Acs Medical College And Hospital

Chennai, India

Acs Medical College And Hospital

Chennai, India
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Kalyanasundaram M.,ACS Medical College and Hospital | Abraham S.,Pushpagiri Institute of Medical science and Research Center | Ramachandran D.,Pondicherry Institute of Medical science | Jayaseelan V.,JIPMER | And 3 more authors.
Indian Journal of Community Medicine | Year: 2017

Background: The traditional teaching learning methods involve a one way process of transmission of knowledge leaving the students lacking behind in creative abilities. Medical schools need to change their teaching strategies to keep the interest of students and empower them for future self-learning and critical thinking. Objective: To assess the impact of mind mapping technique in information retrieval among medical college students in Puducherry. Methods: A pilot study was conducted using experimental study design among sixth semester MBBS students (n = 64) at a medical college in Puducherry, India. One group (n = 32) followed the text reading method and another group (n = 32) followed the mind mapping technique to learn the same passage given to them. The knowledge about the topic was assessed using a pre designed questionnaire at baseline, day 0 and day 7. The knowledge gain is the primary outcome variable and is compared between two groups. The feedback regarding the teaching methods was obtained from the participants. Results: Mean knowledge score in the text group was lesser than the mind map group at baseline (2.6 Vs 3.5; p = 0.08). On Day 0, the mean score in text group was slightly lesser than the mind map group (8.7 Vs 9.0; p = 0.26). On Day 7, the mean score in mind map group is significantly more than the text group (8.9 Vs 8.5; p = 0.03). Conclusion: The mind mapping technique is an innovative and effective method in remembering things better than the routine way of reading texts. © 2017 Indian Journal of Community Medicine.


Ramakrishnan J.,Indira Gandhi Medical College and Research Institute | Majgi S.M.,Mysore Medical College and Research Institute | Premarajan K.C.,Jawaharlal Institute of Postgraduate Medical Education & Research | Lakshminarayanan S.,Jawaharlal Institute of Postgraduate Medical Education & Research | And 2 more authors.
Journal of Cardiovascular Disease Research | Year: 2013

Background: Diabetes mellitus and hypertension (HT) are common diseases in adulthood, pre-disposing to many cardiovascular complications, posing a major public health challenge. Few studies have reported increased prevalence of cardiovascular disease risk factors and type 2 diabetes in policemen. Hence, this study aims to assess the prevalence of cardiovascular risk factors such as diabetes, HT, smoking, alcohol intake, and obesity among policemen. Materials and methods: A cross-sectional study was carried out in 2008-2009 among 256 policemen in Puducherry, South India. Policemen were selected by simple random sampling. Socio-demographic details and some of the risk factors such as alcohol intake and smoking history were obtained using a pre-tested, structured questionnaire. Presence of stress was measured using the professional life stress score questionnaire. Blood pressure, waist circumference, and hip circumference were measured by standard methods. Fasting blood sugar was estimated using a glucometer. Serum cholesterol was also measured. Lipid profile was measured for a randomly chosen subgroup of 50 participants. Results: Mean age of study participants was 40.9 years (SD ± 10.9). Out of the study subjects, 23% (n = 60) were known diabetic and 16.8% (n = 43) were known hypertensive. Prevalence of diabetes among study participants was 33.6% (CI: 27.8%-39.6%). Prevalence of HT among study participants was 30.5% (CI: 24.9%-36.5%). Seventy percent (n = 178) had at least moderate range of stress in their life related to their profession and 4% (n = 11) had stress as a "problem" in their life. Conclusions: Burden of cardiovascular risk factors such as diabetes and HT was high among police personnel of Puducherry. © 2013, SciBioIMed.Org, Published by Reed Elsevier India Pvt. Ltd. All rights reserved.


Janagan T.,Sri Muthukumaran Medical College and RI | Sridevi S.A.,ACS medical college and Hospital
International Journal of Pharma and Bio Sciences | Year: 2016

Dengue fever (DF) is increasingly recognized as one of the world's major vector borne diseases and causes significant morbidity & mortality in most tropical and subtropical countries of the world. It has also became the most common arbo viral diseases of human. Dengue fever is endemic in most parts of India and continues to be a public health concern. WHO currently estimates that there may be 50- 100 million dengue infections world wide. The objective of this study is to determine the level of knowledge, attitude and practice among the interns. A cross sectional study among the interns of the tertiary care hospital was carried out during the month of October 2015. A pre structured and selfadministered questionnaire was distributed and the data regarding the knowledge, attitude and practice regarding dengue fever were collected. The data collected were statistically analysed using the SPSS statistical software.


