Blde Universitys Shri til Medical College

Bijapur, India

Blde Universitys Shri til Medical College

Bijapur, India
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Bagoji I.B.,Blde Universitys Shri til Medical College | Doshi M.A.,Krishna University | Hadimani G.A.,Blde Universitys Shri til Medical College | Bannur B.M.,Blde Universitys Shri til Medical College | And 2 more authors.
Journal of Chemical and Pharmaceutical Research | Year: 2014

There are many anatomical variations in muscle belly, tendons, nerves, and arteries in hand. Awareness of these variations is very important during diagnosis and treatment of carpal tunnel syndrome during hand surgery and plastic surgery. We report here the presence of an anomalous muscle in the hand between the first and second lumbricals. The muscle was taking origin from the ulnar side of the flexor digitorum profundus and inserted in to radial side of the dorsal digital expansion of the middle finger. The third lumbrical distally bifurcated and inserted in to dorsal digital expansion of the middle and ring finger. The abnormal muscle can produce a bulge in the palm and it might compress the median nerve in the carpal tunnel, resulting in carpal tunnel syndrome. A thorough knowledge of the anatomy of the carpal tunnel is essential in order to avoid complications and to ensure optimal patient outcome. © 2014, Journal of Chemical and Pharmaceutical Research. All Rights reserved.


Hiremath R.N.,Blde Universitys Shri til Medical College | Patil S.,Blde Universitys Shri til Medical College | Basundra S.,Maulana Azad Medical College | Edwards T.S.,Symbiosis Institute of Health science | Malali V.V.,Indian Institute of Technology Delhi
Journal of Krishna Institute of Medical Sciences University | Year: 2016

Background: The evolving health care system of India, in its goal of solving health issues and minimizing possible health risks, has unavoidably created waste, which itself may be harmful for health. Inefficient and inadequate knowledge of managing health care waste may have detrimental effects on health and environment. Aim and Objectives: To asses level of Knowledge, Attitude, Practices (KAP) about Biomedical Waste (BMW) management among Health Care Workers (HCWs) with an endeavor to improve the standards and protect the health of HCWs and the environment. Methodology: A Hospital- based cross-sectional descriptive study was carried out at one of the Multispecialty Hospital in Eastern India. A total of 80 HCWs who were available at the time of study were included and the data were collected by means of 'personal interview technique' by using a pre-designed semi-structured questionnaire in Hindi (local language). The relevant data was collected, compiled and analyzed using SPSS 17.0 version. Results: Assessment of KAP with pre-decided scoring system showed, 17.5 % had excellent knowledge, 70% with good to average and 12.5% had poor knowledge with respect to BMW management. Knowledge status was not significantly associated with any of the socio-demographic characteristics. When asked about needle stick injuries, 88% felt that needle stick injury was a concern to them and 86% of them were well aware about the consequences of needle-stick injuries. Conclusion: Although the awareness level was high with various aspects of BMW management among HCWs compared to other studies, but still there exists scope for more improvement. Regular awareness capsule with proper BMW committee monitoring is the need of the hour. All measures to sensitize the HCWs against needle stick injuries including both pre and post incident measures need to be taken. © Journal of Krishna Institute of Medical Sciences University.


Hadimani G.A.,Blde Universitys Shri til Medical College | Bagoji I.B.,Blde Universitys Shri til Medical College | Bannur B.M.,Blde Universitys Shri til Medical College | Rathod S.B.,Blde Universitys Shri til Medical College
International Journal of Pharmacy and Pharmaceutical Sciences | Year: 2015

The most common branching pattern of the aortic arch in humans comprises of three great vessels, during the routine dissection for 1st MBBS we encountered variations in the branches of arch of aorta, so the study was conducted to know the percentage and common type of variations. The study was performed on thirty hearts, among the 30 hearts 28 were adult formalin preserved cadavers and two were pre-dissected separate hearts with the aortic arches en-bloc. The sex and age of the cadavers were not assessed in the study. A study was conducted for a period of two years. The purpose of the study was to measure the percent of variation in the branching pattern of an arch of aorta. The most common branching pattern of the aortic arch in humans comprises of three great vessels; first, the brachiocephalic trunk, then the left common carotid artery and finally the subclavian artery. In the present study the most common aortic arch branching pattern was found in 86.67%, additional artery that is four branches were observed in 10% of the cases and two arteries from the arch of aorta, were noted in 3.33% of the case studied. Different branching patterns of the arch of aorta observed in this study and these can assist surgeons in performing safe and effective surgeries in the superior mediastinum. © 2015, International Journal of Pharmacy and Pharmaceutical Science. All rights reserved.


