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Abstract of Publications from MSRMC – First half of 2013.
Indranil Sikadar, Dr. C.V.R. Mohan, Shivinder Singh. A prospective review of the labor analgesia programme in a teaching hospital . Medical Journal Armed Forces India. 2013; 12:12 Abstract: Medical Journal Armed Forces India
Key Words: Labour Analgesia [National]
Dr. Leena Harshad Parate, Dr. Shivakumar Shivana, Dr. Manjunath.A.C. ANAESTHETIC MANAGEMENT OF A PATIENT WITH COMPLICATED MALIGNANT OTITIS EXTERNA, VOCAL CORD PALSY AND MULTIPLE LEVEL INTERVERTEBRAL DISC PROLAPSE . Journal of Evolution of Medical and Dental Sciences. 2013; 2:4747-4751 Abstract: An elderly male patient with Malignant Otitis Externa (MOE) and Polyneuritis Cranialis
Multiplex (PCM) presented with chronic osteomyelitis of left foot for Ilizarov application. This case represents a classic case of MOE with significant complications. Intra cranially VI, VII, VIII, IX and X cranial nerves were involved and the patient had intervertebral disc prolapse in the cervical and lumbar region with right vocal cord palsy. Considering multiple cranial nerve palsies and multiple lumbar intervertebral disc prolapses we preferred peripheral nerve block for the surgery. This case was successfully managed with ultrasound guided (USG) popliteal nerve and femoral nerve block. Key Words: Malignant Otitis Externa, [National]
DR. VINAYAK PS, DR NAGARAJ MC, DR.MANJUNATH AC. MANAGING GLANZMANN'S THROMBASTHENIA IN A DEVELOPING COUNTRY . ANAESTHESIA CASES. 2013; 2013:37 Abstract: Glanzmann's thrombasthenia is a rare inherited bleeding disorder. Patients usually present with
easy bruising, epistaxis and prolonged bleeding from minor trauma or procedures. Platelet transfusions are the standard therapy but recombinant activated factor VII has also been used for the treatment of bleeding episodes. We report the successful management of a patient with Glanzmann's thrombasthenia with complex cardiac pathology who presented with a massive gastrointestinal bleed requiring emergency laparotomy. We review the current options for management and highlight the problems faced by the anaesthestist in developing countries due to poor socio-economic status of patients. Key Words: glanzmann's thromasthenia, anaesthesia,emergency [International]
YATISH B, MANJUNATH A C, TEJESH C. ANAESTHETIC MANAGEMENT OF PATIENT WITH MITRAL VALVE . Journal of Evolution of Medical and Dental Sciences. 2013; 2:2528-31 Abstract: Mitral valve prolapse (MVP) is a common valvular cardiac abnormality in the general
population and is very rarely associated with Wolf Parkinson White (WPW) syndrome. These patients are prone for life threatening arrhythmias. Anaesthetics tend to change the electrophysiology of the atrio- ventricular conduction system and hence they tend to affect the behavior of the patient under anaesthesia. We present a case of mitral valve prolapse with WPW syndrome who underwent successful general anaesthesia for open nephrolithotomy. Key Words: MVP, WPW syndrome, dysrhythmias, general anaesthes [National]
Dr. Tejesh C A, Dr. Shivakumar Shivanna, Dr.Manjunath A C. ICU management of Methemoglobinemia due to unknown compound poisoning . Journal of Anaesthesiology and Clinical Pharmacology. 2013; Abstract: Methemoglobin is the oxidation of ferrous iron to ferric iron within hemoglobin molecule.It
impairs the ability of hemoglobin to transport oxygen.Methemoglobinemia most commonly results from exposure to oxidising agent.We present the successful management of acute methemoglobinemia due to unknown compound poisoning. Key Words: methemoglobin [National]
Vinayak Pujari Seenappa, Nagaraj Channappa Mungasuvalli, Manjunath Chikkapillappa Abloodu. Managing Glanzmann’s thrombasthenia in a developing country . Anaesthesia Cases. 2013; 2013:37 Abstract: Glanzmann's thrombasthenia is a rare inherited bleeding disorder. Patients usually present with
easy bruising, epistaxis and prolonged bleeding from minor trauma or procedures. Platelet transfusions are the standard therapy but recombinant activated factor VII has also been used for the treatment of bleeding episodes. We report the successful management of a patient with Glanzmann's thrombasthenia with complex cardiac pathology who presented with a massive gastrointestinal bleed requiring emergency laparotomy. We review the current options for management and highlight the problems faced by the anaesthestist in developing countries due to poor socio-economic status of patients. Key Words: Glanzmann's thrombasthenia, Anaesthesia, Emergency [International]
Dr Geetha C Rajappa, Dr Tejesh C A, Dr Prathima P T. ANESTHETIC MANAGEMENT OF ANATROPHIC NEPHROLITHOTOMY . Journal of Evolution of Medical and Dental Sciences. 2013; Abstract: Anatrophic nephrolithotomy is a urological procedure that is rarely performed in this
minimally invasive endo urological era. However, it still remains an option in the management of complex staghorn calculus. A near complete removal of the large calculus in a single sitting will be more cost effective than multiple sittings required for minimally invasive procedures. We report anesthetic management of anatrophic nephrolithotomy which in many ways similar to the principles of renal transplantation. Key Words: Anatrophic nephrolithotomy, anesthetic management. [National]
Tejesh CA, Shivakumar Shivanna, Manjunath AC. ICU management of Methemoglobinemia due to unknown compound poisoning . Journal of Anaesthesiology Clinical Pharmacology. 2013; 29:139-140 Abstract: Methemoglobin (MHb) is the oxidation of ferrous iron (Fe 2+ ) to ferric iron (Fe 3+ ) within
the hemoglobin molecule. It impairs the ability of hemoglobin to transport oxygen, produces functional anemia, and leads to tissue hypoxia which can be fatal if severe. Methemoglobinemia is said to be present if the circulating levels in the blood exceeds the normal physiological levels of 1-2%. [1] Methemoglobinemia most commonly results from exposure to an oxidising agent. [2] We present the successful management of a case of acute methemoglobinemia due to unknown compound poisoning. Key Words: Methaemoglobinaemia [National]
Dr. Prathima.P.T., Dr. Irfan.K.J, Dr. Shivakumar Shivanna. HEPATIC DYSFUNCTION AND ACUTE RENAL FAILURE REQUIRING HAEMODIALYSIS IN DENGUE HEMORRHAGIC FEVER- A RARE COMPLICATION . Journal of Evolution of Medical and Dental Sciences. 2013; 2:4725-4728 Abstract: The incidence of dengue hemorrhagic fever is on rise and the associated mortality is high
owing to multi-system failure. Standing at the verge of dengue epidemic, we are seeing more complicated version of the disease than the previous experiences. Although involvement of liver in dengue in the form of elevated hepatic enzymes is known, renal failure is a rare complication in the absence of other contributing etiology. Literature reviews quote a high mortality in dengue with renal failure mostly due to inappropriate or delayed management. We report two such cases of Dengue hemorrhagic fever wherein the patient went into hepatic and renal failure requiring dialysis. Both patients recovered following an intensive monitoring and timely dialysis. Since there are no definite guidelines for the management of renal failure in dengue, an appropriate management of these cases in the intensive care unit would help in reducing the associated morbidity and mortality. Key Words: Dengue Hemorrhagic Fever, hepatic failure, renal f [National]
YATISH B, MANJUNATH A C, TEJESH C A. ANAESTHETIC MANAGEMENT OF PATIENT WITH MITRAL VALVE . Journal of Evolution of Medical and Dental Sciences. 2013; 2:2528-31 Abstract: Mitral valve prolapse (MVP) is a common valvular cardiac abnormality in the general
population and is very rarely associated with Wolf Parkinson White (WPW) syndrome. These patients are prone for life threatening arrhythmias. Anaesthetics tend to change the electrophysiology of the atrio- ventricular conduction system and hence they tend to affect the behavior of the patient under anaesthesia. We present a case of mitral valve prolapse with WPW syndrome who underwent successful general anaesthesia for open nephrolithotomy Key Words: MVP, WPW syndrome, dysrhythmias, general anaesthes [National]
Yatish B, Manjunath A. C, Tejesh C. A. ANAESTHETIC MANAGEMENT OF PATIENT WITH MITRAL VALVE PROLAPSE AND WOLF PARKINSON WHITE SYNDROME FOR UROLOGICAL PROCEDURE . Journal of Evolution of Medical and Dental Sciences. 2013; 2:2528-2531 Abstract: Mitral valve prolapse (MVP) is a common valvular cardiac abnormality in the general
population and is very rarely associated with Wolf Parkinson White (WPW) syndrome. These patients are prone for life threatening arrhythmias. Anaesthetics tend to change the electrophysiology of the atrio- ventricular conduction system and hence they tend to affect the behavior of the patient under anaesthesia. We present a case of mitral valve prolapse with WPW syndrome who underwent successful general anaesthesia for open nephrolithotomy. Key Words: MVP, WPW syndrome, dysrhythmias, general anaesthes [National]
YATISH B, MANJUNATH A C, TEJESH C A. ANAESTHETIC MANAGEMENT OF PATIENT WITH MITRAL VALVE PROLAPSE AND WOLF PARKINSON WHITE SYNDROME FOR UROLOGICAL PROCEDURE . JOURNAL OF EVOLUTION OF MEDICAL AND DENTAL SCIENCES. 2013; 2:2528-31 Abstract: Mitral valve prolapse (MVP) is a common valvular cardiac abnormality in the general
population and is very rarely associated with Wolf Parkinson White (WPW) syndrome. These patients are prone for life threatening arrhythmias. Anaesthetics tend to change the electrophysiology of the atrio- ventricular conduction system and hence they tend to affect the behavior of the patient under anaesthesia. We present a case of mitral valve prolapse with WPW syndrome who underwent successful general anaesthesia for open nephrolithotomy. Key Words: MVP, WPW syndrome, dysrhythmias, general anaesthes [National]
Vinayak Pujari Seenappa, Nagaraj Channappa Mungasuvalli, Manjunath Chikkapillappa Abloodu. Managing Glanzmann’s thrombasthenia in a developing country . Anaesthesia Cases. 2013; 2013:37 Abstract: Glanzmann's thrombasthenia is a rare inherited bleeding disorder. Patients usually present with
easy bruising, epistaxis and prolonged bleeding from minor trauma or procedures. Platelet transfusions are the standard therapy but recombinant activated factor VII has also been used for the treatment of bleeding episodes. We report the successful management of a patient with Glanzmann's thrombasthenia with complex cardiac pathology who presented with a massive gastrointestinal bleed requiring emergency laparotomy. We review the current options for management and highlight the problems faced by the anaesthestist in developing countries due to poor socio-economic status of patients. Key Words: Glanzmann's thrombasthenia, Anaesthesia, Emergency [International]
Yatish B, Manjunath A. C, Tejesh C. A,. ANAESTHETIC MANAGEMENT OF PATIENT WITH MITRAL VALVE . Journal of Evolution of Medical and Dental Sciences. 2013; 2:2528-2531 Abstract: Mitral valve prolapse (MVP) is a common valvular cardiac abnormality in the general
