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Malini M.,Adichunchanagiri Institute of Medical science | Baljoshi V.S.,Karnataka Institute of Medical science | Kammar K.F.,Karnataka Institute of Medical science
National Journal of Physiology, Pharmacy and Pharmacology | Year: 2017

Background: Obesity has become a global epidemic. The prevalence and severity of obesity in young adult females are dramatically increasing worldwide. Along with other organs, respiratory system is also compromised. Obesity is likely the cause of pulmonary function decline which is linked to early morbidity and mortality. The maximum voluntary ventilation (MVV) test evaluates the respiratory endurance and is influenced by the respiratory muscle strength, the lung and chest compliance, and the control of breathing and airway resistance. In the case of obese individuals, this variable is reduced mainly by mechanical injury to the respiratory muscles, caused in particular by the excessive weight on the thorax. Hence, this study was done to know the impact of obesity on MVV in adult females. Aims and Objectives: The purpose of this study was to compare the pulmonary function test (PFT) parameter in obese adult females and non-obese adult female patient and to evaluate the impact of obesity on MVV. Materials and Methods: PFTs of 50 normal, healthy, non-obese females and 50 healthy but obese females, age group 18-30 years of Hubli city were determined and were compared. Criteria for obesity in our study taken were according to the WHO criteria of body mass index. The PFT was carried out with computerized Spirometer Eazy on-PC model. MVV parameter was used as a measure of lung function. Results: In our study, obese females had MVV (liters) of 58 ± 12.2, whereas corresponding values in controls was 87 ± 66. There was statistically highly significant difference between two groups (P < 0.01). There was statistically significant lower MVV in the obese group than the non-obese group (P < 0.01). Conclusion: In our study, MVV was significantly reduced in obese females compared to non-obese female. These data demonstrate MVV of obese adult females were significantly reduced when compared to the normal weight counterparts. Obesity had a significant impact on MVV parameter. © 2016 Malini M et al.


Naveen N.,Adichunchanagiri Institute of Medical science | Srinath R.,Adichunchanagiri Institute of Medical science
Journal of Clinical and Diagnostic Research | Year: 2014

Background: Bassini's repair and the Lichtenstein's tension free mesh hernioplasty are commonly used hernia repair techniques and yet there is no unison as to which is the best technique. Our hospital being in a rural setup and catering to majority of poor patients who are daily wagers, open hernia repairs are commonly done. This study was undertaken to compare the technique and post-operative course so as to determine the best suitable of the two procedures for them. Materials and Methods: A comparative randomized study was conducted on a total of 70 patients with inguinal hernia and were operated upon by either of technique and followed up. Outcome of both the techniques were analyzed and compared with other similar studies. Results: Study involved 35 each of Modified Bassini's Repair (MBR) and Lichtenstein's Mesh Repair (LMR), over a period of 18 months. MBR took more operating time than LMR. Commonest complication in both the groups was seroma formation. There were two recurrences in the MBR group and none in LMR group. Conclusion: LMR was comparatively better than MBR due to its simplicity, less dissection and early ambulation in the post-operative period and with no recurrence, in our study.


Naik K.,Adichunchanagiri Institute of Medical science | Pai S.,Adichunchanagiri Institute of Medical science
Indian Journal of Otology | Year: 2014

Introduction: Hearing loss is often thought of as a natural phenomenon of the aging process. However, studies are beginning to show that hearing loss is becoming increasingly more common amongst younger people. Approximately, 20-30 million people between the ages of 20 and 69 years have high frequency hearing loss due to chronic exposure to loud noise above 90 decibels (dB) thanks to the advent of MP3 players and cellphones, according to the National Institute of Deafness.[1] If you are one of the millions who enjoys listening to a MP3 player or cellphone music to allay boredom or to pass time, then you might be at risk for hearing loss from headphones or earphones. Studies have shown that most MP3 players today can produce sounds up to 120 dB and that long-term cell phone use to hear music may cause damage in the inner ear. In today's society, these devices are indispensible and are part of day-to-day life. Hence, this study was conducted to create awareness regarding prolonged exposure to loud noise either through an MP3 player or cell phone music. Materials and Methods: A total of 1,000 students from Shri Adichunchanagiri Institute of Medical Sciences and Adichunchanagiri Institute of Technology and Adichunchanagiri Pre-university College were chosen as part of the study. They were divided into four groups, Group A comprising 250 students who had a habit of listening to music through ear phones at least 2 h a day, Group B comprising 250 students who are used to earphone music less than 1 h per day and Group C comprising of 250 students who very occasionally use ear phones, but hear music mostly through speakers and Group D comprising of 250 students who are usually unaware of ear phone music and are not used to it. All the groups were subjected to pure tone audiometry and the audiogram obtained. Results and Observations: The study revealed high frequency hearing loss in 8% of Group A and 2% in Group B; whereas, in there were no hearing impairment in Groups C and D indicating a significant role of prolonged ear phone music as a cause of high frequency hearing loss in students. The thin percentage and absence of hearing loss in Groups B, C, and D suggests the impact of the duration of exposure also has a role in the pathology. Conclusion: This study proves beyond doubt that the prolonged usage of loud ear phone music is harmful to the ears and a simple way of pass time by hearing to ear phone music might cause hearing loss.