Susila T.,ACS Medical College and Hospital | Roy G.,Jawaharlal Institute of Postgraduate Medical Education & Research
Journal of Obstetrics and Gynecology of India | Year: 2014

Research Questions: (1) What is the prevalence of common gynecological morbidities and gynecological symptoms among postmenopausal women in rural Pondicherry? (2) What are the determinants of postmenopausal gynecological morbidities? Methods: Study Design: Community-based cross-sectional study. Setting: Two villages in Pondicherry, India. Participants: All postmenopausal women aged 50 years and above in the two villages. The participants were interviewed in their households and motivated for examination. By adopting social mobilization strategies coupled with a "Geriatric-friendly" camp approach, 239 eligible women completed gynecological examination. Bivariate analysis of association between gynecological morbidities and its determinants was done using Chi square test. Results: Among the study population, the prevalence of at least one gynecological morbidity was 44.4% (CI 38.0-50.8), whereas the prevalence of at least one gynecological symptom was only 25.9% (CI 20.3-31.5). Genital prolapse was the most common morbidity which was present in 18.8% of women. On bivariate analysis, the prevalence of gynecological morbidity was significantly associated with a lower socio-economic status and associated chronic co-morbidities. Conclusions: Postmenopausal women harbor a considerable magnitude of gynecological morbidities, and approaches such as geriatric-friendly camps can help in uncovering the full spectrum of gynecological morbidities. © Federation of Obstetric & Gynecological Societies of India 2013.


Thippeswamy K.H.,KVG Medical College and Hospital | Sham Kishore K.,Kanachur Institute of Medical science | Jayaprakash G.,ACS Medical College and Hospital | Suryakumar K.B.,KVG Medical College and Hospital
Journal of South India Medicolegal Association | Year: 2015

Poisoning has been known to mankind since time immemorial. The study of various poisons and their effects has always fascinated mankind. In India Insecticide poisoning is one of the leading causes of poisoning related deaths. In the present study 100 random cases of insecticide poisoning deaths autopsied at Dr B.R Ambedkar Medical College were chosen in a retrograde fashion and study of fatality with respect to various age groups, sex, and manner of poisoning and type of poisons was done. The predominant sex involved was males and the most common age group involved was 20 to 39 years. Most common type of insecticide used was organophosphorus compound and majority of cases were suicidal in nature. © 2015 South India Medico-Legal Association. All rights reserved.


Vanaja R.,Acs Medical College And Hospital | Brindha G.,Acs Medical College And Hospital
Biomedicine (India) | Year: 2012

High Density Lipoprotein (HDL) & its subfractions play a major role in the etiology of Cardio Vascular Disease (CVD) and Peripheral Arterial Disease (PAD). Determination of HDL subfractions could be useful to elucidate the possible mechanism for better assessment of the risk profile for PAD. The relationship between various HDL-subfractions and the progression of atherosclerosis is conditional. The specific subfraction which is low in obese is HDL2. Studies were carried out on apolipoprotein distribution in plasma HDL subfractions in smokers and alcoholics. In fatty liver it was investigated that the circulating HDL2 and HDL3 subfractions were decreased, while in renal failure the HDL2 subfraction was found to be increased. It was shown that high levels of total HDL and HDL3 were predictive of type II Diabetes Mellitus (DM) in men. Previous studies have shown that cancer patients are characterized by low HDL compared to normal persons. There was a sharp decline in HDL3 fraction and an increase in HDL2/HDL3 ratio. Studies were carried out to assess the role of HDL on memory. Hence because of the multifaceted involvement, an attempt was made to analyse the role of HDL subfractions on various disease status.


Pradeep Kumar M.V.,RajaRajeswari Medical College and Hospital | Jayaprakash G.,ACS Medical College and Hospital
Journal of South India Medicolegal Association | Year: 2015

Adipocere is a postmortem product which is made from the degradation of the adipose tissues. Various factors contribute together in the formation of adipocere. Adipocere once established will preserve the body constituents as it acts as a seal and prevents the penetration of microorganisms into the body. The absence of micro fauna will halt the decomposition of the dead body. The formation and degradation of adipocere will help in assessing the time of death of the deceased. The formation of adipocere is a matter of controversy, and it is mainly highlighted in this study as the bodies found showed adipocere formed in different stages and different locations. We noted the formation of adipocere in autopsied cases over a period of one year and reviewed the literature regarding adipocere, its formation and degradation and correlated with our study. The objective of the study is to report cases of adipocere formation and to provide the reader with recent scientific facts regarding adipocere. © 2015 South India Medico-Legal Association. All rights reserved.


