrocardiogram were recorded immediately after laryngoscopy, at 5 and 10min after intubation. Results: Suxamethonium showed acceptable intubating conditions in 100% of cases at 60 Sec. out of which 93.24% were excellent. In rocuronium Group 100% of cases had acceptable intubating conditions at 60 sec. out of which 77.7% excellent and 22.2% good intubating conditions were observed. Conclusion: Rocuronium bromide at 0.9 mg kg-1 is a safe and good alternative for suxamethonium 1.5mg kg-1 for endotracheal intubation at 60 seconds. We advice rocuronium bromide 0.9 mg kg can be used for Rapid Sequence induction and Intubation, if there is no prediction of difficult intubation.
- » PDF
-
The Rheological Profile of Cereal Flour Composites as affected by Gamma Irradiation
B. Darfour, S. Annan, E. A. Ayeh
-
Study of Serum Ferritin Levels in Anemia of Pregnancy
Dhananjay Vasantrao Bhale, Pramod Vasantrao Bhale, Shubhangi Arun Mande, Sanjay Guddetwar
-
Biosorption of Reactive Red 198 from an Aqueous Solution Using Morinda Tinctoria
R. Vijayalakshmi, R. Venkatachalam, T. Periyathambi, P. Saravanan
-
Primary Multicentric Hepatocellular Carcinoma An Incidental Finding at Autopsy
Arun M., Reddy A., Kagne R. N., Sowmya S., Balaraman R
-
Unilateral Ectopic Kidney with Associated Anomalies: A Case Report
Bashir Khan, Bipin Khade, Gajanan Patil
-
Unmarried Adolescent Pregnancy: a Learning Lesson!
Archana Rokade, R. P. Patange, D. P. Javadekar
- » Abstract
Objective: To determine risk factors and explore the socio-behavioral context of pregnancyin the unmarried adolescent girls. Methods: This is cross-sectional observational study over period of one year from August 2012 to July 2013. Total 90 unmarried pregnant girls were included in study. All unmarried adolescent girls seeking abortion were given questionnaire and data that collected was analyzed. This study was conducted in Obstetrics and Gynecology Department of Krishna University of medical sciences karad. Study variables: age, relation with partner, age of partner, literacy and education, socioeconomic class, parenting, type of family and parenting, family problems, awareness of sexual and reproductive health, involvement in productive activities, awareness regarding STD and AIDS, knowledge of contraception, gestational age, methods used for MTP. Results: 90 unmarried adolescent girls undergoing abortions included in the study.60% were from rural area and 44.4% were in age group of 17-18 years. More than 57.7% of unmarried girls had a friend or fiancée as their sex partner who were also in adolescent age. 42% sought abortion in the second trimester of pregnancy. Single parenting with irrational strictness or negligence and family disputes are independent risk factor for adolescent unmarried pregnancy. Contraceptive awareness was low, awareness regarding AIDS (though low at 47%), was higher than that for STDs in general (31%).lack of awareness regarding sexual and reproductive health and noninvolvement in productive activities are important risk factors.
- » PDF
-
Effect of Lipodystrophy on Quality of life of HIV/AIDS patients: A cross sectional study in South India
Sudhir, Deepa.K., Ashok N.C., Murali Dhar
-
Comparison of Dexmedetomidine, Fentanyl and Magnesium Sulfate as Adjuvants with Hyperbaric Bupivacaine for Spinal Anesthesia: A Double Blind Controlled Study
Sunil B. V., Sahana K. S., Jajee P. R
- » Abstract
Background: Intrathecal adjuvants has gained popularity with the aim of prolonging the duration of block, quality of block and decreased resource utilization compared with general anaesthesia. The purpose of this study was to evaluate the onset and duration of sensory and motor block as well as adverse effects of adding exmedetomidine, fentanyl or magnesium to hyperbaric bupivacaine for spinal anesthesia. Design: randomized double blind trail. Setting: hospital based study during the period, march-june 2013. Method: 90 Patients were randomly allocated to three groups of 30 each to receive intrathecally either 15 mg hyperbaric bupivacaine plus 10 µg dexmedetomidine ( group D) or 15 mg hyperbaric bupivacaine plus 25 µg fentanyl (group F) or 15 mg hyperbaric bupivacaine plus 50 mg magnesium (group M). The onset time to reach T10 sensory and Bromage 3 motor level, the regression time for L1 sensory and Bromage 0 motor block, Sedation scores, hemodynamic changes and side effects were recorded. Statistical analysis: Performed using computer statistical software system SPSS version 16. Data were expressed as either mean and standard deviation or numbers and percentages. Continuous covariates (age, height, weight and duration of surgery) were compared using analysis of variance (ANOVA). For categorical covariates (gender, ASA class, blood transfusion, nausea/vomiting, hypotension, bradycardia, use of ephedrine, additive analgesia, atropine and type of surgery) a Chi-square test was used, with the p value reported at the 95% confidence interval. For the time to reach T10 dermatome, Bromage 3 scale, and the regression of the sensory block to L1 dermatome and Bromage scale 0, ANOVA test was used to compare the means. The level of significance used was p<0.05. The total sample size was calculated to be 90 (30 patients in each group). Results: Onset of bromage 3 motor block and time to reach T10 sensory dermatome level was statistically significant between group D, group M and group F .onset time for sensory and motor block was significantly earlier in group D but delayed in group M .(P<0.001, DvsM. P<0.05, DvsF and FvsM). The time for regression of sensory block to L1 dermatome and bromage 0 motor block was significantly prolonged in group D compared to group M, which was greater then group F . (p <0.001, F vs D,M and DvsM). Conclusion: addition of dexmedetomidine prolonged the sensory and motor block significantly when used with hyperbaric bupivacaine for spinal anesthesia. Onset of both sensory and motor block was earlier and significant in Dexmedetomidine group. In magnesium sulfate group although onset of sensory and motor block was delayed, the regression was significantly prolonged then fentanyl group, good haemodynamic stability was observed and there was no significant side effects in three groups during study period.
- » PDF
-
Computerized Tomographic Measurement of Thoracic Vertebral Morphology in South Indian Population
Latheesh Latheef, Mrinal B Shetty, Vivian D’ Almeida, Rajesh Wilson, Tinu Joseph
-
Detection of Macrolide-Lincosamide-Streptogramin B Resistance in Staphylococci Isolated from Ear Discharge of Patients of Chronic Suppurative Otitis Media in a Tertiary Care Hospital
Chetana I. Wahane, Vanita A. Kulkarni
-
A Case of Central Venous Line Insertion in Severe Scoliosis
Sunil B. V., Sahana K. S., Jajee P. R
-
A study of Assessment of Prevalence of Tubercular Infection and Tubercular Cervical Lymphadenitis in Rural school children of Nagamangala Taluka of Mandya District, Karnataka State
Suresh Lankeshwar, Usha Ramachandra, Prabhu N. B
-
Histogenesis of Endodermal Component of Human Fetal Thymus
Bashir Khan, Vinaram Rukhmode, Sanobar Shaikh, Chhaya Diwan
-
Study of Socio-Demographic Factors Associated with Protein Energy Malnutrition in Less than Six Year Children in Field Practice Area of Rural Health Training Centre
Balaji V. Ukarande1*, A. S. Nagaonkar2, Nazia Khan
- » Abstract
Study objectives: In spite of a large number of national programmes related to nutrition such as ICDS, mid-day meal, etc., about 6600 under-five children die every day, accounting to 46% child deaths due to protein energy malnutrition (PEM) in India, so considering the PEM , important nutritional problem and as ICDS, programme render the services to children less than six years of age, present study was undertaken to assess the nutritional status of children ageing less than six years of age residing in rural field practice area of Rural Health Training Centre of medical college. Methodology: Present study is cross-sectional, observational study in field-practice area and sample size was selected by simple random sampling method. Results: Overall prevalence of undernutrition in 0-72months (0-6 yrs) age group was 58.61%. Undernutrition was more in 49-60 months age group (70.21%) than other age group. Undernutrition was more among children whose mothers were illiterate or primary-secondry educated and less in higher and graduated, this difference was highly significant (χ25=362.93, p<0.001). Undernutrition was highest among children belonging to unemployed fathers, least in children whose fathers were owner and cultivators (χ24=272, p<0.0001).Proportion of undernutrition was highest in class V socio-economic-category children, where as lowest in children belonging to class I category. It is also clear that as socio-economic-status increases proportion of undernutrition decreases which was statistically highly significant. (χ24 =141, p<0.001). Conclusion: In spite of various schemes for children to decrease malnutrition, still the PEM is high in the study area; an integrated approach is required to curb this problem.
- » PDF
-
Electromyographic Activity of Masticatory Muscles in Different Skeletal Profiles
Srikanth Gunturu, Sushmitha R. Tauro
-
A Prospective Study on Efficacy of Oral Iron in Comparison with Intravenous Iron Sucrose in the Treatment of Iron Deficiency Anemia in Pregnant Women in a Rural Scenario
Badveli Manasa, Indranil Dutta, Vijayalakshmi S
-
Evaluation of Amiodarone for Its Effect on Glucose Metabolism in Euglycemic Albino Wistar Rats
Mohammed Sibgatullah, Suresha R. N.
-
Auditory and Visual Reaction Time in Taekwondo Players
A. A. Asia, A. B. Warkar2
-
Uterine Artery Embolization in the Management of Undiagnosed Genital Bleeding
Sangeeta Chippa, Dipti Vaidya, Shubhangi Mande, Swati Shiradkar
-
Retrospective Study of Eclampsia in a Teaching Hospital
Pradeep M. R., Lalitha Shivanna
-
Effect of Alpha-Methyl-P-Tyrosine Pretreatment on Stereotyped Behaviour Induced by Lamotrigine, Apomorphine, Dexamphetamine in Rats
Shinde A. R., Thorat V. M., Jadhav S.A., Balsara J. J., Shinde R. V.
-
Protein carbonylation, Lipid peroxidation and serum alpha Tocopherol activity in Preeclampsia
N. Asha Rani, J. N. Naidu
-
Doppler Study of Uterine and Cubital Artery in Normal Pregnancy, Pre-eclampsia and Intrauterine Growth Restriction – Evidence for Systemic Vessel Involvement
P. L. Bhanap, Prashant Ingole
-
Effect of Sudarshankriya Yoga on Cardiorespiratory Parameters
Somwanshi S. D., Handergulle S. M., Adgaonkar B. D.3, Kolpe D. V.
-
Normative Values for Nerve Conduction Study among healthy subjects from Aurangabad, INDIA
Shaikh Shahabuddin, DaimiSayad Badar, Khan Md Moizuddin, L. B. Sami3, Solepure A. B
- » Abstract
Aim: The aim of our study is to establish the normal electrophysiological values of the common nerves in upper and lower limb and to study the influence of age and height on conduction velocity in healthy adult subjects. Material and Method: The study was conducted in MGM Medical College, a tertiary care center in city of Aurangabad, India. A total of 90 healthy volunteers, 45 males and 45 females aged 20 years and above were selected after clinical evaluation to exclude systemic or neuromuscular disorders. Anthropometric measurements were done using a standard protocol. Nerve Conduction Study was carried out according to a standardized protocol. Motor NCS included the Median, Peroneal and Tibial nerves. Sensory NCS included the Ulnar, Median, and Sural nerves. Results: The NCS data was separately analyzed for males and females. The mean along with standard deviation (SD) for latencies, amplitude and velocities of Sural sensory, Ulnar sensory and Median sensory nerves for males and females is obtained. Similarly the means with SD of the latencies, amplitudes and velocities of the Ulnar motor, Median motor, Peroneal motor and Tibial motor nerves were obtained. Also the NCS parameters at various percentiles were obtained. Linear regression models show the inverse association of Age and Height with NCS parameter in males and females. The model also gave the coefficient by which the NCS parameters change for unit change in Age (Year) or Height (Cm). Conclusion: The study will be helpful in establishing normative values of nerve conduction parameters of the commonly tested nerves in the upper and lower limb for our region. The mean nerve conduction parameters for all the nerves were similar with the existing data from different Indian studies. In general Age and Height had inverse relation with NCS parameters.