Pyati A.K.,Blde Universitys Shri til Medical College | Pyati A.K.,Belagavi Institute of Medical science BIMS | Devaranavadagi B.B.,Blde Universitys Shri til Medical College | Sajjannar S.L.,Blde Universitys Shri til Medical College | And 3 more authors.
Indian Journal of Clinical Biochemistry | Year: 2016

The study aimed to investigate whether heart-type fatty acid binding protein (H-FABP) measurement provides additional diagnostic value to that of conventional cardiac markers in acute myocardial infarction (AMI) within first 6 h after the onset of symptoms. The study included 120 subjects: 60 AMI cases and 60 age and sex matched controls. The cases and controls were further divided into 2 subgroups depending on the time since onset of chest pain as (1) subjects within 3 h and (2) between 3 and 6 h of onset of chest pain. In all the cases and controls, serum H-FABP concentration was measured by Immunoturbidimetric method, serum Troponin I and myoglobin concentrations by Chemiluminescence immunoassay and serum CK-MB concentration by Immuno-inhibition method. The sensitivity, specificity, positive and negative predictive values of H-FABP were significantly greater than CK-MB and myoglobin but were lesser than Troponin I in patients with suspected AMI in both within 3 h and 3–6 h groups. Receiver operating characteristic curves demonstrated greatest diagnostic ability for Troponin I (AUC = 0.99, p < 0.001) followed by H-FABP (AUC = 0.906, p < 0.001) within 3 h and 3–6 h after the onset of chest pain. In conclusion, the diagnostic value of H-FABP is greater than CK-MB and myoglobin but slightly lesser than troponin I for the early diagnosis of AMI within first 6 h of chest pain. H-FABP can be used as an additional diagnostic tool for the early diagnosis of AMI along with troponin I. © 2016 Association of Clinical Biochemists of India


Ugran V.,Blde Universitys Shri til Medical College | Desai N.N.,A & P Technology | Chakraborti D.,Jadavpur University | Masali K.A.,Blde Universitys Shri til Medical College | And 11 more authors.
Environmental Geochemistry and Health | Year: 2016

Groundwater fluoride concentration and fluoride-related health problems were studied in twenty-two villages of Indi taluk of Vijayapura district, Karnataka, India. Present study (2015) was also used to compare groundwater fluoride concentration in same 22 villages with previous government report (2000). Groundwater fluoride concentrations of 62 bore wells of 22 villages were analyzed by using an ion-sensitive electrode. A total of 660 adults and 600 children were screened for fluorosis symptoms and signs. Sixty clinically suspected fluorosis patients’ urine samples were further analyzed for fluoride. The mean value (1.22 ± 0.75 mg/L) of fluoride concentration of 62 bore wells and 54.83 % bore wells with ≥1.0 mg/L of fluoride concentrations in Indi taluk indicates higher than the permissible limit of drinking water fluoride concentration recommended for India. Clinical symptoms like arthritis, joint pains, gastrointestinal discomfort and lower limb deformities with high urinary fluoride concentrations in some subjects suggest fluorosis. Results also showed an increase in groundwater fluoride concentration of the same 22 villages between previous and present study. Preliminary arthritis symptom of the villagers could be due to drinking fluoride-contaminated water. Increase in fluoride concentration with time to the bore wells definitely indicates future danger. © 2016 Springer Science+Business Media Dordrecht


