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Bhosle S.H.,Government Medical College | Dake M.D.,Government Medical College | Zanjad N.P.,Dr Shankarrao Chavan Government Medical College | Godbole H.V.,Government Medical College
Journal of South India Medicolegal Association | Year: 2017

The death of a person due to isolated stab injury to peripheral vasculature of extremity is rarely encountered by the autopsy surgeon during his/ her practice. Generally speaking, stab injuries are most commonly homicidal, though suicidal and accidental cases do occur. Homicide means the death of the one human being as a result of conduct of another. Homicidal stab may be located anywhere on the body, including self unapproachable parts. The homicidal extremity stab injuries are often accompanied by other severe lifethreatening injuries to vital areas. Autopsy has a crucial role in the evaluation of deaths due to isolated peripheral vascular injury. The demonstration of the injured vessel, determination of its own lethality is very crucial to prosecute the case in the Court of law. In this report, we discussed a case of fatal stab wound to left femoral artery in adductor canal. © 2017 South India Medico-Legal Association. All rights reserved.


Zanjad N.P.,Dr Shankarrao Chavan Government Medical College
Journal of Indian Academy of Forensic Medicine | Year: 2014

Gagging is a form of asphyxia which results from forcing a gag such as rolled up cloth, paper etc. deep in to the mouth or oropharynx. As such asphyxia by gagging is rare in occurrence and usually seen in infants and children as homicidal act or in adults suffering from psychiatric disorder as suicidal form of gagging. As young ones and elder people are easily overpowered due to least resistance offered by them, the homicidal gagging is more common in this age group. We report a case of gagging in unknown newborn male which was found in polythene bag in open garbage area. During autopsy a rolled up cloth was observed in buccal cavity and on internal examination the gag was seen deep inside the mouth surrounded by mucus. In such cases, meticulous examination of nasopharynx, oropharynx and gag material is important.


Raut J.,SRTM University | Rathod V.,Dr Shankarrao Chavan Government Medical College | Karuppayil S.M.,SRTM University
Japanese Journal of Medical Mycology | Year: 2010

Cell surface hydrophobicity(CSH)of 50 clinical isolates of Candida albicans was studied, and values varied broadly in the range 2% to 41%. Purpose of the present work was to investigate correlation of CSH with the C. albicans adherence to solid surfaces, if any. To elucidate this, adhesion to the polystyrene model surface was studied for all the clinical isolates. Adherence varied in the range of 79 to 478 cells per microscopic field. Results indicated no correlation between CSH of the clinical isolates and their adhesion to polystyrene.


Pardeshi G.S.,Dr Shankarrao Chavan Government Medical College
Indian Journal of Community Medicine | Year: 2010

Background: Age is an important variable in epidemiological studies and an invariable part of community-based study reports. Aims: The aim was to assess the accuracy of age data collected during community surveys. Settings and Design: A cross-sectional study was designed in rural areas of the Yavatmal district. Materials and Methods: Age data were collected by a house-to-house survey in six villages. An open-ended questionnaire was used for data collection. Statistical Analysis: Age heaping and digit preference were measured by calculating Whipple's index and Myers' blended index. Age Ratio Scores (ARS) and Age Accuracy Index (AAI) were also calculated. Results: Whipple's index for the 10-year age range, i.e., those reporting age with terminal digit "0" was 386.71. Whipple's index for the 5-year range, i.e., those reporting age with terminal digit '0' or '5' was 382.74. Myer's blended index calculated for the study population was 41.99. AAI for the population studied was 14.71 with large differences between frequencies of males and females at certain ages. Conclusion: The age data collected in the survey were of very poor quality. There was age heaping at ages with terminal digits '0' and '5', indicating a preference in reporting such ages and 42% of the population reported ages with an incorrect final digit. Innovative methods in data collection along with measuring and minimizing errors using statistical techniques should be used to ensure the accuracy of age data which can be checked using various indices.