population and is very rarely associated with Wolf Parkinson White (WPW) syndrome. These patients are prone for life threatening arrhythmias. Anaesthetics tend to change the electrophysiology of the atrio- ventricular conduction system and hence they tend to affect the behavior of the patient under anaesthesia. We present a case of mitral valve prolapse with WPW syndrome who underwent successful general anaesthesia for open nephrolithotomy. Key Words: MVP, WPW syndrome, dysrhythmias, general anaesthes [National]
Prathima P T, Irfan K J, Shivakumar shivanna. Hepatic dysfunction and acute renal failure requiring hemodialysis in dengue hemorrhagic fever, a rare complication . JEMDS. 2013; 2:4725-4728. Abstract: The incidence of dengue hemorrhagic fever is on rise and the associated mortality is high
owing to multi-system failure. Standing at the verge of dengue epidemic, we are seeing more complicated version of the disease than the previous experiences. Although involvement of liver in dengue in the form of elevated hepatic enzymes is known, renal failure is a rare complication in the absence of other contributing etiology. Literature reviews quote a high mortality in dengue with renal failure mostly due to inappropriate or delayed management. We report two such cases of Dengue hemorrhagic fever wherein the patient went into hepatic and renal failure requiring dialysis. Both patients recovered following an intensive monitoring and timely dialysis. Since there are no definite guidelines for the management of renal failure in dengue, an appropriate management of these cases in the intensive care unit would help in reducing the associated morbidity and mortality. Key Words: dengue hemorrhagic fever, hepatic failure, renal f [National]
YATISH B, MANJUNATH A C, TEJESH C A. ANAESTHETIC MANAGEMENT OF PATIENT WITH MITRAL VALVE PROLAPSE AND WOLF PARKINSON WHITE SYNDROME FOR UROLOGICAL PROCEDURE . JOURNAL OF EVOLUTION OF MEDICAL AND DENTAL SCIENCES. 2013; 0:2528-2531 Abstract: Mitral valve prolapse (MVP) is a common valvular cardiac abnormality in the general
population and is very rarely associated with Wolf Parkinson White (WPW) syndrome. These patients are prone for life threatening arrhythmias. Anaesthetics tend to change the electrophysiology of the atrio- ventricular conduction system and hence they tend to affect the behavior of the patient under anaesthesia. We present a case of mitral valve prolapse with WPW syndrome who underwent successful general anaesthesia for open nephrolithotomy. Key Words: MVP, WPW syndrome, dysrhythmias, general anaesthes [National]
Jyothi K C, Shailaja Shetty, K C Mahadeva. Syphilitic Heart- a case report . National Journal of Clinical Anatomy. 2013; 2:89-92 Abstract: Heart and its great vessels are involved in tertiary syphilis in the form of syphilitic aortitis
often 20years or more after primary infection is contracted. In a 60yr old male cadaver, we found an enlarged heart with aneurysm of ascending aorta and semilunar septa was found protruding into the lumen of arch of aorta distal to the origin of left subclavian artery. Right pulmonary vessels were dilated. Right and left atrial cavity were dilated, Left ventricular hypertrophy with dilatation was noted. Histopathological findings of the specimens were suggestive of syphilitic aortitis. Cardiovascular syphilis though uncommon is still a significant cause of mortality and morbidity, which can be reduced by adequate screening, acurate diagnosis and appropriate treatment. Key Words: aortitis, ascending aorta, arch of aorta, aneurysm [National]
Radhika Paramesh Mudialiar, Shailaja Shetty, Komala Nanjundaiah. An Osteological Study of Occipitocervical Synostosis: Its Embryological and Clinical significance. Journal of Clinical and Diagnostic Research. 2013; 0:1835-1837 Abstract: Synostosis or fusion of atlas with occipital bone is known as occipitocervical synostosis,
occipitalization of the atlas, or atlanto-occipital fusion. This is a rare congenital malformation at craniovertebral junction. Its incidence ranges from 0.08%â€"3% in general population. Occipitocervical synostosis result in narrowing of foramen magnum which may compress the brain stem, vertebral artery and cranial nerves. Knowledge of occipitocervical synostosis is important for the surgeons during the surgeries in the craniovertebral region. Hence, the present study was undertaken to determine the incidence and to describe the morphology of the occipitocervical synostosis. Key Words: Synostosis, Occipitocervical, Vertebra, Atlas [International]
Prathap Kumar, Roopa Kulkarni, . Fifth lumbar vertebra associated with absence of spinous process, laminae and inferior articular processes . International Journal of Anatomy and Research. 2013; 0:57-60 Abstract: The vertebral disorders are the ones which lead to disability and lot of health problems. Since
the lumbar part of the vertebral column is the main weight bearing and weight transmitting region, if there is a defective development, the area for muscle attachment and the strong bony structure for the transmis sion of weight would be missing leading to instability at an early age. In the present case dry and processed fifth lumbar vertebra, of unknown sex which presented the features with absence of spinous process, laminae and the inferior articular processes on both sides which were obtained for teaching the medical undergraduate students in M.S.Ramaiah Medical College, Bangalroe. There was absence of spinous process, laminae and the inferior articular processes of fifth lumbar vertebra leading to a wide spina bifida with absence of laminae, inferior articular processes on both sides and spinous process of fifth lumbar vertebra which could be a developmental anomaly Key Words: Spina Bifida, Superior articular process [International]
Roopa Kulkarni, Ashwini C Appaju, R N Kulkarni. Crossed renal ectopia associated with malrotation of intestine - A rare case report . International Journal of Anatomy and research. 2013; 0:53-56 Abstract: Kidneys and ureters demonstrate a wide range of anomalies due to its complex development.
One such anomaly would be the crossed renal ectopia which is fusion of both kidneys on to one side and malpositioned at the pelvis. The occurrence of these anomalies, though rare, is due to multifactorial reasons. The renal anomaly was observed in a formalin fixed adult cadaver during the undergraduate medical dissection. The abdominal cavity, on opening, revealed malrotation of the gut with the large intestine on the left side and the small intestinal loops on the right side. The left renal fossa was empty due to fusion of the left kidney with the right kidney forming a lump kidney. The ureter of the left kidney was draining in to its normal position into the urinary bladder. The position of the lump kidney was in the right iliac fossa. It was having arterial feeders from the abdominal aorta and the common iliac arteries and was draining into the inferior vena cava and the right common iliac veins by 5 renal veins. Crossed renal ectopia rarely may be associated with malrotation of the gut. Awareness of such anomalies could be due to incidental finding and helps the surgeons and radiologists in their diagnosis and planning and preventing postoperative complications. Key Words: Crossed renal ectopia, fused kidney [International]
Dr.Veena Vidya Shankar, Dr.Jayanthi.V, Dr.Srinath.M.G. Radiological Study on the Trabecular Pattern in the Upper End of the Femur in Post-Menopausal Women . Journal of Clinical & Diagnostic Research. Abstract: Objective: Anatomically, the upper end of the femur is a common site for osteoporosis.
Therefore, The trabecular pattern in the upper end of femur is analyzed on the basis of the presence or absence, the relative number and density of the trabeculae, trabecular group and also by the grading of trabeculae. The present study was undertaken to identify the trabecular pattern in the upper end of the femur radiographically in post-menopausal women and to establish that the changes in the trabecular pattern can be used for the diagnosis and the grading of osteoporosis. While osteoporosis is observed in both elderly men and women, its prevalence is much higher in post-menopausal women. The validated data from this study will be of use to all the clinicians to recognize the trabecular patterns and it will possibly help them in detecting osteoporosis and in limiting its progress in its early stages. Method: Two hundred frontal projection pelvis radiographs of women who were between 18-100 years of age were studied during 2006-2007. In this study, an attempt was made to test the presence, pattern and the grading of the trabecular pattern in pre and post-menopausal females and to find out the influence of the post menopausal age on the trabecular patterns. All the readings were tabulated and subjected to analysis. Results: The distribution of the grading of the trabecular pattern in the upper end of the femur on the left and right sides for the severity of osteoporosis showed that as the number of years increased after menopause, the grading progressed from Grade N (Normal) to Grade A to Grade B to Grade C. Conclusion: This study will be useful for anatomists, radiologists and clinicians for recognizing the trabecular pattern and it will possibly help them in detecting osteoporosis and in limiting its progress in its Key Words: Osteoporosis, Postmenopausal women, Trabeculae [International]
Dr.Lakshmi Kantha.B.M, Dr.Amar Singh, Dr.Shailaja Shetty. High Origin of Left tesicular artery associated with accessory renal artery and renal cyst; a cadaveric observation . International Journal of Research in Medical Sciences. 2013; 0:308-312 Abstract: The variation in origin of the testicular artery is not uncommon, few reports about a high origin
from the abdominal aorta exist in the literature. The renal artery is known to exhibit variations in its number and position. The knowledge of this variation will help the radiologists and surgeons in avoiding clinical complication during interventions. During routine dissection teaching to first year MBBS students at Sapthagiri Medical College, Bangalore we found variation in vascular pattern of testicular and renal artery associated with renal cyst. Photographs of the variations were taken. There was high origin of left testicular artery and accessory left renal artery associated with bilateral simple renal cyst in adult Male cadaver aged around 60years.There was also prehilar division of right renal artery associated with renal cyst. Anomalies in the origin, course and number of testicular artery were observed in 4.7 percent of cases. Additional renal vessels are known as the accessory renal artery and their incidence varies between 9-76%. In the present case there was high origin of left testicular artery associated with accessory renal artery and renal cyst. This anatomical knowledge of the presence of accessory renal artery and high origin of testicular artery in this case is important for radiologists, surgeons and urologist in their clinical Key Words: Accessory renal artery, Prehilar division of renal [International]
DR VEENA VIDYA SHANKAR, DR RAHE RAJAN, KOMALA NANJUNDAIAH. RECTUS STERNALIS - A RARE ANATOMICAL VARIANT . National Journal of Clinical Anatomy. 2013; Abstract: The rectus sternalis muscle is an unusual muscle that is observed on the anterior chest wall.