Kumbar S.K.,Blde Universitys Shri til Medical College | Mirje M.,Blde Universitys Shri til Medical College | Moharir G.,Blde Universitys Shri til Medical College | Bharatha A.,Blde Universitys Shri til Medical College
Journal of Clinical and Diagnostic Research | Year: 2015

Background: Glaucoma is second cause of blindness in the world. The financial burden on the patient during long-term treatment is immense and affects the compliance to medications, thus visual morbidity. Objective: To analyse economic impact of three commonly used drug combinations (Dorzolamide + Timolol = DT; Brimonidine + Timolol = BT; Latanoprost+Timolol = LT) in primary open angle glaucoma. Materials and Methods: This observational, prospective study was undertaken at M & J Institute of Ophthalmology, Civil Hospital, Ahmedabad, a western regional institute of Ophthalmology. A total of 257 patients were included in the study. Only101 patients could complete the 6 month follow-up, of which 35, 34 and 32 patients belonged to DT, BT and LT group respectively. Cost of drug, details of the transportation were noted at every visit. Total cost incurred per patient/eye was calculated. Cost effectiveness was calculated by cost per mm Hg IOP (Intra-Ocular Pressure) reduction. Results: Treatment with DT, BT & LT group consumed 8.6%, 4.6% and 7.7% of the per annum income of the family, respectively. Cost of medications per annum (in INR)/eye for DT, BT & LT group were 2562 ± 15.74, 1544 ± 32.06, 3876 ± 73.68 (Mean±SEM) respectively. Additional cost of travelling was different for patients coming from Ahmedabad (Locals) and outsiders (patients coming outside Ahmedabad, India). Outsiders has to bear the brunt of higher transport charges, where they spent an average of Rs. 914, 856 & 933 per annum (5 follow-ups), whereas, Locals spent an average of Rs. 104, 112, 100 for DT, BT & LT group respectively. Conclusion: Treatment with BT was found to be most cost-effective among three groups. Drug therapy takes substantial amount from per annum income of family and was an important compliance factor in the treatment of POAG. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved.


Pyati A.K.,Blde Universitys Shri til Medical College | Devaranavadagi B.B.,Blde Universitys Shri til Medical College | Sajjannar S.L.,Blde Universitys Shri til Medical College | Nikam S.V.,Belagavi Institute of Medical science | And 2 more authors.
Journal of Clinical and Diagnostic Research | Year: 2015

Background: Early diagnosis and therapeutic intervention can improve the outcome of acute myocardial infarction (AMI). However, there are no satisfactory cardiac biomarkers for the diagnosis of AMI within 6 hours of onset of symptoms. Among novel biochemical markers of AMI, heart-type fatty acid binding protein (H-FABP) is of particular interest. Aim: To compare the diagnostic value of H-FABP with that of CK-MB and myoglobin in suspected AMI patients within first 6 hours after the onset of symptoms. Settings and Design: The study includes 40 AMI cases and 40 non-cardiac chest pain otherwise healthy controls. The cases and controls were further divided into 2 groups depending on the time since chest pain as those subjects within 3 hours and those between 3-6 hours of onset of chest pain. Materials and Methods: In all the cases and controls, serum H-FABP, CK-MB and myoglobin concentrations were measured by Immunoturbidimetric method, immuno-inhibition method and Chemiluminescence immunoassay respectively. Statistical Analysis: Data is presented as mean ± SD values. Differences between means of two groups were assessed by Student t-test. Sensitivity, Specificity, Positive predictive value, Negative predictive values were calculated and ROC curve analysis was done to assess the diagnostic validity of each study parameter. R esults: The sensitivity, specificity, PPV, NPV of H-FABP were greater than CK-MB and myoglobin and ROC curve analysis demonstrated highest area under curve for H-FABP followed by myoglobin and CK-MB in patients with suspected AMI both within 3 hours and 3-6 hours after the onset of chest pain. C onclusion: The diagnostic efficiency of H-FABP is greater than CK-MB and myoglobin for the early diagnosis of AMI within first 6 hours of chest pain. H-FABP can be used as an additional diagnostic tool for the early diagnosis of AMI. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved.

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