- » PDF
-
Epidemiological Study of Dog Bite Cases Reported at ARV Clinic of Rural Hospital Panvel in Raigad District of Maharashtra, INDIA
Virendra Wankhede, Prasad Waingankar, Seema Anjenaya, B. T. Telang
-
A Perception of Maternal Mortality among Women in an Urban Slum Area of South India
Keerti S. Jogdand, Pravin N. Yerpude, Mohini Jogdand
-
Results of Defect Augmentation with Tricalcium Phosphate in Tibial Plateau Fractures
Supradeeptha C., Sudhir M. Shandilya, Siva Reddy, Vikram Kumar Kadiam
- » Abstract
Reduction of the depressed joint surface in tibial plateau fractures leaves large cancellous bone defects. These metaphyseal defects are usually filled with autogenous bone grafts that cause significant donor site morbidity. The use of injectable tricalcium phosphate gives the opportunity to support the reduced joint surface without bone grafting. Objective: The aim of this study was to evaluate the functional and radiological outcomes of closed/open reduction and internal fixation, augmentation with injectable tricalcium phosphate in tibial plateau fractures. Methods: This prospective study includes 20 patients, with mean age of 44.4 years. According to the Schatzker’s classification, there were 12 fractures of type II, one fracture of type III, five fractures of type V, and two of type VI. Intervention: All the patients underwent closed/ open reduction, osteosynthesis with screws or plate, and injection of tricalcium phosphate injection in the subchondral bone defect. The patients were reviewed at an average follow up of 15.35 months (range 6-28 months). Rasmussen’s clinical and radiological score was used to assess the patients post-operatively and during follow-up period. Results: Union was achieved in all patients. Rasmussen's radiologic score was excellent in 2 patients (10%), good in 17 patients (85%), and fair in 1 patient (5%). Rasmussen’s clinical score was excellent in 6 patients (30%), good in 13 patients (65%), and fair in 1 patient (5%). Conclusion: The results show that injectable tricalcium phosphate is a safe and useful alternative to bone grafting in tibial plateau fractures which have high compression strength and allows early partial and full weight bearing.
- » PDF
-
A Study of Pulmonary Function: ‘Children versus Young Adults’ in Guntur, Andhra Pradesh, INDIA
Madhu Babu K, Venkata Venu Gopala Raju S
- » Abstract
Introduction: Pulmonary Function Tests are used to measure base¬line status of respiratory function, to monitor treatment and to estimate prognosis. The present study was aimed to determine pulmonary function tests values and to compare the different parameters like FVC, FEV1, ERV, FEF25-75%, PEFR in children and young adults. Materials and Methods: A cross sectional study was conducted to determine the pulmonary function tests in selected children and young adults, belonging to rural area of Guntur district. Fifty male subjects were considered for the study and divided them into two groups basing on the age. Pulmonary function tests were done with the help of Computerized Spirometer. Different parameters like FVC, FEV1, ERV, FEF25-75% and PEFR were recorded. Results and Discussion: Increase of FVC of 153.49%, FEV1 of 133.33%, FEF25-75% of 80.54%, ERV of 84.78% and PEFR of 94.35% was observed in young adults, when compared to children. Statistical significance was obtained by using t test (P<0.001). Among the parameters studied, FVC and FEV1 showed a greater increase in young adults than the remaining parameters, when compared with children. Conclusion: In the current study, pulmonary function test values of children and young adults, a marked increase was observed in all the five parameters, from childhood to adulthood as per the body needs of oxygen. It is important to understand the improvement of pulmonary function test values with age among young adults, in interpretation of pulmonary function variations in different physiological and pathological settings.
- » PDF
-
Clinical Study of Complications in Twin Gestation
P. L. Bhanap, A. R. Mahale
-
The Effect of Ramadan Fasting on the Body Composition, Blood Pressure, Heart Rate of Healthy
Young Adults B. Shruthi, Abrar Hassan, B. V. Reddy
-
Determination of Various Sociodemographic Factors Affecting Anemia in Pregnancy
Leela Khatod, Shruti Chidrawar, Santosh Bhangadia, Jivan Chakurkar, Shital Bhattad, Susheel Bhattad
- » Abstract
Objective: Many sociodemographic factors are responsible for anemia in pregnancy such as age, parity, spacing, percapita income, number of ANC visits, educational status, dietary habits, occupation, type of family. We studied socio-demographic factors affecting anemia in pregnancy. Design: a cross sectional study. Setting: tertiary-care referral hospital. Participants: All the pregnant patients admitted in the hospital whose hemoglobin less than 10gm% were included in the anemic group and whose hemoglobin above 10 gm% were included in non anemic group. Intervention: detailed history which included various sociodemographic factors was taken; their association with anemia in pregnancy was studied. Outcome Measures: factors such as age, parity, spacing, percapita income, number of ANC visits, educational status, dietary habits, occupation, type of family and association with anemia in pregnancy. Results: 144 patients with hemoglobin <10gm% were included in the anemic group. 122 patients with hemoglobin more than or equal to 10gm% were taken as non anemic group. In Anemic group 90.97% of the patients were from lower socioeconomic class 3 and class 4. Only 09 (06.25%) patients from anemic group had more than 4 antenatal checkups, whereas in non anemic group 118(96.72%) cases out of 122 had more than 4 antenatal checkups. Conclusions: we found that anemia in pregnancy was more common in multiparous women, less birth spacing, lower income, number of ANC visits <4, low educational status, poor calorie intake and with vegetarian diet, but some factors like age, occupation and type of family had no correlation with anemia in pregnancy.
- » PDF
-
Correlation of Diabetic Retinopathy with Serum Lipids
Smita Dileep Javadekar, Sindal Deokrishna, Karambelkar V. H., Pooja Agrawal
-
Orbital Cysticercosis Presenting as Proptosis
Vikas Chennamaneni
-
Variations of Dermatoglyphic Features in Non Insulin Dependent Diabetes Mellitus
Feroz khan J. Pathan, Rubeena N. Hashmi
-
Thyroid Hormone Status of Normal Pregnant Women
Swati Tadas, Arun Tadas, Nilam Mishra, Aniruddha Jibhkate
-
Risk Factors for Myopia in Medical Students
N. S. Wakode, S. L. Wakode, D. D. Ksheersagar
- » Abstract
Aim and introduction: Today in India, with increasing level of education and living standard, the prevalence and severity of myopia appear to be an upward trend. High incidence and progression rates of myopia have been reported in individuals who spend long hours in near work activity. Besides several other factors, possible genetic factor and occurrence of myopia was also determined. Material and method: The present study was carried on 222 MBBS students of NKP Salve Medical Collage and government medical collage Nagpur. Student completed questionnaire that include age, sex, age of appearance of refractive error, parent history, reading hours, computer using, television watching, playing videogame, scoring in common entrance, extra achievement in carrier and sport. Data was analyzed using SPSS frequency, percentage, mean and standard deviation was calculated accordingly. Chi-square test was applied wherever applicable and P value <0.05 was considered statistically significant. Result: Assessing genetic component, 81(66.39%) myopic student parent show positive family history whereas 41 myopic student parent, (33.60%) did not have positive family history. Statistically it showed strong significant relationship. (P= 0.001). Average continuous reading hours of myopic student were about 25hrs/ wk and 10hrs/ wk for emmetropic student. It was statistically significant (P=0.001). Strong significant association was found in myopic student for scoring achievement in carrier other than regular study as compared to emmetropic (P=0.001). Total hours of work on computer, watching television and playing video games were statistically significant for myopic. Conclusion: Myopia is a predominant refractive error among the first year medical students. Majority of myopic students score highest marks in common entrance, achievement in carrier other than syllabus study. The prevalence of myopia shows association with computer, videogame and TV. Majority of the parents of myopic medical students are also found to be myopic.
- » PDF
-
A Study of Efficacy of Misoprostol in Early Pregnancy Loss
R. P. Patange, Dileep P. Javadekar, Archana Rokade
-
Double Inlet Left Ventricle - A Case Report
Vrushali V. Nikade, Saurabh P. Kulkarni, Sanjay K. Shivapuje†, M. V. Ambiye
-
A Comparative Study of Pulmonary Function Tests in Children and Adolescents, in a Rural Area of Guntur District, Andhra Pradesh, India
Venkata Venu Gopala Raju S., Madhu Babu K., Chaitanya G.
- » Abstract
Introduction: Pulmonary Function Tests are used to measure base¬line status of respiratory function, to monitor treatment and to estimate prognosis. The present study was aimed to determine pulmonary function tests values and to compare the different parameters like FVC, FEV1, ERV, FEF25-75%, PEFR in children and adolescents. Materials and Methods: A cross sectional study was conducted to determine the pulmonary function tests in selected children and adolescents, belonging to rural area of Guntur district. Fifty male subjects were considered for the study and divided them into two groups basing on the age, who are in good health and without any signs and symptoms of disease. Pulmonary function tests were done with the help of Computerized Spirometer. Different parameters like FVC, FEV1, ERV, FEF25-75% and PEFR were recorded. Results and Discussion: Increase of FEV1 of 93.58%, FVC of 105%, ERVof 67.39%, FEF25-75% of 52.03%, PEFR of 46.19% was observed in adolescents, when compared to children. Statistical significance was obtained by using t test (P<0.001). Among the parameters studied, FVC showed a greater increase (i.e. 105%) in adolescents than the remaining parameters when compared with children. Conclusion: In the current study, Pulmonary function test values of children and adolescents, a marked increase was observed in all the five parameters, from childhood to adolescence as per the body needs of oxygen. It is important to understand the improvement of Pulmonary function test values with age among adolescents, in interpretation of PFT variations in different clinical settings.
- » PDF
-
Study of Sutures: Anatomical Variations in the Fusion of Sutures
Divyesh Kapadia, Ajay Rathva, Dharati M. Kubavat, Shaileshkumar K. Nagar
-
Association of Chakra Personality Type and Obesity
Sachin M. Patel, Pradeep R. Jadhav, L. N. Joshi
-
Study of Cephalic Index in South Gujarat
Kanan Uttekar, Deepa S. Gupta, Rashida Andani, Dharati M. Kubavat, Shaileshkumar K. Nagar, Padma Varlekar
-
Physico - Chemical Study of Groundwater near Holy Place Khuldabad Region of Aurangabad (M.S.)
B. R. Agrawalc, Vidya Pradhanb, Rashmi Pathrikarb, Mohammad Mohsina
- » Abstract
Physico-Chemical study of groundwater near Khuldabad area is carried out in the year 2009-10. For the study different five stations were selected. Different parameters like pH, Conductivity, TDS, Hardness, Sodium, Potassium, Iron, Total Alkalinity, Carbonate, Bicarbonate, Chloride, Flouride, Nitrate and Sulphate are analyzed. Mahismal station having the values within the permissible limit and good for human consumption.
