Sricharan K.N.,Ajinstitute Of Medical Science |
Rajesh S.,Ajinstitute Of Medical Science |
Rashmi,Kshegde Medical Academy |
Meghana H.C.,Bapuji Dental College |
And 2 more authors.
Journal of Clinical and Diagnostic Research | Year: 2012
Background: Acute Myocardial Infarction (AMI) continues to be a major public health problem in the industrialized world and it is becoming an increasingly important problem in the developing countries also. Method: The diagnosis of myocardial infarction (MI) was based on the WHO criteria. Patients who were aged <15 years and > 40 years, who did not meet the WHO criteria for the diagnosis of MI were excluded. The data were prospectively recorded as per the protocol. In all the participants, details of the age, sex and occupation were recorded, together with details of smoking, alcohol use, a known history of diabetes mellitus and hypertension and a signif-cant family history of ischaemic heart disease. Weight, height, fasting blood glucose, cardiac enzymes (CPK- MB) and the echocardiographic status was evaluated in all the patients. Results: The mean age of the patients with myocardial infarction was 37.03 years, with a maximum number of patients (70%) in the age group of 35-40 years. There were no patients from the below 25 years age group. Smoking was most common risk factor of MI (70%) in young adults. A family history of ischaemic heart disease (IHD) was present in 13.33% of the patients. Hypertension, diabetes and a body mass index of >25kg/m 2, each formed 10% of the risk factors. The most common symptom was chest pain (90% patients). Two third of the patients had anterior wall MI. A majority of the patients (57.14%) had single vessel disease, which was seen on coronary angiography. Conclusion: Smoking was most common cause of the MI (70%) in young adults. The mean time of presentation of MI after the onset of the symptoms was 20.73hrs. Two third of the patients had anterior wall MI.
Shriyan A.,Ajinstitute Of Medical Science
Journal of Clinical and Diagnostic Research | Year: 2010
Background: Arbovirus are responsible for a significant number of viral encephalitis cases worldwide. Japanese Encephalitis virus is a mosquito-borne flavivirus that causes a major epidemic of acute encephalitis in humans throughout Asia . Scientific literature unequivocally shows the prevalence of Japanese encephalitis in various parts of India . In India, cases have been reported from Tamil nadu, Andra Pradesh, Uttar Pradesh, Bihar, Assam, West Bengal, Karnataka, Goa and Maharashtra . In recent years, South India has become endemic for the Japanese Encephalitis Virus. While there are reports from other parts of Karnataka which are on the border of Tamil Nadu and Andhra Pradesh, till date, no data is available from South Karnataka. Aim: The present study was conceived to estimate the incidence and clinical profile of Japanese Encephalitis among the patients which were clinically diagnosed with Viral Encephalitis at a tertiary care centre in South India. Material and Methods: One hundred randomly selected cases of clinically diagnosed Encephalitis who were admitted in K.M.C., Manipal, were included in the study. In - house MAC ELISA was used to detect specific IgM antibodies in the Cerebrospinal fluid(25,26). Results: Anti- JEVirus IgM antibodies were detected in 8% cases of clinicallydiagnosed encephalitis who were admitted to the K.M.C. Hospital. The mortality rate of the Japanese Encephalitis cases was 12.5%. No sequalae was recorded in the Japanese Encephalitis cases who survived in our study.
Shriyan A.,Ajinstitute Of Medical Science |
Devan P.P.,Aj Institute Of Medical Science And Research Center
Journal of Clinical and Diagnostic Research | Year: 2011
Purpose: To analyze whether the current reforms are the right answer to the shortcomings of traditional medical training. To study the preferences of the teaching aids and the methods used by the postgraduate students. Methods: A study was conducted at the A.J. Institute of Medical Sciences, Mangalore, Karnataka. The participants were postgraduates from various medical colleges in and around Mangalore. A questionnaire was distributed among 100 randomly selected postgraduate students who came to attend the Postgraduate CME Program on scientific writing, publication and presentation skills. The students were asked to tick appropriately the teaching aids and the methods which were preferred. Results: The postgraduate students were of the opinion that problem based learning and group discussions were preferred over other teaching methods and that Powerpoint presentations were preferred by 82% of the postgraduates as their teaching visual aid, over 14% who preferred blackboard teaching and 2% the overhead projector. 60%-70%of the postgraduates preferred problem based learning. Only 36% of the students felt that it was necessary to have interactions with other departments to treat a patient. Conclusion: Definitely newer teaching methods would be more helpful than the traditional curriculum with didactic lectures. Visual aids like Power-point presentations will motivate the students to learn their subjects, thus making the learning process an enjoyable experience.