The origin of this muscle is a highly debated variation of the pectoral musculature. We report a case of an abnormal vertically placed muscle- The rectus sternalis muscle on the right medial side of the anterior chest wall of a male cadaver aged about 80 years. The abnormal presence of this muscle can be misdiagnosed as a breast mass on a routine mammogram. The advantage is its role in reconstruction flap surgeries. Hence the knowledge such an anatomical variant should be kept in mind during diagnostic investigations and surgical procedures. Key Words: pectoralis major muscle, cadaver, unilateral mammo [National]
DR. VEENA VIDYA SHANKAR, JAYANTHI V, SRINATH M.G. A RADIOLOGICAL STUDY ON THE TRABECULAR PATTERN IN THE UPPER END OF THE FEMUR IN POST-MENOPAUSAL WOMEN . Journal of Clinical and Diagnostic Research. 2013 January, Vol-7(1): 10-14. 2013; 0:14-Oct Abstract: Anatomically, the upper end of the femur is a common site for osteoporosis. The trabecular
pattern in the upper end of femur is analyzed on the basis of the presence or absence, the relative number and density of the trabeculae, trabecular group and also by the grading of trabeculae. Osteoporosis is the most important cause of the fractures of the hip, vertebrae and the distal radius in the elderly [1]. The post-menopausal changes of bone metabolism are due to an oestrogen deficient state. The early detection of osteoporosis can effectively prevent these fractures. An appropriate treatment would reduce the morbidity and the mortality in osteoporotic individuals, especially in post-menopausal women. Key Words: Osteoporosis, Postmenopausal women, Trabeculae, Pe [International]
Prathap Kumar J, Padmalatha K, Prakash B S. The Flexor Indicis Profundus- Its Morphological and Clinical Significance . Journal of Clinical and Diagnostic Research. 2013; 7:933-935 Abstract: The knowledge on the anatomical variations of the deep flexor muscles is important due to its
evolutionary significance. The flexor digitorum profundus is the deep flexor muscle of the forearm. It is a composite muscle with a dual nerve supply. The medial half of muscle is supplied by the ulnar nerve, and lateral half of the muscle is supplied by the anterior interosseous nerve, a branch of the median nerve. It flexes the distal phalanges of the medial four digits. In the present case, we observed the presence of extensive cleavage of belly and tendon of flexor digitorum profundus to form flexor indicis profundus on the right side in an adult male cadaver. Flexor indicis profundus muscle is an example of progressive type of variation and it is usually asymptomatic, but it may cause compression of the anterior interosseous nerve, which can lead to compression neuropathy. If it is enlarged, it may simulate a ganglion. Key Words: Flexor digitorum profundus muscle, Flexor indicis [International]
Radhika Paramesh Mudaliar, Shailaja Shetty, Komala Nanjundaiah. An Osteological Study of Occipitocervical Synostosis: Its Embryological and clinical significance . Journal of Clinical and Diagnostic Research. 2013; 0:1835-1837 Abstract: Background: Synostosis or fusion of atlas with occipital bone is known as occipitocervical
synostosis, occipitalization of the atlas, or atlanto-occipital fusion. This is a rare congenital malformation at craniovertebral junction. Its incidence ranges from 0.08%â€"3% in general population. Occipitocervical synostosis result in narrowing of foramen magnum which may compress the brain stem, vertebral artery and cranial nerves. Knowledge of occipitocervical synostosis is important for the surgeons during the surgeries in the craniovertebral region. Hence, the present study was undertaken to determine the incidence and to describe the morphology of the occipitocervical synostosis. Material and Methods: Two-hundred dry adult human skulls of Indian origin were studied in the Department of anatomy. The base of these skulls was observed for presence of atlanto-occipital fusion. The anteroposterior and transverse diameter of the foramen magnum and diameter of the inferior articular facets were measured in these skulls using digital vernier caliper. Results: 2 skulls showed occipitalization of Atlas (1%). One of the skulls showed partial fusion (0.5%) while the other showed complete occipitalization (0.5%). Conclusion: The knowledge of bony fusion between the cranial base and the first cervical vertebra is important as such skeletal anomaly may result in sudden unexpected death due to compression of the vital structures such as brain stem and vertebral arteries. Key Words: Synostosis, Occipitocervical, Vertebra, Atlas, [International]
BIO CHEMISTRY
Dr.VANITHA GOWDA M N, Dr.KUSUMA K S, Dr. VASUDHA K C. Serum Paroxonase (Arylesterase) activity in Type 2 Diabetes mellitus and diabetic nephropathy . Indian Journal of Apllied Research. 2013; 3:351 - 353 Abstract: ABSTRACT Background: Serum paraoxonase-1 (PON1) prevents oxidation of low density
lipoprotein cholesterol (LDLC) delaying the development of atherosclerosis. Increased susceptibility for oxidation of LDL -C has been reported in Diabetes mellitus and nephropathy. This study was undertaken to measure serum PON - arylesterase activity and PON1 phenotype in Diabetes mellitus, diabetic nephropathy and healthy individuals. Materials and methods: The study group had 90 subjects- non- diabetic healthy controls(n = 30), diabetics without complications (group I, n=30) and diabetics with nephropathy (group II, n = 30) . PON1 activity, fasting blood sugar (FBS) levels were determined. Key Words: Serum paraoxonase (Arylesterase) [International]
BIO CHEMISTRY
Vanitha Gowda MN, Kusuma KS, Vasudha KC. Serum Paraoxonase (Arylesterase) activity in Type 2 Diabetes mellitus and Diabetic nephropathy . Indian Journal Of Applied Research. 2013; 3:351-353 Abstract: Serum paraoxonase-1 (PON1) prevents oxidation of low density lipoprotein cholesterol
(LDLC) delaying the development of atherosclerosis. Increased susceptibility for oxidation of LDL -C has been reported in Diabetes mellitus and nephropathy. This study was undertaken to measure serum PON - arylesterase activity and PON1 phenotype in Diabetes mellitus, diabetic nephropathy and healthy individuals. Materials and methods: The study group had 90 subjects- non-diabetic healthy controls(n = 30), diabetics without complications (group I, n=30) and diabetics with nephropathy (group II, n = 30) . PON1 activity, fasting blood sugar (FBS) levels were determined. Results: FBS (p Key Words: Serum paraoxonase (Arylesterase),Diabetes mellitus [International]
CHEST DISEASE
Dr. Gayathri Devi H.J, Dr. Mahesh .E, Dr. Sulatha M. Kamath. Pulmonary mucormycosis and cytomegalovirus co-infection in a renal transplant recipeient . Journal of case reports. 2013; 3:76-80 Abstract: Early detection and effective treatment of opportunistic infections in immune-suppressed renal
tranplant patients are a part of a renal tranplant programme. We are reporting a succesfully treated case of concomitant pulmonary mucormycosis and cytomegalovirus (CMV) in a patient who had undergone renal transplant, tiwice. Key Words: Pulmonary mucormycosis, Cytomegalovirus, Renal Tra [National]
COMMUNITY MEDICINE
Shalini S, Shalini C N, Murthy N S. Health Care Waste Management Practices During Immunization Sessions At Primary Health Centres In Chintamani Taluk . Indian Journal of Rural Health Care. 2013; Abstract: Research questions: What is the quantity of waste and practices during immunization sessions?
Settings: 4 Primary Health Centres (PHC’s) of Chintamani Taluk, Bangalore Study design: Cross
sectional. Participants: Infants and children receiving immunization. Methodology: Waste generated
during two consecutive immunization sessions was enumerated and quantified using a weighing scale. The practices for managing waste were observed using a checklist. Knowledge and practices regarding the same was also elicited from 37 health staff. Results: Cotton swabs, needles and disposable syringes contributed to 1074.4 grams of immunization waste for two sessions in 4 PHC’s. In all the PHC’s waste was not managed appropriately as per Biomedical waste management (BMW) rules. Out of 37 health staff only 17 (36 %) had undergone training in health care waste. Knowledge regarding segregation of waste and disposal of sharps was poor (33% and 36% respectively) however practices regarding health care wastes were fairly good. Key Words: Auto disabled syringes, BMW rules [National]
COMMUNITY MEDICINE
Shalini S, Shalini C N, Murthy N S. Health Care Waste Management Practices During Immunization Sessions At Primary Health Centres In Chintamani Taluk . Indian Journal of Rural Health Care. 2013; Abstract: Methodology: Waste generated during two consecutive immunization sessions was enumerated
and quantified using a weighing scale. The practices for managing waste were observed using a checklist. Knowledge and practices regarding the same was also elicited from 37 health staff. Results: Cotton swabs, needles and disposable syringes contributed to 1074.4 grams of immunization waste for two sessions in 4 PHC’s. In all the PHC’s waste was not managed appropriately as per Biomedical waste management (BMW) rules. Out of 37 health staff only 17 (36 %) had undergone training in health care waste. Knowledge regarding segregation of waste and disposal of sharps was poor (33% and 36% respectively) however practices regarding health care wastes were fairly good. Key Words: Auto disabled syringes, BMW rules [National]
COMMUNITY MEDICINE
Neevan DR Dsouza, NS Murthy, RY Aras. Projection of Cancer Incident Cases for India -Till 2026 . Asian Pacific Journal of Cancer Prevention. 2013; 0:4379 - 4386 Abstract: Projection of cancer incidence is essential for planning cancer control actions, health care and
allocation of resources. Here we project the cancer burden at the National and State level to understand the magnitude of cancer problem for the various calendar years from 2011 to 2026 at 5-yearly intervals. The age, sex and site-wise cancer incidence data along with populations covered by the registries were obtained from the report of National Cancer Registry Programme published by Indian Council of Medical Research for the period 2001-2004. Pooled age sex specific cancer incidence rates were obtained by taking weighted averages of these seventeen registries with respective registry populations as weights. The pooled incidence rates were assumed to represent the country’s incidence rates. Populations of the country according to age and sex exposed to the risk of development of cancer in different calendar years were obtained from the report of Registrar General of India providing population projections for the country for the years from 2001 to 2026. Population forecasts were combined with the pooled incidence rates to estimate the projected number of cancer cases by age, sex and site of cancer at various 5-yearly periods Viz. 2011, 2016, 2021 and 2026. The projections were carried out for the various leading sites as well as for ‘all sites’ of cancer. In India, in 2011, nearly 1,193,000 new cancer cases were estimated; a higher load among females (603,500) than males (589,800) was noted. It is estimated that the total number of new cases in males will increased from 0.589 million in 2011 to 0.934 million by the year 2026. In females the new cases of cancer increased from 0.603 to 0.935 million. Three top most occurring cancers namely those of tobacco related cancers in both sexes, breast and cervical cancers in women account for over 50 to 60 percent of all cancers. When adjustments for increasing tobacco habits and increasing trends in many cancers are made, the estimates may further increase. The leading sites of cancers in males are lung, esophagus, larynx, mouth, tongue and in females breast and cervix uteri. The main factors contributing to high burden of cancer over the years are increase in the population size as well as increase in proportion of elderly population, urbanization, and globalization. The cancer incidence results show an urgent need for strengthening and augmenting the existing diagnostic/tr eatment facilities, which are inadequate even to tackle the present load. Key Words: Cancer incidence - projection - magnitude of cance [International]
COMMUNITY MEDICINE
Chethana T, Hemanth Thapsey, Gautham M S. Situation Analysis and Issues in Management of Biomedical Waste in Select Small Health Care Facilities in a Ward under Bruhat Bengaluru Mahanagara Palike, Bangalore, India . Journal of Community Health. 2013; 0:1 Abstract: Smaller health care facilities especially clinics though believed to generate lesser