- » PDF
-
Comparative Study of Single Layer versus Double Layer Closure of Lower Transverse Uterine Incision at Cesarean Delivery
Manisha M. Laddad, Sanjay Kumar Patil, Nitin S. Skirsagar, Neha Gupta
- » Abstract
Objective(s): To assess intraoperative and postoperative outcome following single layer closure of lower transverse uterine incision at cesarean section as compared to double layer closure. Method(s): In this prospective randomized controlled study, 200 women scheduled for lower segment cesarean section through Pfannenstiel or sub umbilical midline incision were randomized to either single layer (n = 100) or double layer (n=100) closure of uterine incision. Primary outcome measures studied were operating time, intraoperative blood loss, febrile morbidity, and endomyometritis. Secondary outcome measures studied were number of additional hemostatic sutures needed, postoperative pain, perioperative hemoglobin fall, cystitis, wound infection, and hospitalization period. Student t test was used for comparing continuous variables. Categorical variables were compared by Chi square test or Fisher exact test. Results: The maternal demographic factors, indications for cesarean sections and high risk factors were similar between the two groups. There was significant reduction in operating time (P=0.022), intraoperative blood loss (P=0.04), febrile morbidity (P=0.024, OR 0.41, 95% CI (0.17-0.95), perioperative hemoglobin fall (P=0.044), endomyometritis (P=0.03, OR 0.36, 95% CI 0.16-0.90, and period of hospitalization (P=0.00005) in the subjects as compared to controls. There was no significant difference between the two groups regarding number of additional hemostatic sutures needed, postoperative pain, and cystitis or wound infection. Conclusion(s): Single layer closure of lower transverse uterine incision at cesarean section is associated with lesser operating time, intraoperative blood loss, febrile morbidity, endomyometritis, and hospitalization period, as compared to double layer closure.
- » PDF
-
Ruptured Intracranial Sellar-Suprasellar Dermoid -A Case Report
Jagdish Aher, A. P. Oak, B. H. Kombade, M. M. Kadam, U. M. Dhumal
-
Effect of Deep Breathing Test on Female Patients of Iron Deficiency Anemia
Aniruddha Jibhkate, Richa Lath, Sonali Pande, Swati Tadas
-
A Study on Awareness and Practice about Preventive Methods against Mosquito Bite among Households in an Urban Slum Area of South India
Pravin N. Yerpude, Keerti S. Jogdand, Mohini Jogdand
-
Knowledge and Attitude of School Girls about Reproductive Health
P. L. Bhanap, Ajay Mane
-
Effect of Sudarshankriya Yoga on Cardiorespiratory Parameters
Somwanshi S. D., Handergulle S. M., Adgaonkar B. D., Kolpe D. V.
-
Normative Values for Nerve Conduction Study among healthy subjects from Aurangabad, INDIA
Shaikh Shahabuddin, DaimiSayad Badar, Khan Md Moizuddin, L. B. Sami, Solepure A. B.
- » Abstract
Aim: The aim of our study is to establish the normal electrophysiological values of the common nerves in upper and lower limb and to study the influence of age and height on conduction velocity in healthy adult subjects. Material and Method: The study was conducted in MGM Medical College, a tertiary care center in city of Aurangabad, India. A total of 90 healthy volunteers, 45 males and 45 females aged 20 years and above were selected after clinical evaluation to exclude systemic or neuromuscular disorders. Anthropometric measurements were done using a standard protocol. Nerve Conduction Study was carried out according to a standardized protocol. Motor NCS included the Median, Peroneal and Tibial nerves. Sensory NCS included the Ulnar, Median, and Sural nerves. Results: The NCS data was separately analyzed for males and females. The mean along with standard deviation (SD) for latencies, amplitude and velocities of Sural sensory, Ulnar sensory and Median sensory nerves for males and females is obtained. Similarly the means with SD of the latencies, amplitudes and velocities of the Ulnar motor, Median motor, Peroneal motor and Tibial motor nerves were obtained. Also the NCS parameters at various percentiles were obtained. Linear regression models show the inverse association of Age and Height with NCS parameter in males and females. The model also gave the coefficient by which the NCS parameters change for unit change in Age (Year) or Height (Cm). Conclusion: The study will be helpful in establishing normative values of nerve conduction parameters of the commonly tested nerves in the upper and lower limb for our region. The mean nerve conduction parameters for all the nerves were similar with the existing data from different Indian studies. In general Age and Height had inverse relation with NCS parameters.
- » PDF
-
Epidemiological Study of Dog Bite Cases Reported at ARV Clinic of Rural Hospital Panvel in Raigad District of Maharashtra, INDIA
Virendra Wankhede, Prasad Waingankar, Seema Anjenaya, B. T. Telang
-
A Perception of Maternal Mortality among Women in an Urban Slum Area of South India
Keerti S. Jogdand, Pravin N. Yerpude, Mohini Jogdand
-
Results of Defect Augmentation with Tricalcium Phosphate in Tibial Plateau Fractures
Supradeeptha C., Sudhir M. Shandilya, Siva Reddy, Vikram Kumar Kadiam
- » Abstract
Reduction of the depressed joint surface in tibial plateau fractures leaves large cancellous bone defects. These metaphyseal defects are usually filled with autogenous bone grafts that cause significant donor site morbidity. The use of injectable tricalcium phosphate gives the opportunity to support the reduced joint surface without bone grafting. Objective: The aim of this study was to evaluate the functional and radiological outcomes of closed/open reduction and internal fixation, augmentation with injectable tricalcium phosphate in tibial plateau fractures. Methods: This prospective study includes 20 patients, with mean age of 44.4 years. According to the Schatzker’s classification, there were 12 fractures of type II, one fracture of type III, five fractures of type V, and two of type VI. Intervention: All the patients underwent closed/ open reduction, osteosynthesis with screws or plate, and injection of tricalcium phosphate injection in the subchondral bone defect. The patients were reviewed at an average follow up of 15.35 months (range 6-28 months). Rasmussen’s clinical and radiological score was used to assess the patients post-operatively and during follow-up period. Results: Union was achieved in all patients. Rasmussen's radiologic score was excellent in 2 patients (10%), good in 17 patients (85%), and fair in 1 patient (5%). Rasmussen’s clinical score was excellent in 6 patients (30%), good in 13 patients (65%), and fair in 1 patient (5%). Conclusion: The results show that injectable tricalcium phosphate is a safe and useful alternative to bone grafting in tibial plateau fractures which have high compression strength and allows early partial and full weight bearing.
- » PDF
-
A Study of Pulmonary Function: ‘Children versus Young Adults’ in Guntur, Andhra Pradesh, INDIA
Madhu Babu K, Venkata Venu Gopala Raju S.
- » Abstract
Introduction: Pulmonary Function Tests are used to measure base¬line status of respiratory function, to monitor treatment and to estimate prognosis. The present study was aimed to determine pulmonary function tests values and to compare the different parameters like FVC, FEV1, ERV, FEF25-75%, PEFR in children and young adults. Materials and Methods: A cross sectional study was conducted to determine the pulmonary function tests in selected children and young adults, belonging to rural area of Guntur district. Fifty male subjects were considered for the study and divided them into two groups basing on the age. Pulmonary function tests were done with the help of Computerized Spirometer. Different parameters like FVC, FEV1, ERV, FEF25-75% and PEFR were recorded. Results and Discussion: Increase of FVC of 153.49%, FEV1 of 133.33%, FEF25-75% of 80.54%, ERV of 84.78% and PEFR of 94.35% was observed in young adults, when compared to children. Statistical significance was obtained by using t test (P<0.001). Among the parameters studied, FVC and FEV1 showed a greater increase in young adults than the remaining parameters, when compared with children. Conclusion: In the current study, pulmonary function test values of children and young adults, a marked increase was observed in all the five parameters, from childhood to adulthood as per the body needs of oxygen. It is important to understand the improvement of pulmonary function test values with age among young adults, in interpretation of pulmonary function variations in different physiological and pathological settings.
- » PDF
-
Clinical Study of Complications in Twin Gestation
P. L. Bhanap, A. R. Mahale
-
The Effect of Ramadan Fasting on the Body Composition, Blood Pressure, Heart Rate of Healthy Young Adults
B. Shruthi, Abrar Hassan, B. V. Reddy
-
Determination of Various Sociodemographic Factors Affecting Anemia in Pregnancy
Leela Khatod, Shruti Chidrawar, Santosh Bhangadia, Jivan Chakurkar, Shital Bhattad5*, Susheel Bhattad
- » Abstract
Objective: Many sociodemographic factors are responsible for anemia in pregnancy such as age, parity, spacing, percapita income, number of ANC visits, educational status, dietary habits, occupation, type of family. We studied socio-demographic factors affecting anemia in pregnancy. Design: a cross sectional study. Setting: tertiary-care referral hospital. Participants: All the pregnant patients admitted in the hospital whose hemoglobin less than 10gm% were included in the anemic group and whose hemoglobin above 10 gm% were included in non anemic group. Intervention: detailed history which included various sociodemographic factors was taken; their association with anemia in pregnancy was studied. Outcome Measures: factors such as age, parity, spacing, percapita income, number of ANC visits, educational status, dietary habits, occupation, type of family and association with anemia in pregnancy. Results: 144 patients with hemoglobin <10gm% were included in the anemic group. 122 patients with hemoglobin more than or equal to 10gm% were taken as non anemic group. In Anemic group 90.97% of the patients were from lower socioeconomic class 3 and class 4. Only 09 (06.25%) patients from anemic group had more than 4 antenatal checkups, whereas in non anemic group 118(96.72%) cases out of 122 had more than 4 antenatal checkups. Conclusions: we found that anemia in pregnancy was more common in multiparous women, less birth spacing, lower income, number of ANC visits <4, low educational status, poor calorie intake and with vegetarian diet, but some factors like age, occupation and type of family had no correlation with anemia in pregnancy.
- » PDF
-
Correlation of Diabetic Retinopathy with Serum Lipids
Smita Dileep Javadekar, Sindal Deokrishna, Karambelkar V. H., Pooja Agrawal
-
Orbital Cysticercosis Presenting as Proptosis
Vikas Chennamaneni
-
Variations of Dermatoglyphic Features in Non Insulin Dependent Diabetes Mellitus
Feroz khan J. Pathan, Rubeena N. Hashmi
-
Thyroid Hormone Status of Normal Pregnant Women
Swati Tadas, Arun Tadas, Nilam Mishra, Aniruddha Jibhkate
-
Risk Factors for Myopia in Medical Students
N. S. Wakode, S. L. Wakode, D. D. Ksheersagar
- » Abstract
Aim and introduction: Today in India, with increasing level of education and living standard, the prevalence and severity of myopia appear to be an upward trend. High incidence and progression rates of myopia have been reported in individuals who spend long hours in near work activity. Besides several other factors, possible genetic factor and occurrence of myopia was also determined. Material and method: The present study was carried on 222 MBBS students of NKP Salve Medical Collage and government medical collage Nagpur. Student completed questionnaire that include age, sex, age of appearance of refractive error, parent history, reading hours, computer using, television watching, playing videogame, scoring in common entrance, extra achievement in carrier and sport. Data was analyzed using SPSS frequency, percentage, mean and standard deviation was calculated accordingly. Chi-square test was applied wherever applicable and P value <0.05 was considered statistically significant. Result: Assessing genetic component, 81(66.39%) myopic student parent show positive family history whereas 41 myopic student parent, (33.60%) did not have positive family history. Statistically it showed strong significant relationship. (P= 0.001). Average continuous reading hours of myopic student were about 25hrs/ wk and 10hrs/ wk for emmetropic student. It was statistically significant (P=0.001). Strong significant association was found in myopic student for scoring achievement in carrier other than regular study as compared to emmetropic (P=0.001). Total hours of work on computer, watching television and playing video games were statistically significant for myopic. Conclusion: Myopia is a predominant refractive error among the first year medical students. Majority of myopic students score highest marks in common entrance, achievement in carrier other than syllabus study. The prevalence of myopia shows association with computer, videogame and TV. Majority of the parents of myopic medical students are also found to be myopic.
