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Ravikumar V.,MVJ Medical College and Research Hospital | Rajshankar S.,Karnataka Institute of Medical science | Nagendra Gowda M.R.,Basaveshwara Medical College and Hospital
Journal of Clinical and Diagnostic Research | Year: 2013

Background: Inguinal and scrotal swellings are frequently encountered in the surgical practice, especially in children. It is also important to study the factors which are associated with inguinal hernia, especially in children, for its effective management. Objective: To study the factors which are associated with inguinal hernia in children. Setting and Design: A prospective hospital based study was undertaken in the Department of Surgery for a period of one year between 2001 to 2002. Children who were aged one day to 12 years were selected for the study. Out of 960 children who were admitted to the surgical ward, 50 children had inguinal hernia and they constituted the sample. Methodology: The details regarding the clinical history and the examination details were collected by using a predesigned proforma. The data which was thus collected was analyzed by using the appropriate statistical tests. Results: The inguinal hernia in the study group was common in the 1-5 years age group. 90% of the study group was males; a swelling in the inguinal region was the commonest symptom. 70% of the study group was term deliveries; the swelling of the inguinal hernia was elastic in consistency in 35 cases. The swelling of the inguinal hernia was irreducible in two cases. The testis was palpable in 48 cases; a cough impulse was seen and felt in 48 cases. Tenderness of the swelling was present in 2 cases. Conclusions: Inguinal hernia is a common congenital condition in children. Difficulties are commonly encountered by the surgeons to identify and to confirm the presence of inguinal hernia. This study will help in a better management of hernia in the paediatric age group by understanding the features of inguinal hernia.


Sathish B.C.,Meenakshi Medical College | Nagendra Gowda M.R.,Basaveshwara Medical College and Hospital | Sambaji Rao M.,Basaveshwara Medical College and Hospital
Indian Journal of Public Health Research and Development | Year: 2015

Objective: To find out the place, time, methods used and month of attempting suicide. Type of Study: Cross Sectional Study. Setting: Bapuji and C.G Hospitals attached to JJM Medical College, Davanagere. Participants: 540 suicidal attempters admitted to emergency wards. Methodology: A pre tested questionnaire was used to interview the subjects relating the factors responsible for the attempt. The data thus obtained was compiled and analyzed. Statistical analysis: Proportions, Chi square test. Results: Evening and night times were preferred timings for the suicidal attempt. Home (73.3%) was the commonest place of the Suicidal Attempt in both the sexes. 22.6% of them committed the act on Wednesday compared to any other days of the week. Highest numbers of attempts were recorded in January, May and August. Conclusions: A national strategy for prevention of suicide is the need of the hour. So policy makers and programme managers have to give a serious thought in this regard. © 2015, Indian Journal of Public Health Research and Development. All Rights Reserved.


Kumar S.,Basaveshwara Medical College and Hospital | Raju M.,JJM Medical College | Gowda N.,Basaveshwara Medical College and Hospital
Indian Journal of Pediatrics | Year: 2010

Objective. To find out the association between parental obesity and Childhood obesity. Methods. Children in middle schools were screened for obesity. For each obese child two controls were studied. Results. Parental history of obesity was present for 32.7% of obese children. Children with parental history of obesity showed 25.2 times more chances of developing obesity than controls. 33.8% of the obese girls and 31.6% of the obese boys had history of parental obesity. If the father was obese, boys had 6.5 times more chance and girls had 40.1 times more chance of developing obesity. Mother's obesity had an influence on 23.7 % of the boys and only 16 % of the girls. Conclusion. The childhood obesity has been influenced by genetic factors in the present study and it also shows that maternal obesity mainly passes to boys and paternal obesity to girls.


Ramanath Royal B.,Basaveshwara Medical College and Hospital
International Journal of Pharma and Bio Sciences | Year: 2012

Tapentadol is a centrally acting FDA approved analgesic for the treatment of moderate to severe acute pain with a dual mode of action as an agonist at the μ-opioid receptor and as a nor epinephrine reuptake inhibitor. It is used in chronic pain like, post operative, Neuropathic pain and End- stage degenerative joint disease. Oral dosages of 50 mg, 75 mg, or 100 mg /six hours tablets are available. Common side effects nausea, vomiting, dizziness, somnolence, headache, decreased seizure thresh hold, fatigue and also has dependence liability.