quantum/categories of medical waste, the number of clinics/small health care settings are considerable. The movement to manage biomedical waste in a safe and scientific manner has gathered momentum among the medium and large hospitals in Bangalore, but there has been a little understanding and focus on the smaller health care facilities/clinics in this aspect. It is important to gather evidence regarding the current situation of bio-medical waste (BMW) management and issues in smaller health care settings, so as to expand the safe management to all points of generation in Bangalore and will also help to plan relevant interventional strategies for the same. Hence an exploratory study was conducted to assess the current situation and issues in management of BMW among small health care facilities (sHCF). This cross sectional study was conducted in T. Dasarahalli (ward number 15) under Bruhat Bengaluru Mahanagar Palike (BBMP) of Bangalore. Data was collected from a convenient sample of 35 nursing homes ( 50 beds) and clinics in December 2011. The results of this study indicate that 3 (20 %) of nursing homes had a Policy for Health Care Waste Management, though committees for Infection control and Hospital waste management were absent. Recording system like injury and waste management registers were non-existent. In our study the Common Bio-medical Waste Treatment Facility operator collected waste from 28 (80 %) of the sHCF. Segregation at the point of generation was present in 22 (62.9 %) of the sHCF. Segregation process was compliant as per BMW rules 1998 among 5 (16.1 %) of the sHCF. 18 sHCF workers were vaccinated with hepatitis B and tetanus. Deficiencies were observed in areas of containment, sharps management and disinfection. It was observed that though the quantum and category of waste generated was limited there exist deficiencies which warrant initiation of system development measures including capacity building. Key Words: Biomedical waste; Hospital Waste; Waste Management [International]
ENT (Ear, Nose & Throat)
Surya Prakash Dorasala, Srinivas Dorasala, . Medicated gelfoam for the treatment of recalcitrant otomycosis . Indian Journal of Otology. 2013; 0:18-19 Abstract: Introduction: Otomycosis is a very common condition accounting to almost 20% of all
outpatient ENT consultations. Treatment of otomycosis is very simple. However, sometimes, it is very difficult to treat, especially in patients with chronic suppurative otitis media and immunocompromised states. We describe a technique, which we have been using regularly for the past two years in patients with recurrent and persistent otomycosis, which has been very effective in the management. Materials and Methods: Six patients presenting with recalcitrant otomycosis not responding to conventional management were treated with medicated gelfoam placed in the external auditory canal. Results: All patients showed complete resolution of otomycosis and tolerated the treatment. Conclusion: Use of antibiotic antifungal using gelfoam as a carrier is an effective and well tolerated method for treating recalcitrant otomycosis. Key Words: Gelfoam, otomycosis, topical ear drops [International]
FORENSIC MEDICINE
Basappa S. Hugar, S.H. Jayanth, Y.P. Girish Chandra. Sudden death due to massive hemoptysis secondary to pulmonary-A casereport . Journal of Forensic and Legal Medicine. 2013; 0:632-634 Abstract: Forensic pathologists deal not only with criminal, accidental and suicidal deaths, but also with
a wide range of deaths from natural causes. Natural deaths at times can be sudden, unexpected and unattended by the relatives or friends or eye witnesses. In such cases, even though there is no criminal element in their causation, the case has to be investigated and medico-legal autopsy has to be conducted to know the exact cause of death, thus putting an end to the allegations raised. A 55-year-old male was found dead lying in his room in a pool of blood without any obvious injuries under suspicious circumstances with disturbed furniture in his room. The case was investigated due to suspicious circumstances of his death and absence of history of significant medical illness. The autopsy revealed the death was due to asphyxiation as a result of massive hemoptysis secondary to fibro-cavitatory Key Words: Sudden natural death,Tuberculosis,Massive hemoptys [International]
FORENSIC MEDICINE
Santosh sheelavant, Girish Chandra YP, S Harish. Estimation of Age from the Physiological Changes of Teeth in Adults between 25 - 60 Years- an Autopsy Study . Indian Journal of Forensic Medicine & Toxicology. 2013; 7:174- 179 Abstract: This study was done to compare the estimated age from physiological changes in teeth
(Gustafson method) with the actual age of deceased person and to note the difference between them and also to know the influence of various exogenous and endogenous factors on them. In 40 cases where the proof of age is available, first maxillary premolars were studied for 6 factors- attrition, periodontal disease, secondary dentine deposition, cementum apposition, root resorption. Each factor was allotted a score of 0- 3 depending upon degree of changes in the tooth. Age calculated by deriving the regression formula for the total score. Mean calculated age when all the physiological factors taken together had a deviation of about ±2.86 years. Physiological factors had no significant correlation with the sex and diet of the individual. When a single factor is used for age estimation root translucency gave the least deviation, i.e. ±5.17 years. Key Words: Dental Age Estimation, Gustafson's Criteria, Foren [International]
FORENSIC MEDICINE
Girish Chandra Y. P, S Praveen, NT Satish. Spontaneous Subarachnoid Haemorrhage in a child . J- SIMLA. 2013; 5:33-35 Abstract: Sudden Natural deaths due to Subarachnoid haemorrhages is more common in the middle aged
individuals invariably due to rupture of an berry aneurysm or due to degenerative changes in the elderly persons. In the paediatric population, non traumatic subarchnoid haemorrhages are mostly due to vascular malformations such as arterio venous malformations, intracranial aneurysms, and cavernous malformations. Intracranial bleeds associated with tumours are less common, they must be considered in children presenting with non traumatic subarchnoid haemorrhages. In 15- 20% of cases of intracranial bleed no aneurysm or any other vascular malformation is detected, which are labelled as obscure cause. Knowledge of morbid anatomy and pathophysiology help in opining the cause of death in such cases. A 6 year old child with history of seizures collapsed and died. At autopsy subarchnoid haemorrhage and pulmonary oedema were the only salient findings and histopathology was inconclusive as to the cause for the bleed. This case report is being discussed in the light of existing literature Key Words: Paediatrics; Subarachnoid Haemorrhages; Vascular [National]
FORENSIC MEDICINE
Sheelavant Santosh, Chandra YP Girish, Harish S. Estimation of Age from the Physiological Changes of Teeth in Adults between 25 - 60 Years- an Autopsy Study . Indian Journal of Forensic Medicine & Toxicology. 2013; 0:254-287 Abstract: This study was done to compare the estimated age from physiological changes in teeth
(Gustafson method) with the actual age of deceased person and to note the difference between them and also to know the influence of various exogenous and endogenous factors on them. In 40 cases where the proof of age is available, first maxillary premolars were studied for 6 factors- attrition, periodontal disease, secondary dentine deposition, cementum apposition, root resorption. Each factor was allotted a score of 0- 3 depending upon degree of changes in the tooth. Age calculated by deriving the regression formula for the total score. Mean calculated age when all the physiological factors taken together had a deviation of about ±2.86 years. Physiological factors had no significant correlation with the sex and diet of the individual. When a single factor is used for age estimation root translucency gave the least deviation, i.e. ±5.17 years. Key Words: Dental Age Estimation,Gustafson's Criteria,Forensi [National]
FORENSIC MEDICINE
Dr.Harish.S, Dr.Basappa S Hugar, Dr.Pradeep.K.S. A Ten Year Study of Pattern of Electrocution Deaths in Bangalore . Indian Journal of Forensic Medicine & Toxicology. 2013; 0:47-50 Abstract: Deaths due to electrocution constitute an important part of unnatural deaths even though
uncommon but most of them are preventable since almost all are accidental deaths. This 10 year study from January 2000- December 2009 at department of Forensic Medicine, M.S. Ramaiah Medical College revealed that a total of 76 cases of electrocution were identified in 10 years averaging 7.6 cases per year and constituting 1.05% of autopsies conducted. The highest incidence was seen in 20â€"29 yrs age group (44.7%). Males constituted 83% of cases. Construction workers accounted for 32.9% of cases and 28% of individuals were engaged in domestic activities. Maximum number of cases occurred in the afternoon (63.2%). In 32 cases there was a single electric contact wound and the most common site was the hand (49cases). Exit wounds were noted in 10 cases (13.2%) and foot was the commonest site (8cases). In eleven (14.5%) cases the deceased had sustained other associated fatal injuries. Key Words: Electrocution, Contact Mark, Exit Wound. [International]
GENERAL MEDICINE
SHAIKH MOHAMMED ASLAM S, SRIDHAR H, MEDHA Y RAO. A case of Synchronous Malignancy of Stomach and Kidney . KATHMANDU UNIVERSITY MEDICAL JOURNAL. 2013; Abstract: The synchronous occurrence of primary renal cell carcinoma with gastric cancer is very rare.
We report a case of 41 year old male who presented on 05/07/2011 to M S Ramaiah hospital, Bangalore with history of fever, pain abdomen and malena. Ultrasound abdomen and pelvis showed large heterogenous mass arising from the upper pole of left kidney. Computed tomography of the abdomen showed left renal cell carcinoma. Renal biopsy showed features consistent with renal cell carcinoma â€" clear cell type. Oesophagogastroduodenoscopy revealed gastric polypoidal growth. Gastric biopsy from the growth revealed poorly differentiated adenocarcinoma of stomach. We report this case to highlight a rare occurrence of synchronous malignancy of stomach and kidney. Key Words: Gastric adenocarcinoma, gastric cancer, renal cell [International]
NEUROLOGY
Narayana Manjunatha, Sundarnag Ganjekar, J. V. Mahendra. Tardive Dyskinesia Associated With Anastrozole . Tardive Dyskinesia Associated With Anastrozole. 2013; 25:E27-E28 Abstract: Tardive dyskinesia (TD) is very well known side effect of typical antipsychotics. However, it
is rarely reported with anti-cancer medication. We report a first journal case of TD in 48-year-old-woman who has been on anastrozole for the last 3 years for carcinoma of the breast. We postulate that the central aromatase inhibition of anastrozole leads the compensatory up-regulation of postsynaptic receptors, supporting the dopamine supersensitivity hypothesis of TD. Oncologists and neurologists should be aware of this side effect, which may occur with long-term use. We also suggest the inclusion of the Abnormal Involuntary Movement Scale to assess TD in all prospective clinical trials of anastrozole. Key Words: Tardive Dyskinesia, Anastrozole, Carcinoma [National]
Dr.Raju Sampangi, Dr.Hemalatha B C, . ILM peeling in a detached Retina without the use of PFCL . Retina Today. 2013; 0:30-32 Abstract: We initially used PFCL but later observed that it leads to the ILM flap being pressed flat
against the retina, and this creates more stress with every attempt to grasp the ILM Key Words: ILM peeling in a detached Retina without the use o [International]
Dr.Sudha Xirasagar, Dr.Malavika, . Vision Insurance, Eye care visits, and vision impairment among working-age adults in the united states . JAMA Ophthalmology. 2013; 0:499-506 Abstract: To compare rates of eye care visits and vision impairment among working age adults with
vision insurance vs without, among the total sample of behavioral risk factor surveillance. Survey respondents and among a subsample of respondents who had diagnoses of glaucoma, age-related macular degeneration (ARMD) and/or cataract. Key Words: Vision Insurance / Working age Adults [International]