- » PDF
-
A Study of Efficacy of Misoprostol in Early Pregnancy Loss
R. P. Patange, Dileep P. Javadekar, Archana Rokade
-
Double Inlet Left Ventricle - A Case Report
Vrushali V. Nikade, Saurabh P. Kulkarni, Sanjay K. Shivapuje, M. V. Ambiye
-
A Comparative Study of Pulmonary Function Tests in Children and Adolescents, in a Rural Area of Guntur District, Andhra Pradesh, India
Venkata Venu Gopala Raju S, Madhu Babu K., Chaitanya G
- » Abstract
Introduction: Pulmonary Function Tests are used to measure base¬line status of respiratory function, to monitor treatment and to estimate prognosis. The present study was aimed to determine pulmonary function tests values and to compare the different parameters like FVC, FEV1, ERV, FEF25-75%, PEFR in children and adolescents. Materials and Methods: A cross sectional study was conducted to determine the pulmonary function tests in selected children and adolescents, belonging to rural area of Guntur district. Fifty male subjects were considered for the study and divided them into two groups basing on the age, who are in good health and without any signs and symptoms of disease. Pulmonary function tests were done with the help of Computerized Spirometer. Different parameters like FVC, FEV1, ERV, FEF25-75% and PEFR were recorded. Results and Discussion: Increase of FEV1 of 93.58%, FVC of 105%, ERVof 67.39%, FEF25-75% of 52.03%, PEFR of 46.19% was observed in adolescents, when compared to children. Statistical significance was obtained by using t test (P<0.001). Among the parameters studied, FVC showed a greater increase (i.e. 105%) in adolescents than the remaining parameters when compared with children. Conclusion: In the current study, Pulmonary function test values of children and adolescents, a marked increase was observed in all the five parameters, from childhood to adolescence as per the body needs of oxygen. It is important to understand the improvement of Pulmonary function test values with age among adolescents, in interpretation of PFT variations in different clinical settings.
- » PDF
-
Study of Changes in Cardiovascular and Cerebrovascular Risk Factors Due to Stress Using Physiological and Biochemical Profiles in Professional Urban Bus Drivers
Mohd. Rasheeduddin Imran, B. Syamala Devi
-
Factors Influencing Animal Bite Cases and Practices among the Cases attending the Anti Rabies Clinic DMCH, Darbhanga (Bihar)
Abhay Kumar, Rishabh Kr. Rana, Sunil Kumar, Veena Roy, C. Roy
- » Abstract
Introduction: Rabies is an enzootic and epizootic disease caused by a RNA virus (Genus: Lyssavirus, Family: Rhabdoviridae), is of worldwide importance, and is a practically 100 percent fatal disease even today, if not treated appropriately and in a timely fashion but easily preventable. There are many myths and false beliefs associated with animal bite and its management. This study is undertaken to highlight the factors influencing animal bite cases and practices regarding animal bites. Objective: 1. To determine the factors influencing the Animal Bite cases attending ARC, DMCH Darbhanga, Bihar. 2. To find out the practices related to animal bites among the cases attending ARC, DMCH Darbhanga, Bihar. Material and Methods: Study design: This is a hospital based descriptive cross sectional study conducted among 822 animal bite victims attended Anti Rabies Clinic, DMC Darbhanga. Duration: The duration of the study was 6 months, from May 2012 to November 2012 including data collection, data analysis and report writing. Study Population: The patients attending Anti Rabies Clinic DMCH, Darbhanga (Bihar) during the specified period. Tools: Semi structured proforma. Data Collection: The data collection was done through in-depth interviews with the animal bite victims attending OPD. Results: Animal bite cases attending ARC, Darbhanga are mostly male, Hindu, rural people those provoked the animal and they belonged to category III. Among all 9 cases were admitted with frank symptom of Hydrophobia. Conclusion: Wound toileting after a bite was lacking in most of the subjects. Many myths and false beliefs associated with animal bites and its management were present.
- » PDF
-
A Comparative Study of Physical Growth in Urban and Rural School Children from 5 to 13 Years of Age
Sunil M Kolekar, Sunita U Sawant
-
A Cross Sectional Study of Domestic Violence in Married Women in Asudgaon Village of Raigad District
Drushti Parikh, Seema Anjenaya
- » Abstract
Abstract: Domestic violence is a wide spread, deeply ingrained health and social problem among women, which is silently borne by the victims. Domestic violence constitutes willful intimidation, assault, battery, sexual assault or other abusive behavior perpetrated by one family member, household member, or intimate partner against another. According to NFHS-3 (2005-06), the prevalence of domestic violence in ever-married women who have ever experienced spousal violence is 37.2%.1 Domestic violence has major implications on a woman’s health and victims hardly take recourse to law. Being a confidential, intimate and sensitive issue, women tend to hide or provide incomplete information, thereby making it crucial to understand the extent of domestic violence and its determinants. With this background, a community based, cross-sectional study on domestic violence was conducted during June to August 2010, among 250 randomly selected married women in Asudgaon village of Raigad district. The study endeavors to assess the prevalence of domestic violence, its causes including the demographic and socio-cultural determinants thereby helping the healthcare personnel in formulating comprehensive and effective strategies towards tackling this problem. A house to house visit was done and the women were interviewed personally using a pre-designed, pre-tested and structured questionnaire, designed to determine whether they were subjected to domestic violence and if yes, to assess its causes, including the demographic and socio-cultural determinants. The data collected on the day to day basis was compiled, tabulated and analyzed. Statistical analysis was done using Mean and Percentages. Out of the 250 married women, 83 women gave a positive history of domestic violence, thereby reporting a prevalence of 33.2%. The various causes for domestic violence, as reported by the affected females were conflict over cooking and household work (38.55%), wife’s nagging or arguing (32.53%), children related issues (30.12%) and economic distress (26.5%). Slapping (46.98%) was the commonest form of physical violence, followed by pulling hair (14.46%), twisting arm (13.25%) and having things thrown at her (13.25%). Experiences of sexual violence included marital rape (12.05%), being forced to have sex without protection (against pregnancy and STDs) (10.84%), being forced to perform unnatural sex (6.02%) and being forced to imitate acts as shown in pornographic films (4.82%). The most common socio-cultural risk factor for domestic violence, as reported by the respondents, was addiction (42.11%), followed by poverty (38.55%), husband brought up with the idea that wife-beating is acceptable (36.14%) and visiting brothels (16.86%). Among the reasons given by battered women to stay in violent relationships, most common cause was that the women were unaware about legal provisions (61.45%), followed by the fear of being looked down upon by the society (59.03%), for the sake of their children (54.22%) and the fear of complaining due to the threats received from the batterer (43.37%). 80.72% abused females were reported to have tolerated the violence. Only 5.26% of the affected females sought legal help to deal with the violence, while 15.66% females tried to convince the perpetrator. A comprehensive health sector response to this problem is needed whereby health sector can play a vital role in preventing violence against women, helping to identify abuse early, providing victims with the necessary treatment and referring women to appropriate care.
- » PDF
-
Cryptorchidism - A Case Report
Sadiqali Abbasali Syed, N. G. Herekar
-
Sturge- Weber Syndrome: Case report with Ophthalmic Manifestations
U. S. Mohite, Mahesh Thikekar, K. R. Jadhav
-
A Comparative Study of the Acute Effect of Tobacco Smoking on Cardiovascular System in Smokers to the Non-Smoking Individuals
Mohd. Rasheeduddin Imran, P. Sambasiva Rao
-
A Comparative Study of the Acute Effect of Tobacco Smoking on Cardiovascular System in Smokers to the Non-Smoking Individuals
Mohd. Rasheeduddin Imran, P. Sambasiva Rao2
-
Study of Serum Uric Acid and its Correlation with Intelligence Quotient and Other Parameters in Normal Healthy Adults
Usha Patil, Sandhya Divekar, Surekha Vaidya, V. M. Ruikar, M. S. Patwardhan
-
Analyzing the Dreams Coming True for Young Undergraduates of DMCH, Laherisarai ,Darbhanga using DREEM Score
Rishabh Kumar Rana, Sunil Kumar, Abhay Kumar, Veena Roy, C. Roy
- » Abstract
Introduction Poor maintenance, unclean surroundings, and lots of other issues are a sine qua non with majority of Government Medical Colleges across the state. Majority of times it is seen that hasty decisions are made in the 1st Professional Year i.e. in the 1st Semester itself. As the students start to live, learn and imbibe in the local culture and atmosphere their concerns are minimized and number of students leaving the course midway in 3rd semester lessens. This study aims to measure the reasons for this in, statistical terms using DREEM1 ( Dundee Ready Educational Environment Measure) Score. Objective: Analyze the level of satisfaction of undergraduate students after getting in the Medical College by assessing their Perception of the Educational Environment in the medical college through the DREEM Score. Methodology – A cross sectional study conducted in Darbhanga Medical College, Laheriasarai, Darbhanga Bihar. Data was collected using 50 item Dundee Ready Educational Environment Measure. . Total number of students was 170, 80 from 1st Semester and 90 from 3rd Semester. Study period was from September 2012- November 2012. The data obtained was analyzed using Medcalc . Results: According to DREEM Score, items having a mean score of ≥3.5 are positive points, ≤2 indicate problem areas, and between 2 and 3 are aspects of the study environment that could be improved. The 1st semester students scored less than 2 for 10 items (4, 9, 14, 25, 27,39, 42, 43, 48, and 49) and above 3 for 3 items (2, 10, and 19). 3rd semester students scored less than 2 for 10 items (3, 4, 9, 14, 17, 25, 27, 42, 48, and 49) and above 3 for 2 item (2 and 19). Scoring patterns in both the groups were similar except for 2 items (10 and 39). Conclusion - Considerations of climate in the medical school, along the lines of continuous quality improvement and innovation, are likely to further the medical school as a learning organization with the attendant benefits.
- » PDF
-
Derivation of Demarcating Points for Sex Determination from Skull
Mohammad Laeeque, Vivek Kishanrao Nirmale, Chaya Vijay Diwan
-
A Study of Branching Pattern of Femoral Artery in Femoral Triangle in Cadavers
Kulkarni Saurabh P, Nikade Vrushali V
-
The Study of Variation of Structures in Hepatoduodenal Ligament and Its Co-Relation with Surgical Anatomy of Liver Transplantation
Kalyankar A. G., Shingare P. H., Diwan C. V., Kawale D. N.
-
Congenital Unilateral Renal Agenesis in Association with Genital Anomalies: A Case Report
Sudhanshu kumar Das, Sidharth S. Maharana
-
Epidemiological Study of Oral Submucous Fibrosis in Yavatmal District
Kalbande A. B., Khakse G. M., Priya D., Tamgadge P. B.
-
Congenital Miliaria Crystallina Associated With Right-Sided Diaphragmatic Eventration: A Rare Case Report
Sudhanshu kumar Das, M. Amarendra, P.V. Subbarao
-
Hemosuccus Pancreaticus Upper GI Bleed: In a Child, a Rare Case Report
Sujata Devi, Rabindra Kumar Sahoo
-
Acute Diarrhoea in a Child: Fish Tape Worm Infestation- We All May Miss!
