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Kumar P.,RajaRajeswari Medical College and Hospital | Rayamane A.P.,BGS Global Institute of Medical science | Subbaramaiah M.,Kempegowda Institute of Medical science
American Journal of Forensic Medicine and Pathology | Year: 2013

Eagle syndrome represents symptoms manifested by compression of regional structures by elongation of the styloid process or ossification of the stylohyoid membrane. Various theories have been put forward toward the development of Eagle syndrome. Depending on the underlying pathogenetic mechanism and the anatomical structures compressed or irritated by the elongated styloid process, symptoms vary greatly, ranging from cervicofacial pain to cerebral ischemia. Because the symptoms are variable and nonspecific, patients land up in different clinics for treatment. In the present case, the victim had previous episode of unconsciousness along with frequent headache for which she visited various clinics on numerous occasions. The elongated styloid process was appreciated during the postmortem examination, and the diagnosis of sudden death due to mechanical irritation of the carotid sinus by elongated styloid process was made as the sign of acute cardiovascular failure was present and upon exclusion of other causes of death. Copyright © 2013 by Lippincott Williams & Wilkins.


PubMed | BGS Global Institute of Medical science, Post Graduate and MVJMC & RH
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2016

Physiological weight loss is seen in all breast fed neonates. The route of delivery may have an effect on the neonatal weight loss/gain in these exclusively breast fed babies. Additional assistance and support for exclusive breast feeding is needed by mothers who undergo cesarean section.To study and compare the weight patterns in full term exclusively breast fed neonates born by normal vaginal route versus cesarean section in the first month of life.It is a prospective observational study. Healthy, full term neonates born by normal vaginal route or cesarean section in a rural tertiary hospital with uneventful perinatal periods were included. Exclusive breast feeding was given to all neonates with supervision and encouragement to the mothers. Primary outcome measure- Weight loss of the neonates at 24 hours and 72 hours of life.Neonates delivered by cesarean section showed a higher weight loss (% of birth weight) at 24 hours {mean(sd)} than those delivered vaginally {3.2 (1.9) vs 2.2 (1.2); p-value=0.0016}. At 72 hours, the cesarean neonates had higher weight loss than vaginally delivered neonates {5.9 (3.1) vs 4.7 (2.5); p-value=0.0314}. At 28 days of life, the neonates born by cesarean section showed lower weight gain than those delivered by vaginal route {10.9 (2.1) vs 11.9 (2.3); p-value=0.0244}.The route of delivery has a significant impact on the physiological weight loss seen in exclusively breast fed neonates. Babies delivered by cesarean section showed significantly higher weight loss in the first week of life, and lower weight gain at the end of first month than babies born by vaginal route.


Suresh V.,Bangalore Medical College and Research Institute | Vinay H.N.,BGS Global Institute of Medical science
Journal of South India Medicolegal Association | Year: 2015

Suffocation literally means ‘to die as a result of not being able to breathe or to have difficulty in breathing’. It’s usually referred to as death due to breathing air containing insufficient oxygen (Vitiated atmosphere). Suicides using plastic bag suffocation or plastic bag asphyxia are rarely reported in India. Although, deaths due to plastic bag asphyxia in cases of auto erotic deaths or plastic bag suffocation as seen in solvent abuse are often reported. Here with presenting a case where one of IT professional in his early twenties committed suicide using a plastic bag. © 2015 South India Medico-Legal Association. All rights reserved.


Kiran M.S.,BGS Global Institute of Medical science | Mestri S.C.,Karpaga Vinayaga Institute of Medical science
Journal of South India Medicolegal Association | Year: 2015

Sexual offences started with the beginning of mankind, every civilization attempted to curb this offence with stringent measures but the menace multiplied and developed in the name of religion, heritage, culture and civilization. Most women are not aware of the laws relating to rape and other sexual offences and legal means available to them to punish the guilty. Their ignorance is also exploited by police, lawyers and their opponents. The loosening & erosion of ethical values, restrains in those persons who migrate from their home town to cities is the cause of rise in sexual offences. The advent of entertainment modes, devices and internet has added fuel. The women are being used as key for sexual perversions & making money. Now a day’s whole dimension of indecent assault has also changed. The problem of sexual offences is essentially social and only a strong protest movements by women’s organizations, social activists, civil rights groups and the public can eradicate this type of oppression and protect the human dignity of women. Sexual Offences; Rape; Socio economic status; Literacy. © 2015 South India Medico-Legal Association. All rights reserved.