Dr Banarji B H, Dr Satish Shervegar, Dr D C Sundaresh. Anterior cruciae ligament tears and associated injuries . International Journal of Scientific Research. 2013; 2:180-182 Abstract: Introduction & Aim: Anterior cruciate ligament tear is one of the most common injuries around
the knee joint, causing knee instability. We reviewed 182 such patients to find out whether the associated injuries are due to primary trauma or repeated instability. Methods: All patients who underwent ACL reconstruction surgeries from Jan 2008 to Dec 2010 were evaluated. Patients were divided into 2 groups early & late. incidence of isolated tears and associated injuries with ACL tears was studied in both groups and statically analyzed. Results: A total of 182 patients with ACL deficiency were reconstructed during the study period, 93 patients were in the early group and 89 patients in the late group. Only 36.5% of the patients had associated injuries in the early group and 80.8% of patients had associated injuries in the late group. This was significant stastically (p value0.001). Conclusions: A relationship does exist between the length of time from injury to ACL reconstruction and higher incidence of associated injuries. Early reconstruction is therefore recommended to prevent osteochondral injuries and early degeneration of the Key Words: Anterior cruciae ligament, meniscus, Osteochondral [International]
Dr Banarji B H, Dr Satish Shervegar, Dr D C Sundaresh. Anterior cruciate ligament tears and associated injuries . International Journal of Scientific Research. 2013; 2:180-182 Abstract: Introduction & Aim: Anterior cruciate ligament tear is one of the most common injuries around
the knee joint, causing knee instability. We reviewed 182 such patients to find out whether the associated injuries are due to primary trauma or repeated instability. Methods: All patients who underwent ACL reconstruction surgeries from Jan 2008 to Dec 2010 were evaluated. Patients were divided into 2 groups early & late. incidence of isolated tears and associated injuries with ACL tears was studied in both groups and statically analyzed. Results: A total of 182 patients with ACL deficiency were reconstructed during the study period, 93 patients were in the early group and 89 patients in the late group. Only 36.5% of the patients had associated injuries in the early group and 80.8% of patients had associated injuries in the late group. This was significant stastically (p value0.001). Conclusions: A relationship does exist between the length of time from injury to ACL reconstruction and higher incidence of associated injuries. Early reconstruction is therefore recommended to prevent osteochondral injuries and early degeneration of the Key Words: Anterior cruciate ligament, meniscus, Osteochondra [International]
Dr Banarji B H, Dr D C Sundaresh, Dr Harshad M Shah. A Custom made Rigid foot Orthosis for treatment of Plantar fascitis A Quasi- Experimental Study . Medical Innovatica. 2013; 0:13-Sep Abstract: Background: Plantar fasciitis is a common cause of heel pain, classically presents with pain
that is severe with the first few steps taken in the morning. In general, pain due to plantar fasciitis is mild to moderate but pain can be severe and affect one s life style. Many treatment options exist, including rest, exercises, footwear modification, orthotics and surgery. No single method is universally effective. Aim of this study is to asses' effectiveness of custom made rigid foot orthosis in plantar fasciitis. Materials and Methods: 118 patients with plantar fasciitis treated with custom made rigid foot orthosis over period of 1year were included. All the patients were followed up to 1 year after completion of the orthotic treatment. No supplementary treatment was given. Results were analyzed using foot health status questionnaire forms for pain and function and comfort for wearing the orthotic within the shoe were graded from 0 to 10 on a Visual analogue Scale. Results: 83(70.33%) patients had complete pain relief at 3 months and 23(19.49%) patients had complete relief by 4 months. 92% of patients had worn the insert up to 3 months. 87% patients rated the comfort to use within shoes from 8-10 on a visual analogue score (VAS). None of our patients had recurrence. Level of Evidence: Level 4 Conclusion:Management of plantar fasciitis with rigid foot orthosis alone is an effective treatment method. No recurrence was seen. Key Words: Plantar fascitis, rigid foot Orthosis, Polypropyle [International]
Dr Banarji B H, Dr D C Sundaresh, Dr Harshad M Shah. A Custom made Rigid foot Orthosis for treatment of Plantar Fascitis A Quasi- Experimental Study . Medica Innovatica. 2013; 0:13-Sep Abstract: Background: Plantar fasciitis is a common cause of heel pain, classically presents with pain
that is severe with the first few steps taken in the morning. In general, pain due to plantar fasciitis is mild to moderate but pain can be severe and affect one s life style. Many treatment options exist, including rest, exercises, footwear modification, orthotics and surgery. No single method is universally effective. Aim of this study is to asses' effectiveness of custom made rigid foot orthosis in plantar fasciitis. Materials and Methods: 118 patients with plantar fasciitis treated with custom made rigid foot orthosis over period of 1year were included. All the patients were followed up to 1 year after completion of the orthotic treatment. No supplementary treatment was given. Results were analyzed using foot health status questionnaire forms for pain and function and comfort for wearing the orthotic within the shoe were graded from 0 to 10 on a Visual analogue Scale. Results: 83(70.33%) patients had complete pain relief at 3 months and 23(19.49%) patients had complete relief by 4 months. 92% of patients had worn the insert up to 3 months. 87% patients rated the comfort to use within shoes from 8-10 on a visual analogue score (VAS). None of our patients had recurrence. Level of Evidence: Level 4 Conclusion:Management of plantar fasciitis with rigid foot orthosis alone is an effective treatment method. No recurrence was seen. Key Words: Plantar fascitis, rigid foot orthosis, polypropyle [International]
DR.YASHAVANTHA KUMAR C, DR.NALINI K B, DR.HARSHAD MOHAN SHAH. Intraosseous lipoma of calcaneum, a rare case report and Review of literature . JOURNAL OF V CARE FOR LIFE. Abstract: Abstract Lipomas are the most common tumors of the soft tissues but intraosseous lipomas of
bone are very rare tumors. These account for less than 0.1% of all benign tumors. Most common sites include proximal femur, tibia, flat bones and pelvis. Most of these tumors are asymptomatic and are discovered incidentally on radiographs. Most of these tumors are managed conservatively. Curettage and bone grafting is the treatment of choice whenever surgery is indicated. To best of our knowledge very few cases of intraosseous lipoma of calcaneum have been reported in literature. We therefore present interesting, rare case of intraosseous lipoma of left calcaneum in a thirty five year old male which was resistant to conservative treatment. Curettage of the lesion and bone grafting from iliac crest was done. Key Words: Bone tumor, Calcaneum, Intraosseous lipoma [International]
Dr Yashvantha Kumara C, . A new Device for Percutaneous elevation of the Depressed fracture of Tibial Condyles - A response . Journal of Orthopaedics case reports. 2013; 0:35 Abstract: To begin with I would like to congratulate the authors for inventing a new instrument in the
surgical management of Schatzker Type II and Type III tibial plateau fractures [1]. To be honest we have not used this instrument for management of such fractures, but we are have few queries. With your permission I humbly request the author address these issues. 1. Most of Schatzker Type II and Type III tibial plateau fractures are seen in osteoporotic bones in older age and are comminuted most of the times which have been excluded from your study. 2. The diameter of the solid inner piston is 10 mm may not be sufficient to elevate comminuted fragments. 3. Why not use bone graft to support elevated bone fragments because we are not sure if the screw can hold entire elevated bone fragment? 4. In few cases you have use only one screw. Is single screw sufficient to hold the elevated fragment? 5. How to get this instrument if we want to use this? I would like to congratulate the author again and wish him all the best. We are eager to try this instrument in our institute . I thank the Journal of Orthopaedic Case Reports to for giving this opportunity. Key Words: Percutaneous elevation, tibial condyle fractures [International]
PAEDIATRICS
1. Dr.Somashekar.A.R, Dr.Jyotirmanju.C.S, . Chronic Lung Disease of the Newborn . Perinatology. Abstract: Bronchopulmonary dysplasia (BPD), now known as chronic lung disease of the newborns,
develops in infants with a history of extreme prematurity. It was first described in 1967, shortly after the onset of mechanical ventilation of preterm infants. Key Words: CLD,BPD [National]
PAEDIATRICS
Mahesh Kumar KB, Karunakara BP, Manjunath MN. Aerosolised hypertonic saline in hospitalized young children with acute bronchilolitis : a randomized controlled clinical trial . Journal of Pediatrics Sciences. Abstract: Objectives: To determine the effectiveness of aerosolised 3% saline in hospitalised children
with acute bronchiolotis. Design: Prospective, randomized, double bluinded clinical study. Referral teaching hospital, from October 2007 to March 2009. Patients: 40 children (age less than 2 yrs) were enrolled sequentially and randomized into 2 groups (20 each; Group - A-3% saline and group-B Normal saline). Intervention: 4 nebulization (3% saline or normal saline) were given every day until discharge. Additional inhalations ere recorded as add-on nebulisations. Severity was assessed using the clinical severity score daily. Children showing worsening of clinical scores (treatment failure) were dropped from the study. Principal outcome measures: Reduction in clinical severity & the length of hospital stay. Minor outcome measures studied were number of add-on-nebulisations required & treatment failure. Results: The reduction in clinical severity scores was 1.8 0.83 in the 3% saline group and 1.7 0.86 in the normal saline group. The number of add-on nebulisation was 2.4 4.1 in the normal saline group and 1.7 1.75 in the 3% saline group. These observations were not satistically significant. A significant difference was found in terms of treatment failures between the 2 groups (4 Vs0) (p=0.03) Conclusion: In hospitalized children with moderatare acute bronchiolitis, aerolized 3% saline is safe and prevented worsening of clinical symptoms but is not superior to normal saline in reducing the clinical severity and the length of Key Words: Hypotonic saline, viral bronchiolitis [International]
PAEDIATRICS
R.Y.Bhat, Dr.Manjunath.M.N., . Correlates of acute lower respiratory tract infections in children under 5 years of age in India . International Journal of Tuberculosis & lung diseases in chidlren. 2013; 0:418-422 Abstract: Background: In developing countries, acute lower respiratory tract infection (ALRTI) cause
considerable morbidity, hospitalisation and mortality in children aged < 5 years. Methods: A prospective case- control study was conducted to identify potential socio-demographic, nutritional and environmental risk factors for ALRTI. The World Health Organization definition for ALRTI was used for cases. Health children attending child immunisation services were enrolled as controls. Results: A total of 214 childre, 107 cases and 107 controls, were enrolled, Among the cases, pneumonia, severe pneumonia and very severe disease consititued respecitvely 23.3, 47.7% and 29%. Among cases and controls, the male -to female ration (1,3:1 vs 0.9:1) and the proportion of infants (64.5% vs.70.1%) were identical. Parents' literacy level was negatively associated with ALRTI. On multivariate logistic regression analysis, low socio-economic status (OR 4.89,95% CI 1,93-12.36), upper respiratory infection in family members (OR 5.32, 95% CI 2.11-13.45), inappropriate weaning period (OR 3.01, 95% CI 1.23-10.45) were found to be significant risk factors (p Key Words: Acute LRTI, risk factors, under-five children [International]
PAEDIATRICS