Rabindra Kumar Sahoo, Sujata Devi
-
Need of Evaluation of the Present Status of Environmental Conditions of Completed River Valley Projects – Jayakwadi Project a Case Study
Ujwal G. Patil, S. N. Patil
-
Comparison of Environmental Impact of Barrages and Large Dam by Checklist Method
Ujwal G. Patil, S. N. Patil
-
Comparison of Fine Needle Aspiration Cytology (FNAC) and Histopathology in the Diagnosis of Neck Masses
G. G. Swamy, B. Chandrasekhar, J. Parameswari, S. Madhuravani
- » Abstract
Objective: Neck masses are a common clinical finding, affecting all age groups. These lumps may be extremely worrying for both physician and patient, as a wide variety of pathological conditions. Accurate cytological analysis has played a major role in evaluation and planning for surgery. We attempted to evaluate the role of Fine Needle Aspiration Cytology (FNAC) in diagnosing lump lesions of the neck region and to review the diversity of lesions in the patients attending the hospital. Material and Methods: The study was conducted prospectively in the Department of pathology at Great Eastern Medical School- Teaching Hospital, Srikakulam, India a tertiary health care centre. The target population comprised patients presenting with palpable masses at neck region during the period of December 2010 to December 2012. The accuracy of FNAC was verified by histological examination in this final study group of (n=136) patients. Results: In these (n=136) patients, twenty were males and hundred were females. Thyroid gland (60%) was the commonest site aspirated, followed by lymph node (35%), and soft tissue lesions (5%). In our study the sensitivity was 87.5%, the specificity was 100%, the positive predictive value was 100%, the negative predictive value was 98.50% and false negatives were 12.0%. Summary and Conclusion: We concluded that FNAC is a safe, cost-effective, sensitive and specific technique in the initial evaluation of head and neck masses. A correct cytological diagnosis can be achieved in a majority of cases, avoiding the need for surgical interventions.
- » PDF
-
Classifying Gait Patterns of Older Adults by Movement Control and Biomechanical Factors: Validation by Gait and Physical Performance Measures
Shyam D. Ganvir, Suvarna S.Ganvir, Amit V Nagrale, Abhijit D.Diwate
- » Abstract
Background: While gait patterns of older adults with mobility problems vary, the patterns are rarely used to plan interventions. The purpose of this study was to establish concurrent validity of a clinically useful classification system using gait and physical performance measures. Methods: Community-dwelling male veterans (n=106; mean 76 ± 7.1) referred for mobility problems were videotaped for evaluation. Gait patterns have been classified using structured clinical observation and along movement control factors (consistent, inconsistent) & biomechanical factors (posture: usual, flexed, extended, crouched). Pair wise comparisons across various groups were performed to validate the gait classification using gait parameters (gait speed, step length, width and variability), lower extremity range of motion and muscle strength, physical function in ADL (Physical Performance Test, PPT) and gait abnormalities (GARS-M). Results: Consistent and inconsistent groups were different in gait speed (0.66 and 0.49m/s, respectively; p=0.003), step length (0.46 and 0.38m; p=0.008), step length variability (7.47% and 12.74%; p=0.043), the PPT (15.80 and 11.73; p<0.001) and GARS-M (5.83 and 10.66; p<0.001). Within both consistent and inconsistent groups, four groups defined by postural patterns, also differed in gait speed, step length, PPT and GARS-M scores (p<.05). Conclusion: Gait pattern classification based on movement control and biomechanical factors has good concurrent validity with respect to gait and physical performance measures of mobility.
- » PDF
-
A Qualitative Assessment of the Perceptions towards Mandatory Pre-Marital HIV Testing Among Unmarried Youths in Dakar
P G Sow, A. B. Tall, O. Ka, A. A. Ndiaye, A Tal Dia, I Traore
-
Study of hematological parameters in patients with diabetic retinopathy
Anjali
-
Study of hematological parameters in patients with diabetic retinopathy
A Sowmya Devi, T B Uma Devi, Erli Amel Ivan, G Ramya
-
Study of hematological parameters in patients with diabetic retinopathy
A Sowmya Devi, T B Uma Devi, Erli Amel Ivan, G Ramya
-
Effect of various mulches on the growth and yield of strawberry cv. chandler under sub tropical conditions of Punjab
Pawandeep Kaur, Amarjeet Kaur
- » Abstract
A field study was conducted in the Department of Horticulture, Khalsa College, Amritsar during 2016-2017 to study the effect of various mulches on performance of strawberry cv. Chandler. The runners of strawberry cv. Chandler were planted in the second fortnight of October with spacing of 45 × 30 cm. The investigation was laid out in RBD replicated thrice. There were treatments were seven treatments including T1(Black polyethylene), T2(Silver polyethylene), T3 (Sugarcane trash), T4(Paddy straw), T5(Grass), T6 (Saw dust) and T7 (Control). Results of the study showed that black polyethylene mulch increased the vegetative growth parameters of strawberry. The maximum plant height (21.43 cm), number of leaves per plant (37.66), leaf area (89.36cm2), number of flowers (27.52), number of fruits (22.46), fruit set per cent (82.99) were recorded in the treatment T1 (black polyethylene mulch).It also increased the yield(145.43g/plant). Hence application of black polyethylene mulch enhanced the vegetative and yield characters of strawberry fruits than other mulches respectively.
- » PDF
-
16S rDNA based identification of culturable bacteria from highly polluted Varthur and Bellandur lakes of Bangalore, India
Smitha Murthy, Venkata Narasimha Kadali, Sheji Chandran N
- » Abstract
This study investigated the microbial population of highly polluted Varthur and Bellandur lakes, the largest freshwater lakes of Bangalore, Karnataka. A motivation for this study was the numerous reports about these polluted lakes and the occurrence of pathogenic microorganisms in drinking water and the associated diseases. Water samples were collected from both the lakes in July 2017. PCR assay of 16S rRNA genes showed that the bacterial compositions of both lakes are largely similar. The present study identified 36 bacterial strains which include highly pathogenic bacterial species like Klebsiellapneumoniae, Escherichia coli, Staphylococcus aureus, Citrobacterfreundii, Enterobacteraerogenes, and industrially important bacterial species such as Pseudomonas aeruginosa, Micrococcus luteus, Bacillus amyloliquifaciensand Bacillus subtilis. This is the first report of molecular study ofbacteria from these lakes. This study has clearly revealed that currently, the microbiological quality of Varthur and Bellandur lakes water makes them unfit for drinking and recreational activities due to contamination by bacteria. The water analyzed in this study has clearly shown that they are loaded with the contaminants indicator organisms which are the indication of feacal pollution. This study helps to assess its usefulness as portable/ recreational water and to recommend control measures where necessary.
Key Words: Bacterial identification, lake water, 16S rDNA sequencing, Varthur and Bellandur lakes, water pollution, pathogenic bacteria, lakeeutrophication
- » PDF
-
Role of oxidative stress in thyrotoxicosis
Geetha P A, Ajaykumar B, Parvathi K, Sreejayan M P
-
Dharmendra Jena, Somya Choubey
Dharmendra Jena, Somya Choubey
-
Localisation of the gap junctions in the trigeminal ganglia of the rat using various techniques
Sanjay Kumar Sharma, Vishwajit Ravindra Deshmukh, Pranav Prasoon, Subrata Basu Ray
-
Additional role of sertraline prescribed for treatment of pre mature ejaculation in control of nightfall (nocturnal emission) - A multicenter study
Manish Nigam, Preeti Nigam, Rakesh Kumar Paswan
-
A review of acute poisoning cases admitted in the MICU of a tertiary care hospital
Kanchana S Pillai, Trupti H Trivedi, Nivedita D Moulick
- » Abstract
Aims: To study the age, sex, seasonal distribution and the clinical profile of different types of acute poisoning cases admitted to the ICU, and to determine outcome in the form of duration of stay and mortality and factors affecting it. Methods: This was a cross sectional observational study conducted in the MICU of a tertiary care hospital over a period of 12 months. Acute poisoning cases were studied. Outcome was measured in the form of duration of ICU stay and mortality. Results: There were a total of 714 admissions over 12 months, of which 149 were acute poisoning cases (20.8%). Among poisoning patients, males were 98/149 (65.7%). Age distribution: 12-19 yrs - 16.7%, 20-34 yrs - 44.9%, 35-49yrs - 26.1%, 50-69 yrs -10.7%, 70 yrs and above - 1.3%. Suicidal intent was the most common cause of poisoning (135/149, 90.6%). Pesticide is the most commonly used poison, majority being organophosphorus compounds OPC) (95/149 patients). Most common clinical features were vomiting, anxiety/ restlessness and cholinergic crisis. Most common ECG finding was bradycardia. Twenty two of 149 patients had a SOFA score of >11 (14.7%), 31 had score between 9 and 11 (20.8%) and 96 had score < 9 (64.4%). Most common complications seen were delirium due to atropinisation, electrolyte disturbance and intermediate syndrome. There were 22/ 149 deaths (Mortality of 14.7%), which was significantly less compared to mortality among non-poisoning group of patients (192/714,26.9%, p value < 0.01). Higher SOFA score significantly increased the risk of mortality among poisoning patients. (p- 0.01). Conclusion: Pesticides are the most common agents seen among the acute poisoning admissions in the MICU and young adult male population constitute majority. Mortality among the poisoning patients was significantly lower compared to the non-poisoning patients, and was mainly due to OPC. Higher SOFA score was associated with adverse outcome among the poisoning patients.
- » PDF
-
Category wise occurrence of breast lesions according to BIRADS mammography lexicon: An observational study
Megha Wani, Rajashree Purohit
-
Total laparoscopic hysterectomy versus non–descent vaginal hysterectomy: An observational study
A B Fuzayel, Banasree Bhadra, N Choudhury, D J Shyam
- » Abstract
Background: Hysterectomy is one of the most common surgery performed by Gynaecologist. As the time is passing trend is towards those approaches which are minimally invasive, less painful, have less complications, less blood loss and are more cosmetic. Thus total laparoscopic hysterectomy (TLH) and non descent vaginal hysterectomy (NDVH) has gained popularity. Laparoscopic surgeries requires high-tech Operation Theater (OT) setup, sophisticated instruments and surgical skills. Vaginal hysterectomy descent or non descent is a simple and effective technique for benign pathologies of uterus. Objective: This study was conducted to compare Total Laparoscopic Hysterectomy and Non Descent Vaginal Hysterectomy with reference to fall in blood haemoglobin level, duration of operation, weight of uterus, post-operative complication and post-operative ambulation. Material and Method: This is a prospective comparative (observational) study done among fifty patients who underwent total laparoscopic hysterectomy or non–descent vaginal hysterectomy for various indications in the Department of Obstetrics and Gynaecology in Silchar Medical College and Hospital, Silchar, Assam (India) from January to December 2015. The patients having at least two children, aged more than 35 years and size of the uterus less than 12 weeks size were included. The patients were monitored and data collected included indications of hysterectomy, type of hysterectomy, duration of operation ̦amount of blood loss weight of the uterus etc. Results: TLH cases had lesser blood loss than NDVH cases. NDVH took shorter operating time (96.8 min) than TLH (101.2 min). The Patients who underwent TLH ambulated early (22.4hrs) in comparison to NDVH group (27.24hrs). NDVH group had lesser complications in comparison to TLH. Conclusion: NDVH is better in its approach through natural orifice, faster and less expansive. In which way to approach the uterus shall depend upon skill of the surgeon, size and pathological nature of uterus, facilities available in the hospital and preference of patient as well as surgeon. In peripheral hospitals where resources are limited NDVH takes upper hand than TLH as it is more economic, takes lesser time, requires less surgical techniques in comparison to TLH.
- » PDF
-
A study of prevalence of hypertension and its associated factors in school children
Anurup Sahu, K Kashi Viswanadham
- » Abstract
Background: Systemic hypertension has been considered to be associated with adult population. But off late increase numbers of children are also being affected. Aims and Objectives: To Study prevalence of Hypertension and its associated factors in school children Methodology: This was a Cross -sectional study carried out among the School going children in the age between 7-16 with respect to Prevalence of Hypertension in the one month i.e. January 2016 to February 2016. Totally 1075 students after the consent of Parents were enrolled into study in all the students the basic anthropometric measurement were done and BMI in all of them was calculated, all the important history like family history of Hypertension, Diabetes. The statistical analysis done by Chi-square test/trend calculated by SPSS version 19. Result: The prevalence of Hypertension for Males in 7-10 was 3.47%, followed by in 10-13 was 12.65%, and in 13-16 was 23.36%, this increasing trend with increase in age of Hypertension was statistically significant ( ðŒ2 =33.64, df=1,< 0.0001 ) and also for Female 07-10 was 1.61%, 10-13 was 6.19%, in 13-16 was 6.40% for females also this increasing trend with increase in age of Hypertension was statistically significant (ðŒ2 =4.267, df=1, P< 0.0389) Associated factors significantly associated with Hypertension in children’s were Obesity (ðŒ2 =319.7, df=1, P< 0.0001 ), Family history of HTN and IHD (ðŒ2 =464.8, df=1,P<0.0001). Family history of Diabetes (ðŒ2 =392.1, df=1, P<0.0001) Conclusion: It can be concluded from our study that prevalence of hypertension was increased in students as their age increases also the significantly associated factor with Hypertension were Obesity, Family history of HTN and IHD, Family history of Diabetes.
