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Nadaf A.,Karnataka Institute of Medical science | Mugadlimath A.,Ashwini Rural Medical College | Chidananda P.S.,Shimoga Institute of Medical science | Manjunath K.H.,Bangalore Medical College and Research Institute
Journal of Indian Academy of Forensic Medicine | Year: 2014

A great deal of research has been focused on the suicide in young, but surprisingly limited research has been under taken in the area of suicide in elderly accomplished by under reporting. Since the proportion of older people in population is rising worldwide, indeed the increase in developing countries like India is even greater than the developed countries. This prospective and descriptive study among elder people has been carried out in the Department of Forensic Medicine, Victoria Hospital, Bangalore Medical College and Research Institute, Bangalore during the period November 2005 to April 2007 (18 months). All the cases aged 60 years and above brought to the department for medico-legal autopsy with alleged history of suicide and or detected as suicide by the circumstantial evidences and autopsy findings were selected. A sum total of 70 cases were studied during the study period.

Nagoba B.S.,MIMSR Medical College | Selkar S.,Datta Meghe Institute of Medical Sciences | Mumbre S.,Ashwini Rural Medical College | Davane M.,MIMSR Medical College | Suryawanshi N.,Government Medical College
Journal of Krishna Institute of Medical Sciences University | Year: 2016

Communication in science is as important as the research work. The process of research is incomplete till it is published in a good quality journal. To make aware the researchers about different types of journals publishing health research and their quality, an attempt has been made to throw light on what are the most suitable journals for publication of the research work?, which are acceptable to the apex bodies regulating health sciences; Education especially for researchers from developing countries like India. © Journal of Krishna Institute of Medical Sciences University.

Satish K.V.,Medical College and Research Institute | Shivakumar P.,BGS Global Institute of Medical science | Mugadlimath A.,Ashwini Rural Medical College
Indian Journal of Forensic Medicine and Toxicology | Year: 2016

Study fatal and non-fatal paediatric poisoning cases was conducted in Department of Forensic Medicine and Toxicology in Victoria Hospital collaboration with the Department of Pediatrics, VaniVilas Hospital and, attached to Bangalore Medical College and Research Institute, Bangalore, India. In our study- 79.7% were ingested poisons and 20.3%were poisoning due to snake bites and scorpion stings. 44% of the total poisoning cases were due to insecticides. Among these snake bites were most common accounting for 84.6%. Most of the pediatric poisoning occurred inside home (69.5%), and least occurred outside home (30.5%). Maximum cases were seen at evening time (36.7%), followed by morning time (25%). In most of the cases the manner of poisoning was accidental (68.8%), followed by suicidal attempts (29.7%). 4 cases (3.1%) cases were succumbed to death. © 2015, Indian Journal of Forensic Medicine and Toxicology. All rights reserved.

Rajmane V.S.,Krishna University | Rajmane S.T.,Shree Chhatrapati Shivaji Education Societys Institute Of Medical Science And Research | Mohite S.T.,Krishna University | Patil V.C.,Krishna University | Ghatole M.P.,Ashwini Rural Medical College
Journal of Krishna Institute of Medical Sciences University | Year: 2016

Background: The critically ill patients are particularly susceptible to rapid colonization by endemic pathogens or hospital flora. Both immunocompetent and immunocompromised patients are particularly exposed to various risk factors. Bloodstream infection due to Candida species is now recognized as an important public health problem especially in intensive care unit patients with considerable morbidity, mortality and health care costs. Aim: The aim was to study the incidence, risk factors and antifungal susceptibility of the Candida species isolated from blood of Medical Intensive Care Unit (MICU) patients in our hospital. Material and Methods: The blood samples collected from MICU patients were processed as per standard protocol and antifungal susceptibility testing was done by broth microdilution method. Results: Out of total 111 samples, 22 (19.81%) yielded Candida species of which non-albicans Candida species predominated. In MICU, the risk factors associated with candidemia showing statistical significance were length of intensive care unit stay > 7 days, use of steroids, mechanical ventilation, central venous catheters and uncontrolled diabetes mellitus. C. albicans, C. parapsilosis and C. guillermondii have showed 100% susceptibility to Amphotericin B, 5-Flurocytosine, Fluconazole, Itraconazole and Voriconazole. C. krusei showed 100% resistance to fluconazole. C. glabrata showed 100% resistance to Itraconazole and Voriconazole. The mortality rate among MICU patients with candidemia was 59.09%. Conclusion: Although the patients in the ICU are at risk for candidemia, rapid diagnosis of aetiologic agent will reduce the delay in initiating the appropriate therapy with adequate dosage of anti-fungal agents along with effective correction of underlying risk factors which may actually improve their outcome. © Journal of Krishna Institute of Medical Sciences University.

Ramchandra Sane M.,Government Medical College | Mugadlimath A.B.,Ashwini Rural Medical College | Zine K.U.,Government Medical College | Farooqui J.M.,Pravara Institute of Medical Sciences | Phalke B.J.,Government Medical College
Journal of Clinical and Diagnostic Research | Year: 2015

Introduction: Near hanging refers to victims who survive a hanging injury following attempted hanging, long enough to reach hospital. Delayed deaths in near hanging patients are mostly due to complication of hanging. The purpose of this study was to evaluate the demographics, mortality patterns and cause of delayed deaths in near hanging victims. Materials and Methods: In this study autopsy files over a seven year period from 2007 to 2013 were reviewed, and data of near hanging deaths (attempted hanging cases who succumbed to death and subjected for medicolegal autopsy) was extracted. Records of 14,000 autopsies was reviewed, and 10 deceased having died delayed deaths after near hanging episode were identified. In each case, the patients’ details, including gender, age, type of suspension, type of ligature material used for hanging and subsequent hanging mark produced were reviewed using autopsy reports and photographs taken during autopsy. Results: Demographic and pathological aspects of the each case discussed to throw light on autopsy findings in victims who died following near hanging. Complete suspension was present in 3 cases, while partial suspension was present in 7 cases. Survivals in delayed death after near hanging episode have ranged from 9 h to 72 d. Hypoxic encephalopathy was the most common cause of death, followed by pneumonia. Conclusion: Most of the near hanging patients did succumb to hypoxic encephalopathy; however, consolidation of lungs (pneumonia) was the next common cause of death reflecting need for aggressive oxygen therapy and selective resuscitation should be performed in all such cases. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved.

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