Dr.Prarthana Karumbaiah, Dr.Pradeep.G.C.M., . Case series: Vitamin D deficiency in exclusively breastfed term and late preterm neonates . Journal of Pediatric Sciences. 2013; 5:e-184 Abstract: Vitamin D plays an integral role in calcium metabolism. Vitamin D levels in neonates are
determined by in-utero transfer of vitamin D and through breast milk. This in turn depends on the maternal stores of vitamin D. We present case series of term and late preterm neonates who were admitted to tertiary level neonatal ICU with vitamin D deficiency manifesting as symptomatic hypocalcemia. Key Words: maternal vitamin D deficiency, neonatal vitamin D [International]
PAEDIATRICS
Dr.Somashekar.A.R, Dr.Jyotirmanju.C.S, . Chronic Lung Disease of the Newborn . Perinatology. 2013; Abstract: Bronchopulmonary dysplasia (BPD), now known as chronic lung disease of the newborns,
develops in infants with a history of extreme prematurity. It was first described in 1967, shortly after the onset of mechanical ventilation of preterm infants. Key Words: CLD,BPD [National]
PATHOLOGY
Dr.Kalpana Kumari .M.K, Dr.Mahadeva .K.C, . Polypoidal lesions in the nasal cavity . Journal of clinical and diagnostic research. 2013; 0:1040-1042 Abstract: Introduction: Nasal polyps are polypoidal masses arising from mucous membranes of nose and
paranasal sinuses. They are overgrowths of the mucosa that frequently accompany allergic rhinitis. They are freely movable and nontender. Aims and Objectives: The purpose of this study was to study the histopathologic spectrum of polypoidal lesions of the nasal cavity. Materials and Methods: The study comprised of 100 consecutive cases of polypoidal lesions in the nasal cavity, received in the department of pathology. The age and sex of the patients were recorded. The tissues were routinely processed for histopathologic sections and stained with haematoxylin and eosin stains. Special stains like Periodic acid Schiff (PAS) was done wherever applicable. The cases were classified into neoplastic and nonneoplastic lesions. The neoplastic lesions were further classified according to WHO classification on histopathologic examination. Results: Analysis of 100 polypoidal lesions in the nose and paranasal sinuses with clinical diagnosis of nasal polyps, revealed 66 cases were nonneoplastic and 34 were neoplastic;17 (50%) were benign and 17(50%) were malignant. True nasal polyps both inflammatory and allergic together comprised 44 cases of the 100 polypoidal lesions in the nasal cavity. Angiofibroma and inverted papilloma were the most frequent benign tumour accounting for 12/17(0.7%). The most common malignant tumour was anaplastic carcinoma 7/17(0.4%). Nonneoplastic and benign tumours were common in younger age groups whereas malignant tumours were most common in older males. Conclusion: The majority of polypoidal lesions in the nasal cavity are nonneoplas Key Words: Polyps, Nasal cavity, Nonneoplastic, Inflammatory, [National]
PATHOLOGY
Rashmi K, sudha, Ali karar. A STUDY ON HISTOPATHOLOGICAL SPECTRUM OF UPPER GASTROINTESTINAL TRACT ENDOSCOPIC BIOPSIES . International Journal of Medical Research and health Sciences. 2013; 2:418-424 Abstract: Background: Upper gastrointestinal tract disorders are one of the most commonly encountered
problems in clinical practice. A variety of disorders can affect the upper GIT (gastro intestinal tract). The definitive diagnosis of upper gastrointestinal disorders rests on the histopathological confirmation and is one of the bases for planning proper treatment. Objectives: To determine the spectrum of histopathological lesions of upper gastrointestinal tract. To establish endoscopic biopsies as an effective tool in the proper diagnosis and management of various upper gastrointestinal tract lesions. Patients and Methods: A prospective study was conducted on the upper GIT endoscopic biopsies and the histopathological assessment was done at the department of pathology, M.S. Ramaiah medical college and teaching hospital from November 2006 to July 2008. Results: Of the total 25 cases of esophageal biopsies, 56% constituted non neoplastic lesions and 44% had neoplastic pathology. The most common malignancy was SCC (squamous cell carcinoma) occurred most commonly (73%) in the middle one third of the esophagus. In stomach biopsies, 41 (60%) had non neoplastic pathology and 27 patients (40%) had neoplastic pathology. The most common malignancy was adenocarcinoma. Conclusion: In our study, the commonest site for upper GI endoscopic biopsy was from the stomach (68%) with 60% non neoplastic and 40% neoplastic lesions. Most common neoplasm of the stomach was adenocarcinoma. Out of the 100 cases, there was a consensus between endoscopic and histopathological diagnosis in 78% of the cases. Whenever there was a disagreement, the histopathological appearances served to correct a mistaken endoscopic finding. We therefore conclude that endoscopy is incomplete without biopsy and so the combination of methods provides a powerful diagnostic tool for better patient management. Key Words: Upper GIT, endoscopy, Biopsy, Histopathology [International]
PATHOLOGY
Sudha Horakereppa Metikurke, Rashmi k, Bhavika rishi. Correlation of Bone Marrow Aspirate, Biopsies and touch imprint findings in pancytopenia . Journal of Hematology. 2013; 2:13-Aug Abstract: Pancytopenia is the feature of many life threatening conditions. It is described as the deficiency
of all three cellular elements of blood resulting in anemia, leucopenia and thrombocytopenia. It is a common hematological entity that we come across in routine practice. A comprehensive clinical, hematological and bone marrow study of patients usually helps in identification of the underlying cause. However in view of a wide array of etiological factors pancytopenia continues to be a challenge. Aspiration of the marrow is an indispensible adjunct to the study of hematopoietic disorders, if performed correctly. It is simple, safe and can be repeated. In case of trephine biopsy the greater value is that it can provide information about the structure of relatively large pieces of marrow. At the same time morphological features of individual cells may be identified by making imprint from the material obtained. Hence the present study was undertaken to evaluate the accuracy of the three components of marrow examination in the diagnosis of hematological disorders presenting with pancytopenia. Methods: A total of 58 patients presenting with pancytopenia on initial workup requiring bone marrow aspirate and biopsy at MS Ramaiah medical college and hospital, Bangalore were studied from October 2009 to September 2011. Smears were made from the bone marrow aspirate (BMA), stained by Leishmann stain and examined. Touch imprints of bone marrow biopsy (BMB) were made and examined before the tissue was put in fixative (10% neutral buffered formalin) and subsequently processed, embedded in paraffin and sections were prepared and examined. Results: Fifty eight patients with hematological diagnosis of pancytopenia were studied during the period October 2009 to September 2011. The sex distribution of pancytopenia showed male preponderance (60%). Most of the patients were in the age group of 21 - 30 years (25%) and least occurrence was seen in patients more than seventy years (3.45%). The commonest cause of pancytopenia was megaloblastic anemia (39.65%), followed by nutritional anemia (24.13%) and Aplastic anemia (12.06%). Eleven patients (18.9%) were diagnosed on bone marrow biopsy. Forty four out of the total fifty eight cases showed a positive correlation. Conclusion: The commonest cause of pancytopenia was megaloblastic anemia. Clinical history and bone marrow examination is critical in arriving at the diagnosis. There was a positive correlation of 75.8% between BMA and BMB. Both the procedures were complimentary to each other and should be performed simultaneously along with imprint smears for complete bone marrow workup and evaluation. Key Words: Pancytopenia; Bone marrow aspiration; Bone marrow [International]
PATHOLOGY
K. Ranganath, Sulata M. Kamath, Sejal K. Juvenile Psammomatoid Ossifying Fibroma of Maxillary Sinus:Case Report with Review of Literature . Journal of Maxillofacial Oral Surgery. 2013; 1:1 Abstract: Abstract: Juvenile psammomatoid ossifying fibroma is a rare benign fibro-osseous tumor of the
gnathic and extragnathic craniofacial bones, particularly the periorbital, frontal and ethmoid bones. It is slowly progressive with aggressive local growth, invasion and destruction of the surrounding tissue, bone erosion and recurrence after surgical excision. It is distinguished from the other fibroosseous lesions by its age of onset, clinical presentation and aggressive behavior. Key Words: Cemento-ossifying fibroma [National]
PATHOLOGY
Prathvi PM, Javali T, Ramesh D. pleomorphic undifferentiated sarcoma of the urinary bladder with calcified pulmonary metastasis : a rare entiry . Ind J Urol. 2013; 29:253-256. Abstract: we report the case of a 29year old male who presented to us with hematuria,dysuria and
bilateral flank pain.on evaluation the patient was found to have primary pleomorphic undifferentiated sarcoma of bladder with calcified pulmonary metastasis,confirmed by computerised tomography scan and immunohistochemistry. Key Words: calcified pulmonary metastasis,immunohistochemistr [National]
PATHOLOGY
venkatswamy, ashwini nargund, shilpa prabhudesai. An uncommon case of an adult with del(5) (q) in acute lymphoblastic leukemia . Indian journal of human genetics. 2013; 0:349-351 Abstract: Del(5)(q) is a common chromosomal abnormality with favourable prognosis in
Myelodysplastic Syndrome (MDS) and Acute myeloid leukemia (AML). However, del(5)(q) is also seen rarely in Acute lymphoblastic leukemia (ALL) and its significance remains poorly understood. We present here, a case report of diagnosis of an adult 75 year old patient of ALL with a cytogenetic abnormality of del(5)(q32). His clinical features, morphology and immunophenotyping findings were suggestive of T-ALL. Relevant literature has been reviewed and discussed.Del(5)(q) is a common chromosomal abnormality with favourable prognosis in Myelodysplastic Syndrome (MDS) and Acute myeloid leukemia (AML). However, del(5)(q) is also seen rarely in Acute lymphoblastic leukemia (ALL) and its significance remains poorly understood. We present here, a case report of diagnosis of an adult 75 year old patient of ALL with a cytogenetic abnormality of del(5)(q32). His clinical features, morphology and immunophenotyping findings were suggestive of T-ALL. Relevant literature has been reviewed and discussed.Del(5)(q) is a common chromosomal abnormality with favourable prognosis in Myelodysplastic Syndrome (MDS) and Acute myeloid leukemia (AML). However, del(5)(q) is also seen rarely in Acute lymphoblastic leukemia (ALL) and its significance remains poorly understood. We present here, a case report of diagnosis of an adult 75 year old patient of ALL with a cytogenetic abnormality of del(5)(q32). His clinical features, morphology and immunophenotyping findings were suggestive of T-ALL. Relevant literature has been reviewed and discussed.Del(5)(q) is a common chromosomal abnormality with favourable prognosis in Myelodysplastic Syndrome (MDS) and Acute myeloid leukemia (AML). However, del(5)(q) is also seen rarely in Acute lymphoblastic leukemia (ALL) and its significance remains poorly understood. We present here, a case report of diagnosis of an adult 75 year old patient of ALL with a cytogenetic abnormality of del(5)(q32). His clinical features, morphology and immunophenotyping findings were suggestive of T-ALL. Relevant literature has been reviewed and Key Words: ALL, del5q, rare abnormality [National]
Dr Rathai, Dr Niveditha, DrVijayakumar. A compartive stuy of efficacy and tolerability f Fluvoxamine an Sertraline intreatment ofOCD . International jornal of pharmacy and pharmaceutcal sciences. 2013; Abstract: To comare the efficacy and tolerabiliy of fluvoxamine with sertraline in relieving symptoms in
OCD. Both the drugs were found to be equally efficacious and sertraline has a better adverse effect profile Key Words: OCD anxiety disorder fluvoxamine sertraline [International]
Dr Niveditha, Dr Srikanth, Dr Rathai. A retrospectve evaluation of compliance in various surgical departments with respect to surgical antibiotic prophylaxis in a tertiary care hospital . Research journal of Pharmacy and technology. 2013; 0:1 Abstract: Antibiotic prophylaxis plays an important role in preventing hospital acquired infections.