Pardeshi G.S.,Dr Shankarrao Chavan Government Medical College | Dalvi S.S.,Dr Shankarrao Chavan Government Medical College | Pergulwar C.R.,District Health Office | Gite R.N.,District Health Office | Wanje S.D.,Dr Shankarrao Chavan Government Medical College
Journal of Health, Population and Nutrition | Year: 2011

Delivery in a medical institution promotes child survival and reduces the risk of maternal mortality. Many initiatives under the National Rural Health Mission (NRHM) focus on increasing the institutional deliveries. This study describes the trends in choosing place of delivery in Nanded district at the end of the first phase of the mission. Key informants were interviewed to document the initiatives under NRHM implemented in the district. A cross-sectional descriptive study was conducted in 30 villages selected using one stage cluster-sampling method. A house-to-house survey was conducted in June 2009. A set of structured open-ended questionnaire was used for interviewing all women who had delivered during January 2004-May 2009. The outcomes studied were place of delivery and assistance during delivery. Analysis was done by calculating chi-square test and odds ratio. Interventions to improve the quality of health services and healthcare-seeking behaviour were implemented successfully in the district. The proportion of institutional deliveries increased from 42% in 2004 to 69% in 2009. A significant increase was observed in the proportion of institutional deliveries [60% vs 3/30/2011 45%; χ2=173.85, p<0.05, odds ratio (OR)=1.8 (95% confidence interval (CI) 1.65-1.97)] in the NRHM period compared to the pre-NRHM period. The deliveries in government institutions and in private institutions also showed a significant rise. The proportion of deliveries assisted by health personnel increased significantly during the NRHM period [62% vs 49%; χ2=149.39; p<0.05, OR=1.73, 95% CI 1.58-1.89] However, less than 10% of the deliveries in the home (range 2-9%) were assisted by health personnel throughout the study period. There was a wide geographic variation in place of delivery among the study villages. The results showed a significant increase in the proportion of institutional deliveries and deliveries assisted by health personnel in the NRHM period. Since a less proportion of deliveries in the home is conducted by health personnel, the focus should be on increasing the institutional deliveries. Special and innovative interventions should be implemented in the villages with a less proportion of institutional deliveries. © International Centre for Diarrhoeal Disease Research.


Bhosle S.H.,Dr Shankarrao Chavan Government Medical College | Zanjad N.P.,Dr Shankarrao Chavan Government Medical College | Dake M.D.,Dr Shankarrao Chavan Government Medical College | Godbole H.V.,Dr Shankarrao Chavan Government Medical College
Journal of Forensic and Legal Medicine | Year: 2015

The present study was carried out to analyze various factors associated with death due to hanging among adolescents and to identify the areas of intervention for preventing such deaths. A retrospective study was carried out on 51 cases of adolescent deaths due to hanging, the autopsies of which were conducted by the Department of Forensic Medicine, Dr Shankarrao Chavan Government Medical College, Nanded, Maharashtra State (India), during the period between 1 January 2001 and 31 December 2010. In the present study, death by hanging among the adolescent age group was most commonly suicidal (96.08%) in nature, and only two (3.92%) cases of deaths due to accidental hanging were observed. Of the total number of suicidal deaths due to hanging among adolescents, the majority (80.39%) were among the older adolescent (15-19 years) age group. Rope and clothing items were commonly used ligature materials for committing suicide by hanging. Females outnumbered male victims (M:F ratio 1:1.13) among adolescents, contrary to the male preponderance observed among victims of the older age group (M:F ratio 1:0.44). Most of the suicidal deaths due to hanging (83.67%) among adolescents were observed at the victims' home. The predisposing and precipitating factors observed were domestic strife, examination-related stress, and physical and psychological illness. © 2014 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.


Dube S.P.,Dr Shankarrao Chavan Government Medical College | Mungal S.U.,Dr Shankarrao Chavan Government Medical College | Kulkarni M.B.,Dr Shankarrao Chavan Government Medical College
National Journal of Physiology, Pharmacy and Pharmacology | Year: 2015

Background: Adequate sports activity improves health and physical development by increasing muscle strength, alertness, sensory development, muscle coordination, speed, strength, and stamina. Many researches show that sports activity reduces reaction time, which is a reliable indicator of rate of processing of sensory stimuli by central nervous system. So the present study is undertaken to evaluate effect of playing badminton on reaction time.Aims & Objective: To compare visual reaction times of badminton players with those of age-matched controls.Materials and Methods: We estimated the visual reaction times of 50 male badminton players of 18–22 years age group who were practicing badminton for 2–3 h/day for a minimum of 2 years. The visual reactions were compared with those of 50 age-matched healthy male students of Dr SCGMC Nanded (Maharashtra, India) who formed the control group.Results: Visual reaction time of dominant as well as non-dominant limb of badminton players was significantly less than that of the control group who were not practicing any sports activity.Conclusion: Our study results support the view that playing badminton is beneficial in improving eye–hand reaction time, muscle coordination, cognitive functions, concentration, and alertness. © 2015 Mrs Deepika Charan. All rights reserved.