Aragudige N.,Sri Krishna College of Engineering And Technology | Aragudige N.,Rayalaseema University | Vasanthakumar M.,Adichunchanagiri Institute of Medical science
Electronic Library | Year: 2014

Purpose - This paper aims to analyse the impact of open-access (OA) journals in engineering and technology institutions, if libraries are not subscribed to the journals through the All India Council for Technical Education (AICTE) mandatory packages. In India, many engineering colleges do not subscribe to journals through business subscription models or consortia and invariably a majority of them depend on OA journals to fulfil their users' needs. Design/methodology/approach - The paper identifies the impact factors of mandatory journals made in big-deal subscriptions with the impact factors of OA journals available to access in Directory of OA Journals pertaining to engineering and technology. Findings - The study reveals that journals subscribed through big-deal subscriptions have better impact in the scholarly communications than the OA journals. Research limitations/implications - The results of this study cannot be generalized to all disciplines. Impact factors of journals can also be calculated by use of SCImago Journal Rank indicator, which uses the Scopus database. Publish or Perish can also be used to analyse Google Scholar rankings to identify the individual journal's impact. Originality/value - The result of the study is useful for selection of e-journals in big-deal subscriptions and it highlights the implications and impact of OA journals in engineering and technology.


Vijay Kumar A.G.,Adichunchanagiri Institute of Medical science | Javvadi S.,Chettinad Hospital and Research Institute
Medico-Legal Update | Year: 2016

Facial trauma is a trauma to the face leading to injury. Facial trauma may lead to fractures of the facial bones and mandible. Throughout the world, road traffic accidents are the leading cause of facial trauma followed by assault, fall from height and sports injuries. Facial trauma may also produced by blows from fists or objects, firearm and bomb blast injuries, animal ferocity, occupational injuries such as industrial accidents. In the study total numbers of autopsied cases during 2011 to 2014 are 453. In that 35 cases had facial bone fracture. Maximum number of victims belongs to 31-40 years (12 cases) decade followed by 21-30 years (08 cases). Fracture of frontal bone accounts for maximum number of cases (12 cases) followed by Nasal bones (10 cases). In 18 cases fracture were seen at multiple sites. CT scan and X ray report were referred in all of the cases to confirm the fracture. In India, road traffic accident is the most common reason for facial trauma. Severity of facial trauma can be reduced by proper usage of helmets while riding bike and seat belts, airbag while driving four, six wheeler. © 2016, World Informations Syndicate. All rights reserved.


Vijay Shankar K.A.S.,Adichunchanagiri Institute of Medical science | Nischal K.C.,Adichunchanagiri Institute of Medical science | Basavaraj H.B.,Adichunchanagiri Institute of Medical science
Korean Journal of Pathology | Year: 2013

Benign triton tumors (BTT) are very rare lesions composed of mature skeletal muscle and neural tissue. We report a case of a 14-year-old boy who presented with asymptomatic swelling of the chin over an 18-month duration which increased gradually to involve the left side of the lower lip. Clinically, a diagnosis of neurofibroma was made. Excisional biopsy confirmed the diagnosis of a BTT. Having an affinity for large nerve trunks like the brachial and sciatic, these tumors rarely occur in the head and neck region. When they do, they may involve the large central cranial nerve trunk and present as intracranial masses or involve the smaller peripheral nerve twigs and present as asymptomatic skin nodules, of which only four cases involving peripheral nerves are reported in the English literature. Here, we report the fifth documented case of a BTT involving the mental branch of the trigeminal nerve. A brief review of the literature is also provided. © 2013 The Korean Society of Pathologists/The Korean Society for Cytopathology.