Key Words: antibiotic prophylaxis [National]
PHYSIOLOGY
Dr. Ambarish Vijayaraghava, . A Guide To The Easiest Way to Handle a Theory Class: Techniques of Teaching Without Conveying . Journal of Evolution of Medical and Dental Sciences. 2013; 0:6733 - 6735 Abstract: Modern technology provides limitless opportunities for getting recognised as a great teacher
without making the least effort. Here are some useful tips on how to succeed in this game. It is a blessing that all teaching departments are expected to have LCD projector/powerpoint facilities. This facility takes away the need for preparing for any class. If anyone shows curiosity regarding the way you prepare for a class tell them confidently that you are such an expert in the subject that you need not prepare at all. You impress them that you are well prepared to enter any class and handle any lecture. However, to be successful at this game, you need to follow certain rules. Key Words: Teaching Techniques [National]
PHYSIOLOGY
B. R. GOPALA KRISHNAPPA, SANJAY s. SUPE, PREETHI.B.L. AN OVERVIEW OF RISK FACTORS FOR STOMACH CANCER I : GENETIC SUSCEPTIBILITY . BIONANO FRONTIER. Abstract: Individual variations in gastric cancer risk have been associated in the last decade with speci?c
variant alleles of different genes that are present in a signi?cant proportion of the population. Polymorphisms may modify the effects of environmental exposures, and these gene-environment interactions could partly explain the high variation of gastric cancer incidence around the world. The integration of genome- based knowledge into healthcare has the potential to improve primary and secondary prevention. Among the greatest promises of the genomic medicine is that the unravelling of the genetic origins of common diseases will lead to individualized medicine, in which the prevention and treatment strategies are personalized on the basis of the results of predictive genetic tests. Findings from meta-analyses of genetic association studies have the potential to provide a comprehensive view of the impact of genetic risk factors in disease aetiology, especially when exploring gene-environment interaction. The availability of gene-environment interaction data on gastric cancer, however, is currently limited. As such, primary well powered studies collecting data on environmental related coexposures are strongly requested, since this would eventually lead to the identi?cation of population subgroups at higher risk of gastric cancer because of a concomitant environmental co-exposure. that are present in a signi?cant proportion of the population. Polymorphisms may modify the effects of environmental exposures, and these gene-environment interactions could partly explain the high variation of gastric cancer incidence around the world. The integration of genome- based knowledge into healthcare has the potential to improve primary and secondary prevention. Among the greatest promises of the genomic medicine is that the unravelling of the genetic origins of common diseases will lead to individualized medicine, in which the prevention and treatment strategies are personalized on the basis of the results of predictive genetic tests. Findings from meta-analyses of genetic association studies have the potential to provide a comprehensive view of the impact of genetic risk factors in disease aetiology, especially when exploring gene-environment interaction. The availability of gene-environment interaction data on gastric cancer, however, is currently limited. As such, primary well powered studies collecting data on environmental related coexposures are strongly requested, since this would eventually lead to the identi?cation of population subgroups at higher risk of gastric cancer because of a concomitant environmental co- Key Words: STOMACH CANCER ,GENETIC SUSCEPTIBILITY [National]
PHYSIOLOGY
Preethi B L, PrasannaKumar, Jaisri G. High-Sensitivity C-reactive protein a surrogate marker of insulin resistance . Journal of physiology and pathophysiology. 2013; 0:29 to 36 Abstract: hscrp is a predictor of cardiovascular risk . very few studies have evaluated its role as a marker
of insulin resistance IR. 80 normal volunteers were evvaluated for IR group with higher hscrp had higher Key Words: hscrp,insulin resistance [International]
PHYSIOLOGY
Umadevi, Roopakala, Wilma. EVALUATION OF ENDOTHELIAL INJURY MARKERS INEVALUATION OF ENDOTHELIAL INJURY MARKERS IN . International Journal of Chemical And Pharmaceutical Research. 2013; 0:100-108 Abstract: Endothelial dysfunction is thought to be an earlier marker for the development of
atherosclerosis and is associated with diabetes mellitus (DM). It provides a key link between the dysmetabolism of diabetes mellitus and the development of both micro and macro vascular disease states. Hence this study was aimed to assess the endothelial injury marker von Willebrand factor (vWF) and microalbuminuria in type 2 DM patients and compare with healthy controls. In this cross sectional study, twenty five type 2 diabetic patients included as cases and 25 age and sex matched healthy volunteers as controls. Plasma vWF and urinary albumin excretion were measured. Statistical analysis showed statistically significant increase in vWF in type 2 diabetic patients compared to controls. Mean value of urinary albumin excretion rate was increased statistically in type 2 DM compared to controls. The present study suggests that there is a significant endothelial injury in type 2 DM Patients and they are probably at risk of developing cardiovascular disease in the future Key Words: von Willebrand factor (vWF), Microalbuminuria, End [International]
PHYSIOLOGY
Ouyang Yanhong, Mina Chandra, D. Venkatesh. Mild cognitive impairment in adults: A neuropshchological review . Annals of Indian Academy of Neurology. 2013; 0:310-318 Abstract: Mild cognitive impairment (MCI) is associated with an increased risk of developing dementia.
This is clinically relevant overt dementia can be prevented if treatment strategies are devised for MCI. Neuropsychological deficits in this condition are very common and are important clinically for treatment and outcomes. We aimed to review various neuropsychological deficits in MCI. Further, we have presented the current evidence for nosological status and neuroanatomical basis, and clinical outcomes of this heterogeneous construct. All published papers on the topic of neuropsychological deficits in MCI on Medline and other databases are reviewed. A wide range of memory and executive function deficits are common in MCI patients. However, several studies are limited by either improper designs or inadequate sample size. Several neuropsychological impairments like memory function and executive functions can be diagnosed in MCI. The evidence base for the exact neuroanatomical basis of MCI is not robust yet. However, given the wide range of outcomes, controversies and databases exist regarding the nosological significance of deficits. Hence, more studies are needed to specifically locate the impairments and further delineate the construct of MCI. Key Words: Cognition, dementia, mild cognitive impairment [International]
PHYSIOLOGY
Suresh Nayak B, Venkatesh D, Yogesh M K. Influence of Body Mass Index on Pulmonary Functions . International Journal of Physiology, July-December 2013,. 2013; 0:150-153 Abstract: Obesity is a major health hazard in developed and developing countries. It is proved to be a co-
morbid condition in various metabolic and cardiovascular disorders. Obesity offers mechanical obstruction to different movements of the body including that of the respiratory system. Hence, it is reasonable to hypothesize that obesity could adversely affect the lung functions. This study was undertaken to establish role of obesity in influencing the pulmonary functions. Pulmonary functions FVC, FEV1 and PEF were evaluated in 20 obese (BMI of 33.04 ± 2.42) and 20 normal (BMI of 22.39 ± 1.65) male subjects in the age group of 40 to 60 years by using computerized spirometer in sitting position. Three recordings of pulmonary functions was done after giving sufficient trials to familiarize with the instrument. Best of the three readings were computed. The percentage of predicted value of FVC, FEV1 and PEF in normal subjects were 94.82 ± 13.07, 96.62 ± 15.19, 91.49 ± 23.21 and the corresponding values for obese subjects were 84.45 ± 15.75, 89.35 ± 16.48, 81.14 ± 20.54. There was a moderate decline in FVC, FEV1 and PEF in obese subjects when compared to the normal individuals. It can be concluded that obesity adversely affects the pulmonary functions by posing mechanical restriction to respiratory movements. Decline in pulmonary functions suggest a predominant restrictive and mild obstructive effect. Key Words: Pulmonary Function, Obesity, Restrictive Air Way D [International]
PHYSIOLOGY
Vijayadas, Arun Koushik R, Roopakala M.S. Effect of pressure pain threshold in fibromyalgia syndrome and rheumatoid arthtritis patients . Al Ameen J Med Sci 2013. 2013; 0:112-119 Abstract: Background; Pain is an unpleasant sensation signaling tissue damage. Objective measurement
of pain helps in devising treatment strategies and relieving patients from sufferings. Objective: The present study was undertaken to evaluate pressure pain threshold in normal subjects, patients with fibromyalgia and rheumatoid arthtritis by using algometer. Further to assess severity of pain perception by using visul analog scale. Methods : Measurement was done on 18 tender point sites [TePs] according to ACR criteria on 20 fibromyalgia, 20 Rheumatoid arthtritis patients and 40 healthy control subjects. Key Words: Pressure pain threshold, Algometry, Visual analog [National]
C.M. Herbert, V.K. Nambiar, M. Rao. Concurrent Validity of Clinical Chronic Obstructive Pulmonary Disease (COPD) Questionnaire (CCQ) in South Indian Population . Indian Journal of Physiotherapy and Occupational Therapy. 2013; 7:270 - 273 Abstract: Background: Chronic Obstructive Pulmonary Disease (COPD) is a progressive disease
associated with a high level of disability, the treatment of which is aimed at reducing symptoms, increasing function and improving the quality of life of the patient with lot of emphasis been given to the development of a Health Related Quality Of Life (HRQOL) questionnaire. St. George's Respiratory Questionnaire (SGRQ) is a self administered validated questionnaire used in COPD. The Clinical COPD Questionnaire (CCQ) was developed as a simple tool to help clinicians identify the clinical status of airways in individuals with COPD. Hence there is a need to validate the CCQ to identify the health status of those with COPD in Indian population. Aims: To measure and compare the scores and time taken with SGRQ and CCQ respectively in COPD subjects. Methodology: A convenience sample of 35 COPD subjects, were asked to answer the SGRQ and CCQ. Results: Pearson correlation and Student's t-test were used for statistical analysis and it was found that the three individual components of CCQ correlated with those of the SGRQ (r =0.909, p Key Words: St. George's Respiratory Questionnaire, Clinical C [National]
KINCHUK DB, SOUMYA. G, PAYAL. D. Prevalence of Upper Limb Dysfunction in Subjects with Chronic non Specific Neck Pain in Bangalore City, Karnataka . Indian Journal of Physotherapy and Occupational Therapy. 2013; 7:105 - 109 Abstract: Objective: To find out the prevalence of upper limb dysfunction in subjects with non specific
neck pain. Summary of the background data: Non specific neck pain is highly prevalent in women particularly of working age. Upper limb disorder and disability/ dysfunction are one of the most important factors that have been discovered in the management outcome for nonspecific neck pain. Single Arm Military Press (SAMP) test has been used to measure the level of upper limb dysfunction in neck pain population. With a high prevalence of non specific neck pain in India either due to their occupation or age it becomes important to quantify the rate of upper limb dysfunction in Indian population in their working environment so that further measures can be taken to address upper limb dysfunction in the course of management of non specific neck pain. Method: Seventy two (72) subjects fulfilling the inclusion criteria and exclusion criteria were taken up for the study. The upper limb dysfunction was measured for all the subjects for both the hands. Descriptive statistical analysis was carried out for this study. Results on continuous measurements are presented on Mean SD (Min-Max) and results on categorical measurements are presented in Number (%) with level of significance set at 0.05. The comparison between the categorical measurements has been analyzed using one sample t- test. Results: Of the 72 subjects 93.1% had upper limb dysfunction as determined by the test scores. The mean and standard deviation of SAMP score for the right hand was 20.44 ± 5.25 and for the left hand it was 18.49 ± 4.49. The comparison between the mean scores of right and left upper limb was done to show a cumulative finding using one sample t- test and it was found to be statistically significant (p < 0.001). Conclusion: Upper limb dysfunction has been found to be highly prevalent in subjects with non specific neck pain working women in Bangalore city, India. Key Words: Ischemic Compression, Upper Trapezius, Trigger Poi [National]
C.M.HERBERT, V.K. NAMBIAR, M.RAO. CONCURRENT VALIDITY OF CLINICAL CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) QUESTIONNAIRE(CCQ) IN SOUTH INDIAN POPULATION. INDIAN JOURNAL OF PHYSIOTHERAPY AND OCCUPATIONAL THERAPY. Abstract: Chronic Obstructive Pulmonary Disease (COPD) is a progressive disease associated with a