Ammanagi A.S.,Sn Medical College | Chikkannaiah P.,Jn Medical College | Yenni V.,Basaveshwara Medical College and Hospital | Dombale V.D.,Sn Medical College
Indian Journal of Dermatology | Year: 2013

We report a case of cutaneous swelling found on the left anterior axillary fold of a 41-year-old man. Gross examination of specimen excised from the dermis showed a well-circumscribed nodule histologically composed of spindle cells with interspersed ganglion cell like cells. On hematoxylin and eosine (H and E) staining it was diagnosed as ganglioneuroma. Ganglioneuromas are rare, benign, fully differentiated tumors that contain mature schwann cells, ganglion cells, fibrous tissue, and nerve fibers. They are commonly found along the paravertebral sympathetic ganglia and sometimes in the adrenal medulla. However primary cutaneous ganglioneuroma is an extremely rare tumor. Immunohistochemical workup revealed a fibroblastic origin and hence the case was diagnosed as fibromatosis with ganglion cell like fibroblasts. This case report suggests that the features considered diagnostic of ganglioneuromas can occur in other cutaneous lesions and, therefore, this diagnosis cannot be offered only on the basis of H and E.


Rajeev K.H.,Basaveshwara Medical College and Hospital
Indian journal of public health | Year: 2012

HIV/AIDS is fatal illness which leaves the victim vulnerable. Quality of life in individuals living with HIV/AIDS is becoming crucial for measuring commonly used endpoints. The study of psychosocial factors also influences the health outcome of People Living with HIV/AIDS. To assess the Quality of life of PLHA in relation to various socio-demographic and clinical correlates. A community care center in Chitradurga district and it is a Cross sectional study. About 395 PLHAs registered in the centre constituted the sample. WHOQOL - 120 instrument was used for assessing quality of life. The socio demographic factors were also obtained in pre designed proforma. Proportions, Mean, Std deviation, One way Analysis of Variance (ANOVA). The Quality of Life scores for all domains were intermediate for the PLHAs between (10 - 14). The mean scores were highest for psychological domain. There was a significant difference in QOL of PLHA who were on ART and Not on ART in some domains. PLHAs who were literates, married, Single, employed, income more than 1500 not on ART, CD4 count more than 200, earlier stages of HIV, living with spouse and students had high mean scores. Mean difference of QOL scores with duration of ART intake were statistically significant in psychological and Spirituality domains. QOL was found to be determined by education, income, occupation, ART status, duration of taking ART and clinical categories of the disease.


Yuvaraj B.Y.,Ss Institute Of Medical Science | Nagendra Gowda M.R.,Basaveshwara Medical College and Hospital | Umakantha A.G.,J J M Medical College
Indian Journal of Community Medicine | Year: 2010

Objective: To study the prevalence, awareness, treatment, and control of hypertension in the rural areas of Davanagere. Type of Study: Cross-sectional community-based study. Setting: Villages belonging to six sectors of the Davanagere Taluk. Materials and Methods: General population above 18 years. Methodology: A community-based sample was chosen by a multistage sampling technique. Subjects were screened for hypertension by a house-to-house survey. Subjects with systolic blood pressure more than 140 and diastolic blood pressure more than 90 mm of Hg, on hypertensive treatment, and history of hypertension were classified as hypertensives. The data thus obtained was compiled and analyzed. Results: The prevalence rate of hypertension in the study population was 18.3% (95% CI, 16.7-19.9%). Prevalence of hypertension was more in males 19.1% (95% CI, 16.7-21.5%) than in females 17.5% (95% CI, 14.9-20.1%); 11.6%, 5.6%, and 1.2% of the total subjects had Grade I, Grade II, and Grade III, respectively. Only 33.8% of them were aware of their hypertensive status. Hypertensives of 32.1% were on treatment, and 12.5% adequately controlled their BP. About 6.9% of the total hypertensives had severe hypertension. Statistical Analysis: Proportions, One way Analysis of Variance, Chi-square test.