Malleshappa P.,Adichunchanagiri Institute of Medical science | Vankalakunti M.,Manipal Hospital
Nephro-Urology Monthly | Year: 2013

Patients presenting with nephrotic syndrome with or without nephritic illness rarely come across with the diagnosis of 'C1q nephropathy'. This entity is purely diagnosed with the help of immunofluorescence like IgA nephropathy. Clinical presentation is heterogenous, ranging from nephrotic range proteinuria to sub-nephrotic state; and with or without hematuria / renal insufficiency. Similarly, the concept of 'C1q nephroapthy' has periodically evolved since its original description by Jenette and Hipp in 1985. Here the pathophysiology, histologic findings / diagnostic and therapeutic options in patients with C1q nephropathy are discussed. © 2013, Nephrology and Urology Research Center; Published by Kowsar Corp.


Malleshappa P.,Adichunchanagiri Institute of Medical science
Dialisis y Trasplante | Year: 2014

IgA nephropathy is a common pattern of glomerulonephritis defined by mesangial IgA deposits. Rapidly progressive renal failure is unusual in IgA nephropathy; it may result from acute tubular necrosis or superimposed crescentic nephritis. In this uncommon situation, the risk-benefit balance is most strongly in favour of intense immunosuppressive therapy because if crescentic IgA nephritis is not treated, there will almost inevitably be rapid progression to end-stage renal disease. We report the clinical and histological features of a patient with crescentic IgA nephropathy treated successfully with intensive immunosuppression. © 2013 SEDYT.


Pavan M.,Adichunchanagiri Institute of Medical science
Iranian Journal of Kidney Diseases | Year: 2014

Introduction. The aim of this study was to determine the incidence of acute renocardiac syndrome (cardiorenal syndrome type 3) and its outcome in a suburban population in India. Materials and Methods. In an observational study, 100 patients admitted with acute kidney injury were evaluated. Results. Acute renocardiac syndrome was documented in 29%. Acute gastroenteritis (46%) was the leading cause of acute kidney injury. Cardiogenic pulmonary edema (56%) was the most common cause of acute cardiac dysfunction. Only 42% of the patients with acute renocardiac syndrome had complete recovery of kidney function. Requirement of renal replacement therapy was found to be significantly high in patients with acute renocardiac syndrome (43% versus 9% in those with AKI and no cardiorenal syndrome) and was associated with high rate of mortality (17%). Conclusions. This study shows that the incidence of acute renocardiac syndrome is high and is associated with increased morbidity and mortality. Hence, there is a need for primordial prevention and early intervention on large scale.


Dutta I.,IQ City Medical College | Joshi P.,Adichunchanagiri Institute of Medical science
Journal of Clinical and Diagnostic Research | Year: 2013

Objectives: The aim of this study was to evaluate the maternal and foetal outcomes and complications in teenage primigravida as compared to those in primigravidae who were aged 20-29 years. Methods: Eighty teenage and one hundred sixty adult primigravidae were taken up for the study. Study duration was 24 months, from November 2010 to October 2012, at Rural Medical Research Centre in southern India. During this period, all cases were included in the study, irrespective of their booking statuses. For every teenage primigravidae, two subsequent adult primigravidae were correspondingly studied. Patients with major skeletal deformities such as kyphoscoliosis, polio, pelvic fractures, diabetes mellitus, renal disorders, morbid obesity were excluded. All cases of molar pregnancies and primigravidas who were admitted for abortions were also excluded. Results: 38.75% of teenage primigravidae were unbooked as compared to 6.9% of adults. 68.75% of teenage primigravidae were anaemic as compared to 33.75% of adults. Antenatal complications like anaemia, hypertensive disorders of pregnancy, oligohydroamnios, hypothyroid were significantly more in teenagers (68.8%) as compared to those which were seen in adults(18.1%). 25% of teenagers had preterm births as compared to 5% adults who has preterm births. 43.75% of teenagers had Lower Segment Caesarean Section (LSCS) as compared to 20% adults who had LSCS. Indication was foetal distress in a majority of teenagers (68.5%). 29.2% of teenagers had low birth weight children as compared to 16.6% adults who had such children. 31.7% of teenage neonates required NICU admissions as compared to 12.27% neonates of adult mothers. Interpretation and Conclusion: It can be interpreted that teenage primigravidae had a significant number of complications in pregnancy, leading cause being anaemia, more preterm incidences and higher rates of LSCS, followed by higher number of NICU admissions. Since teenage pregnancy is a multifaceted problem, it demands multidimensional solutions. Teenage pregnancies are more common in populations with low socio-economic statuses, due to lack of education, awareness of complications of teenage pregnancies, and various other factors. Hence, awareness should be created and various programmes should be taken up, to educate mainly the poor in our rural setup. As early marriages cannot be prevented in our culture, so, possibly creating awareness on late conceptions is of utmost importance.

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