- » PDF
-
A comparative study of CT, MRI-Head for the detection of acute cerebral haemorrhage
Lalit Krishna Gothecha, Rajesh Yadav
- » Abstract
Background: Magnetic resonance imaging (MRI) is generally considered better than computed tomography (CT) for the diagnosis of Cerebral lesions but this belief has never been substantiated for the full range of patients in whom this diagnosis is suspected Aims and Objectives: To study of CT and MRI-Head for the Detection Acute Cerebral Haemorrhage. Methodology: After approval of institutional ethical committee this cross-sectional study carried out in the patients with suspected of intracranial bleeding at tertiary health center during the two year period i.e. January 2015 to January 2017 referred to the Radiology department of the tertiary health care centre. The details of information clinical history age was noted. All the patients gone through the investigations like MRI and CT consequently. Analyzed by Chi-square test calculated by SPSS 19 version software. Result: The majority of the patients were in the age group of >60 i.e. 57.5% followed by 50-60 were 22.5%, 40-50-13%, 30-40-6%, 20-30 -1%. The majority of the patients were Males i.e. 70.50% and Females were 29.50. For any Haemorrhage MRI positive in 71 ( 35.50%) and CT in 32 (16.00%) this difference is significant (P<0.0001,X2=47.73, df=1), For Acute haemorrhage MRI positive in 47 (23.50%) and CT in 9 (4.50%) but the difference is not significant ( P>0.75, X2=0.09, df=1), For Chronic haemorrhage CT positive in 28(14.00%) cases and in MRI 23 (11.50%) the difference is statistically significant (P<0.0001,X2=121.8, df=1). Conclusions: It can be concluded from our study that MRI was superior to CT in the diagnosis of all types and equal in acute but less superior CT in the diagnosis of chronic haemorrhage.
- » PDF
-
Thyroid profile in pregnancy
Arunanchal Jha, SudhaBharti
-
Study of postpartum complications in DMCH
Arunanchal Jha, SudhaBharti
-
Role of high resolution sonography in symptomatic knee joint
Sanjay Kumar Jha, Rajiv Ranjan
-
A study of prevalence and factor associated with protein energy malnutrition in less than six year children at tertiary health centre
Hemant Kumar
-
Laparoscopy as method of choice for diagnosing and treating peritoneal and intestinal tuberculosis: A multicentric study
Devesh Pratap Singh, Kuldeep Kumar, Rakesh Kumar Paswan, Shweta Singh
-
Adverse effect of Diclofenac sodium on weight and volume of kidneys of adult swiss albino mice
A D Kannamwar, G L Maske, I V Ingole
- » Abstract
Non-steroidal anti-inflammatory drugs (NSAIDs) are among the most common pain relief medicines in the world. Every day lots of people use them for relief from headaches, sprains, arthritis symptoms, and other daily discomforts. In addition to reducing pain, NSAIDs also lower fever and reduce swelling. NSAIDs block the effects of enzymes, specifically Cox-1 and Cox-2 enzymes which play a key role in making prostaglandins leading to less swelling and less pain. But there are risks and side effects with NSAIDs which includes side effects associated with GIT, CVS and Kidney. In this study, adverse effect of Diclofenac sodium, which is one of the most commonly used NSAID, on weight and volume of kidneys of adult Swiss albino mice is demonstrated. It is studied in both, therapeutic as well as more than therapeutic doses, keeping in mind its inappropriate use because of over the counter availability. It is a case control study. In this, adult Swiss albino mice were divided into four groups; one group served as control ( Group D) while each of the remaining three groups were given Diclofenac sodium, 1 mg/ Kg( Group A); 2mg/ Kg (Group B) and 4mg/ kg (Group C) body weight of, for 15 days. All animals were kept in proper living conditions necessary for optimal growth. Weight of animals was recorded before giving medicine i.e. day 1 and again on day 15. Then animals were sacrificed and their kidneys were extracted. Weight and volumes of kidneys were recorded and change pattern in four sets was observed. This short term study showed one of the potential side effects of Diclofenac sodium in the form of increase in weight and volume of kidneys due oedematous changes and cellular toxicity.
- » PDF
-
Prevalence and severity of restless leg syndrome in pregnant women of Latur district
Sureshkumar T, Amruta Kadam
-
A study on awareness and attitude of organ donation among arts college students of Thiruvannamalai district, Tamil Nadu 2017
Sujatha S, Getrude Banumathi P, J Harikrishnan, Jaiganesh D, Ravishankar P
- » Abstract
Background: There is an increasing discrepancy between the number of patients on the waiting list for organ transplantation and the available number of donors. Evaluation of college students’ awareness and attitude is of crucial importance to evaluate and develop educational programs to raise the students’ commitment to Organ Donation. Objective: To assess the awareness of organ donation and the attitude towards organ donation among the college students and to study the association of socio demographic factors with awareness and attitude. Methodology: A cross sectional study was conducted among the Arts and Science College students in Thiruvannamalai District, Tamil Nadu in December 2016 to January 2017. The sample size was 114. Multi stage sampling was done. Includes both male and female students above 18 years and who are willing to participate in the study. Excluded those who were absent on the day of visit. A semi-structured self administered questionnaire was used to know the socio demographic details and questions to assess the level of awareness and attitude. Official permission obtained from the Principal of the College, Institutional Ethics Committee, and Informed written consent from the students. The data entered in MS Excel. Analyzed using SPSS Version 16. Descriptive and Inferential analysis done by using Chi square test, Fisher’s exact test, p value less than 0.05 taken as significant. Results: In this study, 68.4% had heard about organ donation, 14.9% had pledged, 52.6% had inadequate awareness, 63.2% had poor attitude and 67.5% given willingness to donate. There was a statistically significant association between the age group less than or equal to 21years and adequate awareness (p 0.02), good attitude (p 0.00), and willingness to donate (p 0.00). There was a significant association of good attitude with willingness to donate (p 0.00). There was a significant association between Arts group students and good attitude (p 0.00). Conclusion: This study clearly revealed that there was a gap between the awareness and attitude towards organ donation. There is an unquestionable need to educate the college students regarding organ donation to bridge this gap.
- » PDF
-
Significance of glycemic status in patients of major depressive disorder with suicidal behaviour
Mahendra T Kamble, Prashant V Dharme, Prerna D Nandedkar, Arvind V Gaikwad, Kamalakar B Mane
- » Abstract
Background: Suicidal ideation is common in major depressive disorder, and it is thought to be a strong contributing factor for completed or attempted suicide. Hyperglycemia and hyperinsulinemia may increase the risk of depression and also suicide risk. Therefore this study was conceived to explore the possible relationship between suicidal behaviour and impaired glucose metabolism in major depressive disorders. Materials and Method: This study was undertaken in Department of Biochemistry and Psychiatry, Government Medical College, Nagpur. 60 diagnosed cases of major depressive disorder in the age range of 21-60 years of either sex were enrolled. The diagnosis was determined by DSM IV criteria. HAMD scale was used to assess the severity of depression. Fasting and postprandial blood glucose along with HbA1c was determined in the study participants. Results: Out of 60 patients, nearly more than half of (53.33%, n=32) patients were having suicidal ideation and attempt. The male depressive cases (73.33%, n=22) outnumbered the female depressive cases (33.33%, n= 10) in having suicidal ideation and attempt. Statistically significant differences were found in fasting, postprandial blood glucose and HbAa1c of the major depressive cases with no suicidal ideation and behaviour, and with suicidal ideation and attempt. Conclusion: The observed association between blood glucose levels, HbA1c and suicidal behaviour suggests that disturbances in glucose metabolism are associated with suicidal ideation and attempts
- » PDF
-
A study of the cutaneous manifestations in patients of diabetes mellitus
Yashdeep, Kishor Singh, Sanjay Kanodia, Parvesh
-
Study of ‘atd’ angle in myocardial infarction patients
A V Salunkhe, U U Joshi, N R Mudiraj
-
Bacteriological profile and antimicrobial susceptibilty of blood culture isolates from the patients of tertiary care hospital, Udaipur
Pratibha Mittal, Anshu Sharma
- » Abstract
Blood stream infection are major public health problem which leads to high morbidity and mortality of patients. So for on time diagnosis and appropriate treatment, total 214 blood samples received in microbiology laboratory from tertiary care hospital of R.N.T medical college, Udaipur over the duration of one year. Blood samples collected in BHI broth and the growth obtained was identified by colony morphology, grams staining of isolated colonies and by conventional biochemical tests as per the standard protocol followed in our laboratory and then antibiotic susceptibility test done of isolated colony. Positive blood cultures were obtained in 54.6% of total cases of which Gram-positive bacteria accounted for 61% of cases with staph. aureus predominance, gram negative bacteria accounted for 28% with the predominance of Escherichia coli, klebseilla sp. and pseudomonas sp. and 11.1 % were fungal isolates. The most sensitive drugs for Gram-positive isolates were Amikacin, Ciprofloxacin, Doxycycline, Levofloxacin, Tetracycline and for Gram-negative were Levofloxacin, Tetracycline, Doxycycline and Ciprofloxacin.
- » PDF
-
Comparative study of indications, complications and outcome of elective and emergency intubation
Swati Chavan, Rupal Padhiyar, Aniket Mohite, Swapnil Dhampalwar
- » Abstract
Objectives: Acute respiratory failure frequently necessitates the introduction of endotracheal tube to maintain airway patency and for mechanical ventilation. Intubation is a procedure in day today practice in EMS, medical wards, operation theatres. This is study done retrospectively of 200 patients to correlate the factors which affect outcome of intubation age, sex, nature of underlying disease. The purpose of this study is also to determine whether intubation alone or subsequent tracheostomy in previously intubated patients can prognosticate outcome and the complications of endotracheal intubation and tracheostomy as acquired either during the procedure, with tube in situ or on extubation. Methods: A retrospective study of 200 adult patients was conducted, who satisfied inclusion and exclusion criteria for intubation on elective or emergency grounds over a period of 18 months. Patient’s demographic data along with lab tests of Sr. Creatinine, Sr. K+, ABG analysis, chest X-ray, Mallampatti grade was noted. The indication for intubation as elective or emergency was based on ABG or severity of respiratory failure or for tracheal toileting. SOFA score, GCS score at Admission and 48 hrs was noted. Results: In this study, 200 patients were intubated. Out of which 137 were elective and 63 emergency and 146 were Males and 54 were Females. Major age group was 21- 40 years. Organ involvement in form of respiratory (168 patients), hepatic(19 patients), renal failure(44 patients) or MODS (18 patients) didn’t affect outcome in these patients. The overall mortality rate of the study was 37%. The disease specific mortality for sepsis patients was 100%, Coma was 56.2% and pneumonia was 52.4%. The elective intubated patients had lower mortality (32.1%) compared to that of emergency intubated patients (47.6%). Conclusion: Patients have to be intubated electively and early tracheostomy at 72- 96 hrs has improved survival.