high level of disability, the treatment of which is aimed at reducing symptoms, increasing function and improving the quality of life of the patient with lot of emphasis been given to the development of a Health Related Quality Of Life (HRQOL) questionnaire. St. George's Respiratory Questionnaire (SGRQ) is a self administered validated questionnaire used in COPD. The Clinical COPD Questionnaire (CCQ) was developed as a simple tool to help clinicians identify the clinical status of airways in individuals with COPD. Hence there is a need to validate the CCQ to identify the health status of those with COPD in Indian population. Key Words: ST.GEORGE RESPIRATORY QUESTIONNAIRE, [National]
PLASTIC SURGERY
Veena.P.Waiker, shanth kumar, kumaraswamy m. Optimal Intra-Operative Position For Below Knee Amputation . VCFL Sciences Journal. 2013; 0:17-29 Abstract: Introduction: The ease with which any surgery is performed is based on good access of the
field, adequate reach of light and comfortable posture of the surgeon. Below knee amputation is usually performed in supine position, but with certain difficulties like improper accessibility of the posterior compartment in which posterior tibial and peroneal vascular bundles are present,close to the interosseus membrane. Hence, we propose intra-operative prone position for below knee amputation which is relatively more optimal than supine position. Material and methods: We have performed below knee amputation in prone position, in ten patients in eleven legs and in another ten patients in supine position for two years between 2011 and 2013 in a tertiary care hospital in the Department of Plastic Surgery as non-randomized interventional pilot study. Results: All patients tolerated the prone position well. Accessibility of posterior and anterior compartments were equally good thus making below knee amputation easier and faster in prone position. Post-operative complications were comparatively lesser in prone position group. Conclusion: The vital structures at the deeper plane are obscured by the bulk of muscles in the posterior compartment. Moreover, flexion at knee joint occurs only in one plane. These factors make below knee amputation difficult in supine position. Therefore we find prone position a better choice for direct view of the posterior compartment and simultaneous accessibility of anterior and posterior compartments on flexion of the knee. Key Words: Below knee Amputation, Intra-operative position, N [International]
PLASTIC SURGERY
DR. VEENA P WAIKER, DR. SHANTHAKUMAR.S, DR.KUMARASWAMY. OPTIMAL INTRA- OPERATIVEPOSITION FOR BELOW KNEE AMPUTATION . VCFL SCIENCE JOURNAL. 2013; Abstract: Abstract Introduction: The ease with which any surgery is performed is based on good access
of the field, adequate reach of light and comfortable posture of the surgeon. Below knee amputation is usually performed in supine position, but with certain difficulties like improper accessibility of the posterior compartment in which posterior tibial and peroneal vascular bundles are present,close to the interosseus membrane. Hence, we propose intra-operative prone position for below knee amputation which is relatively more optimal than supine position. Material and methods: We have performed below knee amputation in prone position, in ten patients in eleven legs and in another ten patients in supine position for two years between 2011 and 2013 in a tertiary care hospital in the Department of Plastic Surgery as non-randomized interventional pilot study. Results: All patients tolerated the prone position well. Accessibility of posterior and anterior compartments were equally good thus making below knee amputation easier and faster in prone position. Post-operative complications were comparatively lesser in prone position group. Conclusion: The vital structures at the deeper plane are obscured by the bulk of muscles in the posterior compartment. Moreover, flexion at knee joint occurs only in one plane. These factors make below knee amputation difficult in supine position. Therefore we find prone position a better choice for direct view of the posterior compartment and simultaneous accessibility of anterior and posterior compartments on flexion of the knee. Key Words: Below knee Amputation, Intra-operative position, N [International]
PLASTIC SURGERY
dr.manjunath.k.n, dr.venkatesh mysore, . Negative Pressure Therapy: An All-in-one Dressing for Skin Grafts . New Indian Journal of Surgery. 2013; 0:45-49 Abstract: Purposes: The success of skin grafting surgery depends on various factors like contouring and
pressure dressing, immobilization splints. The purpose of this study is to include all the factors in one single dressing. Methods: 20 patients with wounds of difficult geometry studied. Wound etiology varied and patients contraindicated for negative pressure therapy were excluded from study. Results: 19 patients had good take of skin grafts and one patient lost all the grafts because of associated comorbities. Conclusion: Negative pressure therapy acts as an effective all-in-one dressing. Key Words: Negative pressure therapy (NPT); Skin [National]
PLASTIC SURGERY
Veena.P.Waiker, Shanthakumar.S, Kumaraswamy. Optimal Intra-Operative Position For Below Knee Amputation . VCFL Sciences Journal. 2013; 0:17-29 Abstract: Introduction: The ease with which any surgery is performed is based on good access of the
field, adequate reach of light and comfortable posture of the surgeon. Below knee amputation is usually performed in supine position, but with certain difficulties like improper accessibility of the posterior compartment in which posterior tibial and peroneal vascular bundles are present,close to the interosseus membrane. Hence, we propose intra-operative prone position for below knee amputation which is relatively more optimal than supine position. Key Words: Below knee Amputation, Intra-operative position, N [International]
RADIO THERAPY
A. S. Kirthi Koushik, K. Harish, H. U. Avinash. Principles of Radiation Oncology: A Beams Eye View for a Surgeon . Indian Surgical Oncology. 2013; 0:255-262 Abstract: Knowledge about the radiation medicine as a whole has gained importance in the recent past
due to better understanding of not only the physical and biological principles but also advancements in the technology and better understanding of oncological principles. This review will try to address some of these aspects that are considered relevant to a surgeon dealing with oncology cases. With recent advancements we are able to achieve a better therapeutic ratio, that is more dose to the tumour and lesser dose to the normal tissues. This review will help the surgeon in understanding the basics and also be aware of the recent advances in radiotherapy. Key Words: Radiation oncology . Oncologic surgeon [International]
Dr.Anupama.K.Pujar, Dr.V.R.Anilkumar, Dr.M.Sridhar. " An interesting case of Hypertriglyceridaemic Pancreatitis" . Journal of clinical and diagnostic research. 2013; 0:1169-1171 Abstract: Hypertriglyceridaemia is a well-known but uncommon cause of acute pancreatitis. A serum
triglyceride level of more than 1000mg/dl is needed to precipitate the pancreatitis. A 35 year male patient, who was a known diabetic who was on oral hypoglycaemics, presented to us with pain in the abdomen and vomiting of one day's duration. His serum amylase was normal. The serum was highly lactescent. The triglycerides were 1901mg/dl. CECT of the abdomen showed features which were suggestive of pancreatitis. The patient was managed just as the pancreatitis of any other etiology. He was started on fibrates, atorvastatin, and antioxidants to prevent a relapse. His diabetes was controlled by insulin. He Key Words: Hypertriglyceridaemia, Pancreatitis, Hyperlipidaem [National]
Dr.Balakrishna.M.Naik, Dr.S.V.Kulkarni, . A cOMPARATIVE STUDY OF EFFICACY OF SILVER & CALCIUM ALGINATE WOUND DRESSING VS POVIDONE -IODINE WOUND DRESSING IN CHRONIC NON-HEALING ULCERS . Journal of Evolution of Medical and Dental Sciences. 2013; Abstract: To compare the efficacy of calcium alginate dressings with betadine dressings in the
management of non-malignant non-healing ulcers MATERIALS AND METHODS: The study was conducted on 60 patients with non-malignant non-healing ulcers in M.S. Ramaiah Medical Teaching Hospital between June 2nd 2008 and July 31st 2010. They were randomly divided into groups of 30. History was taken and relevant investigations done to rule out any focus of infection. All 60 patients were followed up for 6 months. Patients were assessed on many factors like size of ulcer, site, culture sensitivity of swab, co-morbidities. RESULT: There was similar improvement in both study groups with no complications in either. All parameters were comparable. CONCLUSION: Silver and calcium alginate wound dressings though more expensive have comparable efficacy compared to simple betadine dressings in the treatment of non-healing ulcers. Key Words: Chronic ulcers, silver calcium alginate [National]
Dr.Kalaivani.V, Dr.Bharati.V.Hiremath, Dr.Indumathi. " Necrotising Soft Tissue Infection - Risk factors for mortality" . Journal of Clinical and Diagnostic Research. 2013; 0:1662-1665 Abstract: Necrotising Soft Tissue Infection is a rapidly progressing fatal disorder, the prognosis of which
depends on early diagnosis and management. Objective: In this study, our objective was to assess the factors contributing to mortality due to NSTI. Methods: A retrospective review of the records of all patients with NSTI involving fascia, skin or muscle between January 2007 and December 2011, was performed. The atiology, predisposing factors, risk factors, causative microbiological organisms and the clinical outcomes associated with mortality were studied. Statistical Data: Descriptive statistics comprising of proportion(%) presented. Chiâ€"square test was employed to assess the statistical significance in the distribution of various known risk factors between the survivors and nonâ€"survivors. A ‘p’ value less than 0.05 was considered significant. R esults: Sixty patients records were reviewed. Fifty-one patients (85%) were males and nine (15%) were females. Mean age was 46.57 years (+/- 20.60) ranging from 15â€"83 years. All the patients were treated by debridement & wide spectrum Key Words: Necrotising soft tissue infection, Necrotizing fas [International]
Dr.Anupama.K.Pujar, Dr.V.R.Anilkumar, Dr.M.Sridhar. " An interesting case of Hypertriglyceridaemic Pancreatitis" . Journal of clinical and diagnostic research. 2013; 0:1169-1171 Abstract: Hypertriglyceridaemia is a well-known but uncommon cause of acute pancreatitis. A serum
triglyceride level of more than 1000mg/dl is needed to precipitate the pancreatitis. A 35 year male patient who was known diabetic who was on oral hypoglycaemics, presented to us with pain in the abdomen and vomiting of one day's duration. His serum amylase was normal. The serum was highly lactescent. The triglycerides were 1901mg/dl. CECT of the abdomen showed features which were suggestive of pancreatitis. The patient was managed just as the pancreatitis of any other etiology. He was started on fibrates, atorvastatin, and antioxidants to prevent a relapse. His diabetes was controlled by insulin. He Key Words: Hypertriglyceridaemia, Pancreatitis, Hyperlipidaem [National]
Dr.Sreekar Pai.A, Dr.Sangeetha Shenoy, . "Rare Clinical Presentation of Intestinal Fixation, Anomaly with Traumatic Cecal Perforation . Kuwait Medical Journal. 2013; 0:146-48 Abstract: Intestinal fixation anomalies are a part of intestinal malrotation. It is a rare occurrence for an
unexpected malrotation of the gut to be revealed on laparotomy for other reasons in adults. There are no reports of intestinal fixation anomalies with traumatic perforation in the world literature. We hereby present a case of a 15-year-old girl with traumatic cecal perforation, who on laparotomy showed an intestinal fixation anomaly. We describe the challenges faced in the management of this patient. Key Words: Intestinal malrotation, Ladd’s procedure [International]
Dr.Anupama.K.PUjar, Dr.V.R.Anilkumar, Dr.M.Sridhar. " An Interesting case of Hypertriglyceridaemic Pancreatitis" . Journal of clinical and diagnostic research. 2013; 0:1169-1171 Abstract: Hypertriglyceridaemia is a well-known but uncommon cause of acute pancreatitis. A serum
triglyceride level of more than 1000mg/dl is needed to precipitate the pancreatitis. A 35 year male patient , who was a known diabetic who was on oral hypoglycaemics, presented to us with pain in the abdomen and vomiting of one day's duration. His serum amylase was normal. The serum was highly lactescent. The triglycerides were 1901mg/dl. CECT of the abdomen showed featres which were suggestive of pancreatitis. The patient was managed just as the pancreatitis of any other etiology. He was started on fibrates, atovastatin, and antioxidants to prevent a relapse. His diabetes was controlled by insulin. He Key Words: Hypertriglyceridaemia, Pancreatitis, Hyperlipidaem [National]

Source: http://www.msrmc.ac.in/files/2012/MCI_Regulations/Publicaton2013.pdf

Ifmbe proceedings 2503 - a tissue-equivalent radioluminescent fiberoptic probe for in-vivo dosimetry based on mn-doped lithium tetraborate

A tissue-equivalent radioluminescent fiberoptic probe for in-vivo dosimetry based on Mn-doped lithium tetraborate M. Santiago1,2, M. Prokic3, P. Molina1,2, J. Marcazzó1,2 and E. Caselli1,4 1 Instituto de Física Arroyo Seco, Universidad Nacional del Centro de la Provincia de Buenos Aires, Pinto 399, 7000 Tandil, Argentina 2 Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Rivadavia 1917, 1033 Buenos Aires, Argentina

Atomoxetine hydrochloride in the treatment of children and adolescents with attention-deficit/hyperactivity disorder and comorbid oppositional defiant disorder: a placebo-controlled italian study

European Neuropsychopharmacology (2009) 19, 822–834 Atomoxetine hydrochloride in the treatmentof children and adolescents withattention-deficit/hyperactivity disorder and comorbidoppositional defiant disorder: A placebo-controlledItalian study Grazia Dell'Agnello a, Dino Maschietto b, Carmela Bravaccio c,Filippo Calamoneri d, Gabriele Masi e, Paolo Curatolo f, Dante Besana g,Francesca Mancini a, Andrea Rossi a, Lynne Poole h,Rodrigo Escobar i, Alessandro Zuddas j,⁎for the LYCY Study Group