Kiran M.S.,BGS Global Institute of Medical science | Mestri S.C.,Karpaga Vinayaga Institute of Medical science & RC
Medico-Legal Update | Year: 2016

This study was conducted to assess the impact of small group teaching in Forensic medicine among the second phase students. Didactic lectures play an important role as a method of student instruction in Forensic medicine in India. The interactive sessions are gaining lot of importance in aiding students to assimilate & retain knowledge. An attempt has been made to analyze these to teaching types in a small group of 18 students. Didactic lectures are a useful method not only to improve students’ cognitive knowledge, but also help to assess their performance in the University theory examination. Interactive sessions help to develop self-motivation, deep learning, and are of great help in sharpening psychomotor & communication skills by active learning. A judicious blend of both methods is essence of effective teaching undergraduate students to enable them to excel. © 2016, World Informations Syndicate. All rights reserved.


Ramesh T.P.,Skanda Life science Pvt Ltd | Dayananda G.,BGS Global Institute of Medical science
Biomedical Research (India) | Year: 2015

Plasmodium falciparum (P. falciparum) malaria is an increasingly recognized cause of malaria in Mandya, a rural pocket of the southern part of India. There is a paucity of detailed clinical studies of naturally acquired infections like malaria from these places. 345 subjects were recruited for the study. Smears positive for falciparum malaria were considered diagnostic. Detailed history, physical examination and required investigations were done in all cases. Three major treatment categories were designated as those who received chloroquine with primaquine, artesunate with mefloquine and quinine with doxycycline. Majority subjects were in the age group of 26 – 35 years, 32% subjects used personal protective measures like mosquito nets. 56% of the subjects belong to the middle socio-economic status. Most subjects sought medical care within 1 to 5 days of onset of symptoms. Fever was the commonest symptom followed by headache, nausea with vomiting, myalgia, cough, altered sensorium, abdominal pain, jaundice. The triad of malaria, fever, pallor and splenomegaly were noted in the study group. Subsets uncomplicated cases (282) of P. falciparum malaria patients responded to chloroquine treatment (12.8%), quinine treatment (10.6%) and to artesunate treatment (76.6%). Some uncomplicated P. falciparum malaria patients (62) received artesunate as second line of treatment and responded well. Those with complicated malaria (125) were treated with artesunate (60) and quinine (65). 4% mortality was observed in this study, i.e. 14 among the complicated P. falciparum malaria group. © 2015, Scientific Publishers of India. All rights reserved.


Keertish N.,BGS Global Institute of Medical science | Sharma I.,Banaras Hindu University
Journal of Indian Association for Child and Adolescent Mental Health | Year: 2015

CONCLUSION: Adolescents with conversion disorder, instead of evading the frustrating situation, are excessively pre-occupied with the barrier causing frustration. Thus, efforts to overcome this deficiency should be a part of management of conversion disorder in adolescents in order to achieve early recovery and to prevent relapse.BACKGROUND: Conversion disorder has been found to be the most common neurotic disorder in children and adolescents. The relationship between temperament and conversion disorder is well documented, but there is dearth of Indian studies directed at studying the psychosocial and temperamental/ personality factors in adolescents with conversion disorder.OBJECTIVE: Aim of the study was to assess the reactions of adolescents with Conversion Disorder to frustrating situations as measured by the Rosenzweig’s Picture-Frustration Study.METHODS: Thirty school going adolescents with Conversion Disorder, diagnosed as per DSM-IV-TR criteria, and thirty healthy matched controls, comprised the sample. Patients and controls were assessed by the Rosenzweig’s Picture-Frustration Study.RESULTS: The patient group was superficially well adjusted, as evident by the Group Conformity Rating score. However, the patient group was deficient in other areas, both in the type (higher scores on obstacle dominance) and direction of aggression (lower scores on imgression). The patient group also had deficiency in the superego defense patterns (lower scores on intropunitive deviant and combination of intropunitive deviant and imgression) and pattern of 3 most frequent responses (higher frequency of extrapeditive scores). © 2015, Indian Association for Child and Adolescent Mental Health. All rights reserved.