- » PDF
-
Anthocyanin from red tamarind, Tamarindus indica var. rhodocarpa as a potential natural pigment for use in textile industry
L M Lenora, D Suresh Babu, R Sumathi, A Mayavel, S Murugesan, N Senthilkumar
-
Significance of cerebral and umbilical artery doppler velocimetry in normal and growth restricted pregnancy
V S Prasannakumar Reddy, Aradhana Giri, N Bhavani, Togarikar
-
Histopathological study of tumours of adipose tissue
Shilpa Premkumar, Prema Saldanha
- » Abstract
Background: Tumours of adipose tissue form one of the largest single groups of soft tissue tumours. The benign, subcutaneous lipoma is the most common soft tissue neoplasm in adults, liposarcoma being the most common primary soft tissue malignancy. Objective: To study the morphological features of the various adipocytic tumours received in the Department of Pathology. Materials and Methods: Cases of adipocytic tumours were retrieved from the archives of the Department of Pathology. Results: The total number of cases numbered 155. Amongst these, 143 (92%) were benign and 12 (8%) were malignant. In benign cases, patients were in the age group 4-75 years, with 88 males and 55 females. Among the malignant cases, patients were in the age group 14-68 years, with 7 males and 5 females. The peak age distribution in both benign and malignant cases was in the fourth decade. The most common site of involvement was the nape of neck, followed by back and upper limbs. Conventional lipoma was the most common benign tumour. Variants of lipoma like angiolipoma, chondroid lipoma, dermolipoma etc was noted. Of the 12 malignant tumours, 6 cases were well differentiated liposarcoma, 2 cases variant of myxoid liposarcoma, and one case each of pleomorphic liposarcoma, lipoleiomyosarcoma and lipoma with sarcomatous changes. Conclusion: Conventional lipomas were the most common adipocytic soft tissue tumours. Malignant cases were rare, and among them, the most common malignant tumour was well-differentiated liposarcoma.
- » PDF
-
Bacteriological profile of Urinary Tract Infections in pregnant women – Future Challenges
Natasha Sawhney, Rahul Prabhas, Varsha A Singh
- » Abstract
Background: Pregnancy causes numerous changes in the woman’s body. Hormonal and mechanical changes increase the risk of urinary stasis and vesicoureteral reflux. These changes, along with an already short urethra and difficulty with hygiene due to a distended pregnant belly, increase the frequency of urinary tract infections (UTIs) in pregnant women. Indeed, UTIs are among the most common bacterial infections during pregnancy, Urinary tract infections remain one of the most common infections and a leading cause of morbidity in human population. Aims and Objectives: To study Bacteriological Profile of Urinary Tract Infections in Pregnant women at a Tertiary health care center Methodology: This was a cross-sectional study carried out in the department of Microbiology in association with department of Obstetrics and Gynaecology of a tertiary health care center during one year period i.e. March 2013 to March 2014 in 280 Samples of Suspected UTI in pregnant women. Fifty six samples were culture positive and were addressed for Antibiotic Sensitivity Testing (AST) as per the standard protocols. Results: The most commonly observed bacteria was E. coli (39.29%) and Staphylococcus aureus (19.64%), followed by Coagulase negative staphylococcus (16.07%), Klebsiella sp. (12.50%), Enterococci sp. (8.93%) and Acinetobacter sp. (3.57 %). Escherichia coli was most commonly sensitive to Nitofurantoin (77.27%), Klebsiella to Norfloxacin (71.43%), and Acinetobacter was 100% senstive to Amoxiclav, Amikacin, Tetracyclines and Norfloxacin. In Gram positive pathogens, Staphylococcus aureus was mostly sensitive to Cotrimoxazole and Erythromycin. Conclusion: It can be concluded from our study that commonly observed bacteria were E. coli and Staphylococcus aureus causing UTI in pregnant women. All pregnant women should be screened for UTI with a urine culture and treated with antibiotics if the culture is positive
- » PDF
-
A rare case report of anaesthetic management in a paediatric patient with Christ-Siemens-Touraine syndrome
Sonali Khobragade, Leena Ingle, Amol Jatale, Jitendra Bhagat
-
Placental thickness an estimator of fetal growth variables
Shantha A, Kesavsingh, Arumugam P, Kasthuri A, Rajendran A K
- » Abstract
Objectives: 1.To find out the relationships between fetus growth variables with placental thickness.2.To estimate the growth variables through the regression analysis models. Methodology: 240 III trimester ante-natal mothers were selected as first 20 singleton pregnant mothers through the months of January to December 2016. The Ultra Sona Graphed statistics like Abdominal Circumference (AC), Biparietal diameter (BPD), Femer length (FL), LMP based gestational age (GA) and Placental Thickness (PT) were collected. The study subjects 240 singleton Ante Natal mothers fetal growth of above variables were analyzed and interpreted accordingly. Results: The placental thickness determined the BPD as 60.1%, AC as 64.8%, FL as 67.7% and 66.7%. Based on this, four regression equations were being computed for estimating the BPD, AC, FL and GA. Discussions: The main function of the placenta is exchanging nutrients, metabolic products and gases to the fetus. The placental thickness can be an indicator of IUGR. Conclusions: Early detections of fetal growth may prevent the perinatal, neonatal and maternal mortalities.
- » PDF
-
Incidence of coronary artery disease in asymptomatic obese individuals
Neelima S Deshpande, Vaibhav Lade, S A Sangle, H D Prasad
-
Autoimmune status and the morphological disease in the thyroid gland
Priakshi Baruah, Sheereen Tarannum, Aniruddha Mukherjee
-
Relationship of inflammatory markers with metabolic and anthropometric variables in obese individuals
Bindu Gopinathan Nair, Saleena Prameela Chinnaiah Rajadas
-
Physio-chemical studies of some irrigation water sources from Ogbia, Bayelsa state and their effects on elemental composition of Zea mays L
M M Etukudo, R A Ukpe, Ikechukwu Nyenwe
- » Abstract
The physico-chemical characteristics of four different water sources and their effects on the elemental composition of Zea mays L. were evaluated in the laboratory for two (2) weeks. Standard procedures were used to determine the physico-chemical characteristics (pH, salinity, conductivity, turbidity, TDS, TSS, COD, BOD, DO, Mg, Ca, Na, K, Pb etc) of the water samples. Seedlings of the test crop were raised and irrigated with varied sources of water samples alongside a control treatment (distilled water). Mineral nutrient composition of the plant (Pb, Cd, Cr, Ca, Mg, Na, K, NO3-, PO4, Fe, Cu, Zn, and Mn), were estimated. The results showed that there were marked differences (P < 0.05) in the physico-chemical characteristics of the four water samples. The highest content of potassium, sodium and phosphate were recorded in decreasing order from stream, tap, rain and distilled water, while, the Mg, and Mn contents in the test crop were in the decreasing order from stream, rain, tap and distilled water. In addition, there were significant differences (P < 0.05) in the content of Ca among the four water sources, with values higher than that of the control. This study suggests that there is need for appropriate environmental pollution control measures, in order to keep some water parameters within optimum range for proper metabolism in the test crop in the study area.
- » PDF
-
Impact of pre–natal diagnostic technique (PNDT) act implementation on child sex ratio in India
Keshav Singh, Shantha A, Rajendran A K, Kasthuri A, Arumugam P
-
Clinical profile of mononeuritis multiplex in a tertiary care hospital
Rohit Pai, Srilakshmi Prabhu, Raghavendra B S
-
Assessment of present status of plant species in Otuoke macro habitat of Ogbia in Bayelsa state, Nigeria:A checklist of plant species in the study area
B L Nyananyo, M M Etukudo, M I E Roberts
-
Ultrasonographic correlation of abnormal uterine bleeding at perimenopusal stage
Jaideep M Palwade, Charushila S Borole
- » Abstract
Aims and Objectives: To study Ultrasonographic correlation of abnormal uterine bleeding at perimenopausal stage. Methodology: This was cross-sectional study carried out in 150 patients gynaecology OPD with the complaints of excessive per vaginal bleeding and who were in the age group between 37 to 51 years were considered. This study was carried out during year 2016. Total 150 females admitted in obstetrics and gynaecology department in MIMER Medical College were included into study. Clinical diagnosis and ultrasonographic findings were correlated. Results: Most of the patients in the present study were between 37-41 years i.e. 56%. Followed by 42-46 i.e. 25.33% and in 47-51 were 18.67 %. Majority of the patients on Ultrasonographic findings Showed no obvious pathology in 62 % patients, Leiomyoma in 21.33 %, followed by Adenomyosis in 5.33%, s/o PID in 2%, s/o Carcinoma growth in 2%. Respective percentage of Clinically diagnosed patients and Ultrasonographically diagnosed patients for Leiomyoma was 21.33 % , 21.33%, followed by DUB, PID, Carcinoma cervix was 2% , 2%; 7%, 3%; 44%, 7.33%. Conclusion: Except DUB, all other cases of AUB correlated well clinically and ultrasonographically. Leiomyoma and cervical growth were the only entities, which correlated well clinically, ultrasonographically. Whereas DUB, adenomyosis, polyp, PID did not correlate well clinically, ultrasonographically.. Adenomyosis was a histopathological diagnosis. DUB was an overestimated diagnosis clinically.
- » PDF
-
Carcinoma cervix: Prevalence and risk factors in patients from rural India
Balaji P Nalwad, Rajesh V Darade, Chate Preshit
-
Auto immune pancreatitis - A case report
Remya Baburaj, Prabhu Radhan, Rajoo Ramachandran, Subramanian Ilanchezhian, Praveen Kumar
-
A study of perinatal outcome in meconium stained amniotic fluid
Priti Singh, Surendra Nath Soren
- » Abstract
Aims and Objectives: To find out the incidence, study the mode of delivery, relation between meconium staining and fetal heart rate abnormality and clinical correlation of perinatal outcome with thin and thick meconium stained amniotic fluid. Materials and Method: Study was carried out in the department of Obstetrics and Gynaecology of MKCG Medical College Hospital, Berhampur from December 2014 to September 2016. Study included 912 patients with meconium stained amniotic fluid detected during labour and their perinatal outcome will be analysed keeping the type of meconium as the principal variable. Results: Out of 912 cases, thin meconium staining was seen in 63.82% and thick in 36.18%. 66.43% cases of MSAF were associated with high risk factors. Fetal heart rate abnormality was seen in 32.24% cases, more in cases of thick meconium. The mode of delivery in majority of 46.5% were spontaneous vaginal, 11.18% were assisted by forceps or ventouse and 42.77% needed LSCS. At 1 minute, 65.79% babies had Apgar score >7. At 5 minute, 80.92% babies had Apgar score >7. When heart rate abnormality was present along with meconium, 71.43% had Apgar score <7. 35.53% required NICU admission. 19.74% developed perinatal morbidity. MAS was the leading cause of death in 3.95%.Conclusion: There was significant association between heart rate abnormalities and mode of intervention. Low Apgar score was mainly observed when meconium was associated with abnormal heart rate pattern. Thick meconium stained amniotic fluid was associated with increased rate of intervention, neonatal morbidity and mortality compared with thin MSAF.
- » PDF
-
Seroprevalence of transfusion transmitted infections among voluntary blood donors at a tertiary care teaching hospital in Kolhapur, India
Chougale R A, Shinde P J
- » Abstract
Background: Transfusion of blood is life saving but also has life-threatening hazards and far-reaching consequences for the recipients themselves as well as for their families and their communities. The present study is based on the seroprevalence of human immunodeficiency virus, hepatitis b virus, hepatitis c virus, syphilis and malaria in voluntary donors. This gives information regarding safety associated with blood transfusion and an accurate measurement of risk versus benefits of blood transfusion. The data generated will help clinicians for judicious use of blood as well as awareness regarding the transfusion transmitted infections (TTIS). Objectives: The objective of the present study was to assess the seroprevalence and trend of TTIS among blood donors in the blood bank of D. Y. Patil Medical College, hospital and research centre, Kolhapur, India. Methods: A total of 5178 samples were screened during a period of seven years from January 2010 to December 2016. Data analysis was done by quickcal software by chi square test. p<0.05 is considered significant. The prevalence of TTIS was expressed by donation years and donors’ characteristics (age, gender, geographical distribution). Results: The overall prevalence of HBV, HIV, HCV, syphilis and malaria was 1.31%, 0.54%, 0.54% and 0.08% respectively, with no reported case of malaria.