Mungal S.U.,Dr Shankarrao Chavan Government Medical College | Dube S.,Dr Shankarrao Chavan Government Medical College | Kulkarni M.B.,Dr Shankarrao Chavan Government Medical College
National Journal of Physiology, Pharmacy and Pharmacology | Year: 2015

Background: Reaction time, which is a reliable indicator of attention and fine motor skills, was found to be slowed in diabetes mellitus. It is often overlooked and underestimated element in medical fitness test for professionals highly dependent on motor skills, such as drivers, pilots, and doctors. Many of them may be diabetic. Limited reports are available from India on the effect of type 2 diabetes mellitus on reaction time. Thus, this study was undertaken to determine the effec t of type 2 diabetes mellitus on reaction time.Aims & Objective: To compare audiovisual reaction time of patients with type 2 diabetes mellitus to that of normal subjects.Materials and Methods: We measured audiovisual reaction times of 50 patients with type 2 diabetes mellitus and compared them with those of 50 healthy, age-matched subjects that formed control group.Results: Audiovisual reaction times of patients with type 2 diabetes mellitus were significantly higher as compared to those of normal subjects (control group).Conclusion: Audiovisual reaction time may prove a simple and valuable method for assessing severity of neurological derangement and effectiveness of treatment in type 2 diabetes mellitus. © 2015 Mrs Deepika Charan. All rights reserved.


Tamboli S.B.,Dr Shankarrao Chavan Government Medical College
Bangladesh Journal of Medical Science | Year: 2013

Background: Calcium channel blockers are amongst the commonly used drugs in the treatment of cardiovascular disorders. They produce their action by blocking voltage regulated calcium channels. Methodolgy: Present study evaluated the effects of three structurally dissimilar calcium channel blockers Nitrendipine (a dihydropyridine) in a single dose of 10 mg and 20 mg, Diltiazem (a benzothiazepine) in a single dose of 30 mg and 60 mg and Verapamil (a phenylalkylamine) in a single dose of 40 mg and 80 mg on psychomotor performance in human volunteers. For evaluation of psychomotor performance, the tests used were arithmetic ability, verbal learning, letter cancellation, digit symbol substitution and card sorting test. Results: Nitrendipine both in low dose (10mg) and high dose (20mg) as well as Diltiazem in high dose (60mg) and Verapamil in high dose (80mg) were found to impair the psychomotor performance in human volunteers to a statistically significant extent in all the tests employed except letter cancellation test. Whereas Diltiazem in low dose (30mg) and Verapamil in low dose (40mg) showed statistically significant impairment of psy-chomotor performance using arithmetic ability, verbal learning, and digit symbol substitution test. Conclusion: Thus calcium channel blockers namely Nitrendipine, Diltiazem and Verapamil significantly impaired the psychomotor performance of human volunteers in our study.


PubMed | Dr Shankarrao Chavan Government Medical College and Government Medical College
Type: Journal Article | Journal: Nigerian medical journal : journal of the Nigeria Medical Association | Year: 2016

To assess the maternal risk factors associated with low birth weight (LBW) neonates at a tertiary hospital, Nanded, Maharashtra.This study was carried out in a tertiary care hospital in Nanded city of Maharashtra between January 2014 and July 2014 among 160 cases (LBW-birth weight 2499 g) and 160 controls (normal birth weight-birth weight >2499. Data collection was done by using predesigned questionnaire and also related health documents were checked and collected the expected information during the interview after obtaining informed consent from mothers. The data were analyzed by Epi Info 7 Version.The present study found the significant association among gestational age, sex of baby, type of delivery, maternal age, religion, education of mother and husband, occupation of mother and husband, type of family, maternal height, weight gain, hemoglobin level, planned/unplanned delivery, bad obstetric history, interval between pregnancies, previous history of LBW, underlying disease, tobacco chewing, timing of first antenatal care (ANC) visit, total number of ANC visit, and iron and folic acid (IFA) tablets consumption with LBW. No significant association was found among maternal age, residence, caste, consanguinity of marriage, socioeconomic status, gravida, birth order, multiple pregnancy, and smoking with LBW in our study.It was concluded that hemoglobin level, weight gain during pregnancy, gestational age, planned/unplanned delivery, bad obstetric history, and IFA tablets consumption during pregnancy were independent risk factors for LBW.

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