Gayathri H.,Acs Medical College And Hospital | Rao S.S.,Vijayanagar Institute of Medical science
Indian Journal of Otology | Year: 2016

Background and Objectives: Intratympanic gentamicin therapy is an effective modality for control of vertigo in Meniere's disease (MD) and when given in low concentration (<30 mg/mL), once weekly minimizes its side effects like chronic vestibular insufficiency or hearing loss. We studied the efficacy of low dose interval intratympanic gentamicin therapy in control of intractable vertigo in MD and the postprocedure hearing loss. As gentamicin is vestibular end-organ selective and not specific for treatment of MD alone we studied its efficacy in non-Meniere's peripheral vertigo (NMPV) in patients with nonserviceable hearing in affected ear. Subjects and Methods: Our study included 13 patients with 'Definite' MD and seven patients with NMPV. In MD group, one treatment series consisted of a maximum of 3 weekly intratympanic gentamicin injections of 0.3 mL (12 mg) of gentamicin. In NMPV group, the schedule was similar but dosage per injection was 0.5 mL (20 mg). Another similar series of injections were repeated for recurrences. Results: Significant reduction was noted in number of vertigo spells in both groups after treatment (P < 0.001). All the patients experienced either complete or substantial control (Class A or B) of their vertigo. The functional level scale had significantly improved posttreatment in both groups (P < 0.01). No significant worsening in hearing was noted in any of the patients in MD group. Interpretation and Conclusion: Low dose interval intratympanic gentamicin is a simple cost-effective office procedure for managing vertigo in patients with MD and in patients with NMPV and nonserviceable hearing. © 2016 Indian Journal of Otology | Published by Wolters Kluwer - Medknow.


Dhananjayan R.,ACS Medical College and Hospital
Biomedicine (India) | Year: 2014

Introduction: The usage of tobacco among rural population is more, because the socio-demographic predictors of tobacco smoking and chewing are poorly understood. The increased risk of developing cancer as a result of tobacco usage is due to the plethora of nitrosamines and other carcinogenic compounds found in tobacco. Various biochemical derangements caused by tobacco habits include alteration in zinc metabolism and associated changes in lipid profile status.Aim: An attempt is made in this study is to determine the alterations in plasma zinc and lipid profile in tobacco smokers and chewers in rural population.Materials and Methods: A total number of 90 subj ects from rural area of Kuppammandal, Chittoor Dt., Andhra Pradesh, were included for the study, i.e., group I included 30 age and sex matched healthy controls; group II included 30 male subjects with the habit of tobacco smoking; group III included 30 male and female subjects with the habit of tobacco chewing. The fasting plasma was analyzed for total cholesterol, HDL-cholesterol, triglycerides and zinc levels. The analysis was done with Fully Automated Analyzer.Results: In tobacco smokers, the total cholesterol (240.0 ± 17.7), LDL (178.0 ± 18.7) and triglycerides (159.0 ± 22.7) were more than tobacco chewers and control subjects. But the HDL cholesterol (29.9 ± 3.8) in tobacco smokers was less than tobacco chewers and control subjects. The zinc (59.0±13.1)in tobacco smokers was less than tobacco chewers and control subjects.Conclusion:The present study done on rural population with reference to the alteration in lipid profile and micronutrient status among tobacco users clearly shows the effects of nicotine directly or indirectly. It was observed that the increased total cholesterol, LDL, triglyceride level along with decreased HDL levels were more significant in tobacco smokers than in tobacco chewers as compared to controls. The zinc levels in tobacco smokers were less than tobacco chewers and control subjects.


Brindha G.,Acs Medical College And Hospital
Biomedicine (India) | Year: 2014

Cardiovascular diseases (CVD) are the most common cause of mortality worldwide. Numerous experimental studies have proved that the cardiac tissue is the source of a broad variety of bioactive compounds like peptide hormones, growth factors and cytokines. Local Kallikrein-Kinin system (K-K system) exists in the heart which helps in the synthesis and release of Kinins. Kinins formed from the precursor kininogens, exert a number of biological responses. They have an important role in maintaining blood pressure, cardiac functions and renal functions. Bradykinin (BK), an important kinin, is continuously generated in coronary circulation with increasing concentrations during hypoxia and ischemia. BK has a brief duration of action as it is rapidly degraded by Angiotensin Converting Enzyme (ACE). Inhibition of the activity of this enzyme by ACE inhibitors will not only reduce angiotensin II level but also prevents the breakdown of Bradykinin. BK the vasoactive peptide exerts its cardioprotective function mainly by stimulation of BK B2 receptor. Kinins cause endothelium dependent vasodilation through the production of Nitric oxide (NO), prostacyclin and endothelium derived hyperpolarizing factor. Administration of Angiotensin Converting Enzyme Inhibitor inhibits the metabolic breakdown of BK and thus increases its concentration. Stimulation of B2 receptor by B2 receptor agonists have important clinical values in the prevention and also treatment of various cardiac disorders like Hypertension, Ischemic heart disease, Left ventricular remodeling and Congestive Cardiac Failure.

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