- » PDF
-
A study of correlation between preoperative provisional diagnosis and intra operative findings in the patients with non traumatic acute abdominal pain
Anil Shriram Mundhe, Tushar S. Agrawal
- » Abstract
Introduction: Abdominal pain is one of the most common reasons for an emergency department (ED) visit, accounting to about 5% to 10% of all ED visits. Aims and Objectives: To Study Correlation between Preoperative Provisional Diagnosis and Intra Operative Findings in the Patients with Non Traumatic Acute Abdominal Pain. Material and Methods: After approval form the Institutional ethical committee a records based, cross-sectional study was carried out in the Department of General Surgery at tertiary health care center during one-year period June 2014-June 2015. All details about clinical history, Clinical diagnosis, Ultrasongraphic findings, CT-Scan findings and Intraoperative findings was extracted from the case records. There were 100 patients were included into the study. 62 pt managed operatively and 38 patients managed conservatively. Result: The majority of the Patients were from the age group of 30-40 i.e. 33%. The majority of the patients were Males i.e. 56% and Females were 44% As per Preoperative Provisional Diagnosis the most common diagnosis found was Acute appendicitis in 44% followed by; Urolithiasis in 14%, Gastritis in 13%, Hollow viscus perforation in 12%, Intestinal obstruction in 06%, Acute cholecystitis in 6%, Acute Pancreatitis in 5%. As per Intraoperative findings in patients with preoperative provisional diagnosis of acute Appendicitis intra op finding was inflamed appendicitis in 63.46% followed by Perforated appendicitis in 20.46%, Gangrenous appendicitis in 13.64%, Normal appendicitis in 2.27%. For preoperative diagnosis in 12 patients as Hollow viscus perforation incidence of Duodenal perforation 58.4% followed by Gastric perforation in 33.3%, Ileal perforation in 8.3% . For total 6 patients as preoperative provisional diagnosis as intestinal obstruction the intraop finding were Postoperative adhesive band 50.1%, Sigmoid volvulus 16.7%, Superior mesenteric artery thrombus 16.7%, Obstructed hernia 16.7.The compatibility of intraoperative findings was highest with USG Diagnosis i.e. 89.00% followed by CT-Scan was 81% and of the Clinical diagnosis was 59%. Conclusion: As per Preoperative Provisional Diagnosis the most common diagnosis found was Acute appendicitis in followed by Urolithiasis, Gastritis, Hollow viscus perforation, Intestinal obstruction, Acute cholecystitis, Acute Pancreatitis etc . The compatibility of intraoperative findings was highest with USG Diagnosis i.e. 89.00% followed by CT-Scan was 81% and of the Clinical diagnosis was 59%.
- » PDF
-
Ipsilateral compound GR 2 femoral neck and shaft fracture in a 2 year old children- A case report
Karan Chopra, Suman Dhar, Mangesh Panat, Pratik Israni
-
Post-operative pain and analgesic requirements in breast surgery: Comparative study of combined general anaesthesia with paravertebral block versus general anaesthesia alone
Nilambari S Adke, Pravin C Jadhav
-
Study of fine needle aspiration cytology in the diagnosis of ovarian masses
Delux V Godghate, Arvind Bhake
-
A study of prevalence and clinical profile of the patients having hypertensive disorders of pregnancy
Vidya Jadhav, Supriya Waydande
-
Trends of poisoning in Vidarbh region of Maharashtra
Shankar Dakhankar, Bipin Tirpude
-
A clinico-demographic study of reproductive tract infections at tertiary health care center
Birajdar Annasaheb Gulabrao, More N V, Suwarna Dahitankar
- » Abstract
Introduction: the maximum cases of Bacterial vaginosis, Trichomonasvaginalis and Candidiasis were in the age group of 20-29 yrs. and least in the age group of ≤ 19 yrs. As parity increases, the no. of cases of each one become less and most of the cases were having parity 1 to 2. Aims and Objectives: To Study Clinico -Demographic profile of patients with Reproductive Tract Infections at tertiary Health care center. Methodology: Patients attending tertiary health care center with complaint of abnormal vaginal discharge of age group 15 to 40 years were selected for the study. This study was conducted at tertiary health care centre from January 2009 to September 2010. During the study period the total number of gynaec O.P.D attendees were 19,270. Presuming the equal distribution of cases on all days the no. of attendees (symptomatic and asymptomatic) with findings of RTI were 6,423. Data presented in tables and in percentages. Result: Vaginal discharge was the commonest complaint among the study group. Prevalence increased with increase in Parity. RTI was more among the Muslims. Prevalence was higher among non-working women. Prevalence of RTI cases was higher in Illiterate. The prevalence of RTI was highest in non-users of Contraceptives (41.26%) as compared to other groups; it was lowest in the women who were dependent on their spouse for the use of condom as a contraceptive. Out of 64 cases of Bacterial vaginosis, 43.75% complained of vaginal discharge, 37.5% complained of pain in abdomen, 15.62% patients complained of backache, 20.31% complained of itching at genital area, 23.43% complained of increased frequency of micturation and 10.93% complained of dyspareunia. Among 40 cases of Trichomonasvaginalis, vaginal discharge was present in 40% cases, pain in abdomen in 20%, backache in 22.5%, Itching in 45%, increased frequency of micturation in 27.5%, dyspareunia in 12.5% of cases. Among 36 cases of Candidiasis vaginal discharge was present in 59.45% cases, backache in 37.83%, pain in abdomen in 40.54%, itching at genital area in 51.35%, increased frequency of micturition in 29.72 % and dyspareunia in 24.32%. Conclusion: It can beconcluded from study that Majority of cases with suggestive symptoms of RTI were in the age group of 20-29 years, asymptomatic cases were highest in the parity group > 4. Prevalence of RTI cases was high among Muslims nonworking (housewife), in illiterate and in non-users of contraceptives.In the study population cases were having multiple symptoms of which in overall vaginal discharge was the most common complaint.
- » PDF
-
A study of different treatment modalities for carcinoma of breast at tertiary health care center
Koustubh Mench, T Phira
-
An observational study to evaluate direct obstetric causes of maternal mortality at a tertiary care centre in Mumbai, Maharashtra
Niranjan N Chavan, Smurti Kamble, Neha Raj, Pradnya Changede
- » Abstract
Background: To evaluate direct obstetric causes of maternal mortality at a tertiary care centre in Mumbai, Maharashtra
Methods: A total of 206 cases of maternal deaths due to direct obstetric causes from January 2011 to December2015 were analysed in a tertiary care centre. Information was extracted from the patients' case-notes from Medical Record Office, the labour ward registers, the antenatal and postnatal ward registers. Results: Majority of mortality occurred in age group of 21 -29, multiparous women belonging to urban Hindu community. Most of the cases were ANC registered as the study was carried out in a tertiary care centre, however 83 % of these were referred to our hospital. Most of the mortality occurred in postpartum period in ICU set up. Most common cause was found to be haemorrhage followed by eclampsia Conclusions: Multiple and frequent deliveries in already anaemic young women is the major underlying cause of maternal mortality. Antenatal care starting early in pregnancy, detection and managing pregnancy complications, detection and treatment of associated medical disorders, institutional deliveries, proper referral facility and emergency transport, timely intervention, access to contraceptives and safe abortion services can prevent most of the deaths.
- » PDF
-
The prediction of delivery date by ultrasonic measurement of fetal crown – Rump length in first trimester
Arati Mane, L L Pujari
- » Abstract
Introduction: The establishment of pregnancy dates is important not only for the mother who wants to know when to expect the delivery, but it is also important to calculate the gestational age. Accurate dating decrease the number of labour inductions for postterm pregnancies, prevent iatrogenic prematurity Aims and Objectives: To study prediction of delivery date by ultrasonic measurement of fetal crown – rump length in first trimester. Material and Methods: This was a cross-sectional study at OBGY department of tertiary health care center during 12 months. Sample size was 200.EDD is calculated by Naegele’s rule Obstetric ultrasonography will be performed using Philips ultrasound scanner using a 3.5MHZ convex probe. Data was analyzed statically by chi square test, paired t test and other appropriate statistical tests using SPSS version. P value of <0.05 will be considered statistically significant. Result: The maximum cases studied were in age group of 20-24 years i.e., 124 cases (62%) . In EDD of USG, out of 200 cases 22(11%) delivered on predicted day, 61(30.5%) delivered 7 days before, 95(47.5%) delivered after 7 days, 1(0.5%) delivered 8-10 days before, 13(6.5%) delivered 8-10 days after, 0(0%) delivered 11-14 days before, 4(2.0%) delivered after 11-14 days, 1(0.5%) delivered before 15-21 days and 3(1.5%) delivered after 15-21 days in according with EDD calculated by CRL . In LMP-ED Dout of 200 cases, 88(44%) delivered before 5 days, 85(42.5%) delivered from 4 days before to 7 days after, 27(13.5%) delivered after days. Prediction of USG EDD is significantly differed from LMP EDD (Chi –Square =69.7, df =2, P Value =<0.0000001). Conclusion: 89% (178) women delivered within + or – 7 days EDD estimated from LMP 98%(196) women delivered within + or – 14 days of EDD estimated from CRL to conclude, ultrasonographic measurement of CRL (crown Rump Length) between 6-14 weeks of pregnancy is more accurate predictor of EDD as compared to LMP. We recommend the routine use of CRL estimate in the prediction of EDD even if the patient recalls her LMP certainly.
- » PDF
-
Clinicopathological study of splenomegaly in pediatric age group
Pore Shubhajyoti N, Patil Sunita P, Bindu Rajan S
- » Abstract
The study is based on 100 cases in pediatric age group with splenomegaly carried out in the Government Medical College and Hospital, Aurangabad. The study group showed slight male predominance. Clinical grading of splenomegaly was done with conventional method. Majority of cases (87%) had either Grade I or II splenomegaly. Hackett’s method for grading of splenomegaly was also employed. Majority of cases (70%) had Grade I or II splenomegaly. The most common presenting complaint was fever followed by pallor. The other complaints were lump in abdomen, history of bleeding, pain in abdomen and symptoms of general ill health. The associated clinical findings were hepatomegaly (85%) and lymphadenopathy (33%). Hematological evaluation including bone marrow examination revealed diagnosis in the majority of cases (62%). These tests are safe, easy to perform and cost effective investigations. Other investigations like histopathology, biochemistry, serology, radiology proved helpful in the diagnosis in 16% cases. Anemia including hemolytic anemia and hematological malignancies were the common etiologies (28%) in the causation of splenomegaly. The Grade I and Grade II splenomegaly was the most common. Hemolytic anemia was the most common anemia (53.6%) followed by megaloblastic anemia (21.4%). The hematological malignancies also encountered frequently (28%). The most common malignancy was acute lymphoblastic leukemia (46.4%) followed by chronic myeloid leukemia (17.8%). The infectious etiologies included malaria, hepatitis, dengue fever, enteric fever etc. Malaria was the most common among them (46.1%). Infiltrative diseases mainly encountered in Grade III (conventional) and Grade 5 (Hackett’s method) splenomegaly.
- » PDF
-
Anatomical variations of the chorda tympani nerve observed during middle ear surgeries-an institutional study
Rahman Abdul Aman, Raja Premnath, Subramanian Kulasekaran
| |