Keertish N.,BGS Global Institute of Medical science | Sharma I.,Banaras Hindu University
Journal of Indian Association for Child and Adolescent Mental Health | Year: 2015

BACKGROUND: Conversion disorder has been found to be the most common neurotic disorder in children and adolescents. Yet, little attempt has been made to look at the school environment and pattern of impairment in conversion disorder, which may have a bearing on management of the same. OBJECTIVE: Aim of the study was to assess the magnitude and pattern of impairment and the classroom environment in adolescents with Conversion Disorder. METHODS: Thirty school going adolescents with Conversion Disorder, diagnosed as per DSM-IV-TR criteria, and thirty healthy matched controls, comprised the sample. Patients and controls were assessed by the Brief Impairment Scale (BIS) and Classroom Environment Scale (CES). RESULTS: The patient group had significantly higher mean total score on the BIS when compared to the control group. Impairment was also found to be significant in each of the subscales, namely; interpersonal, school/work and self fulfillment. When compared on the CES, the patient and the control group did not show any significant difference in the mean scores of the various dimensions of classroom environment. CONCLUSION: Conversion Disorder in adolescents is associated with impairment in various domains of life and these impairments should also be the focus of management and rehabilitation in such patients. © 2015, Indian Association for Child and Adolescent Mental Health. All right reserved.


PubMed | JSS University, Bgs Global Institute Of Medical Science and University of Mysore
Type: | Journal: The Journal of asthma : official journal of the Association for the Care of Asthma | Year: 2016

Even though IL-6 and MMP-9 are associated with airway inflammation in asthma, there is paucity of data in Indian population.To determine the levels of IL-6 and MMP-9 in the serum of patients suffering from asthma, and correlate with (a) disease severity, as per GINA guidelines; (b) clinical phenotypes; and (c) response to treatment.The levels of IL-6 and MMP-9 were compared between moderate persistent asthma (n = 25), severe persistent asthma (n = 25) and normal controls (n = 30). IL-6 and MMP-9 were measured by ELISA (R&D Systems Inc., USA and Canada) and compared between controls and asthmatics and between groups of different asthma severity, clinical variables, spirometry, and allergen sensitization. Spirometry was repeated after 2months of ICS+LABA to assess response to treatment in relation to baseline IL-6 and MMP-9 levels.We observed a significant difference in both IL-6 and MMP-9 levels among asthmatics versus controls (p < 0.001), moderate versus severe persistent asthma (p < 0.001). A significant negative correlation was observed between MMP-9 and pre-bronchodilator FEVHigher levels of IL-6 and MMP-9 were observed in asthmatics as compared to controls and in severe persistent asthma as compared to moderate persistent asthma, higher levels of MMP-9 was associated with lower lung functions.


PubMed | BGS Global Institute of Medical science and Sri Devaraj Urs Medical College
Type: Journal Article | Journal: Indian journal of public health | Year: 2016

Skeletal fluorosis is a crippling disease resulting from excessive exposure to high fluoride from different sources.To assess the prevalence of skeletal fluorosis in Bangarpet taluk of Kolar, to compare various epidemiological factors influencing the occurrence of skeletal fluorosis among the two groups with differential water fluoride levels, and to estimate fluoride levels in all the sources of drinking water in study areas.A cross-sectional study was conducted among the adults of three randomly selected villages of Bangarpet taluk, Thimmasandra, Batavarahalli, with high (>1.5 mg/L) and Maddinayakanahalli with normal (<1.0 mg/L) fluoride levels. A house-to-house survey was conducted by administering a semi-structured questionnaire. Skeletal fluorosis was assessed by three simple physical tests in the field followed by radiological confirmation among the positives. Fluoride levels of drinking water sources were estimated by the ion-electrode method. Chi-square and Fishers exact tests were used as tests of association.The prevalence of skeletal fluorosis at field level in both high and normal fluoride groups was 5.0%. Water fluoride levels in Thimmasandra, Batavarahalli, and Maddinayakanahalli were 4.13 mg/L, 2.59 mg/L, and 0.61 mg/L, respectively. Among the subjects with skeletal fluorosis, a significant difference was observed between socioeconomic status and prevalence of skeletal fluorosis in both high and normal fluoride groups (P < 0.05).Skeletal fluorosis is a threat among elderly in Bangarpet taluk, Kolar district.

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