PubMed | Vijayanagara Institute of Medical science, Sri Devaraj Urs Medical College and Basaveshwara Medical College and Hospital
Type: Journal Article | Journal: Journal of translational internal medicine | Year: 2016

Tuberculosis (TB) and the human immunodeficiency virus (HIV) infection have reached epidemic proportions in our country. This study was undertaken to know the seroprevalence of HIV infection among TB patients and to evaluate the various clinical features of TB in seropositive and seronegative patients. This study was undertaken in Vijayanagara Institute of Medical Sciences, Bellary. It was cross-sectional comparative observational study conducted from December 2010 to May 2012.A total of 100 consecutive patients diagnosed with TB satisfying inclusion criteria were selected for the study. All patients went through a detailed evaluation along with testing for HIV seroprevalence. Chi-square and Students The overall HIV seroprevalence among TB patients was 8%. Seroprevalence was highest in the age group between 31 and 40 years at 29.41% (odds ratio [OR] = 11.11, Human immunodeficiency virus seroprevalence is quite high among TB patients in Bellary. During the evaluation of TB patients, the possibility of HIV co-infection should be kept in mind, and thus adequate knowledge of the likely clinical features is absolutely necessary.


PubMed | Basaveshwara Medical College and Hospital
Type: Journal Article | Journal: Indian journal of pediatrics | Year: 2015

To describe the sleep patterns and problems in children aged between 12 and 36 mo of age.This cross sectional survey was collected over a span of 1 y in Advanced Pediatric Centre, PGIMER, Chandigarh and crches of Chandigarh. Children in the age group of 12 to 36 mo were included in study. Children with chronic illness, developmental delay, seizure disorder and lack of consent were excluded. A total of 368 children were enrolled. Main outcome measures were sleep duration over 1 to 3 y of life; sleep behavior at onset, during and waking of sleep and parent reported sleep problems and their predictors.The average duration of sleep was 12.5 h (S.D=1.9). The mean total sleep duration and mean day time sleep duration decreased, while mean night time sleep increased as the age advanced from 12 to 36 mo. Following were the frequency of sleep habits seen in the index study; bed time routine was seen only in 68(18.5 %), a regular bed time ritual was seen in 281(76.4 %), 329(89.4 %) children frequently required 0-20 min time to fall asleep, 11(3 %) parents used sleep inducing drugs. Night waking (1 to 3 times a night) was seen in 297(80.7 %) and its frequency declined with age. Parent reported sleep problems were seen in 12.8 % (47/368). Lack of co-sleeping and night waking were considered as strongest predictors of parent reported sleep problems.Toddlers sleep duration, night waking behavior, and day time naps decrease as the age progress while night time sleep duration increases with age. Lack of co-sleeping and night waking are considered as strongest predictors of parent reported sleep problems.


PubMed | Vijayanagara Institute of Medical science, Assistant Professor, Professor and Basaveshwara Medical College and Hospital
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2016

Plasma sialic acid levels are elevated in Diabetes Mellitus (DM) patients with proteinuria. Renal damage is mainly caused by free radicals that are excessively generated in DM. Thiols play an important role in the cellular antioxidative defence mechanisms mainly through thiol-disulphide exchange reaction. Diallyl disulphide, a garlic oil principle component, is known for its anti-diabetic properties. Its structural analogue, Diaceto-Dipropyl Disulphide (DADPDS), is a less toxic and more palatable disulphide and possesses similar anti-diabetic actions.This study was undertaken to assess the usefulness of DADPDS in prevention of de-sialation of Glomerular Basement Membrane (GBM) in alloxan diabetic rats and to assess effect of DADPDS on renal tissue thiol levels.Rats were divided into Normal, Diabetic and DADPDS treated diabetic groups. Diabetes was induced by intraperitoneal injection (IP) of alloxan. DADPDS was fed by gastric intubation. Plasma Sialic acid was determined by Ehrlichs method and renal tissue thiol levels by Nitroprusside reaction method.This study showed a significant decrease (p<0.001) in plasma sialic acid, plasma glucose and renal tissue TBARS levels along with significant increase (p<0.001) in renal tissue thiol levels in DADPDS treated alloxan diabetic rats when compared to diabetic control rats.Hence it may be concluded that DADPDS helps in preventing de-sialation of GBM in alloxan diabetic rats and improves renal tissue antioxidant defence mechanisms, may be through thiol-disulphide exchange reaction and thereby exhibits a possible clinical use in prevention of renal complications like diabetic nephropathy.

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