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Rājahmundry, India

Patnaik S.K.,GSL Medical College
Indian Journal of Public Health Research and Development | Year: 2015

A study was conducted on students of 150 batch (MBBS second semester) & 119 batch (MBBS sixth semester) of GSL medical college, Rajahmundry to assess overall knowledge regarding Dengue fever among these medical students. By random sampling technique, 50 students from 150 batch and an equal number of 50 students from 119 batch were selected and interviewed on a pre-designed questionnaire. Students of 150 batch had no exposure whatsoever to the subject whereas the students of 119 batch had been taught the subject in their class in the recent past and had also clinical exposure in the hospital. Thus, the data emanating from the study indicated overall common knowledge on dengue and in these two different groups of students for comparison. As said earlier, the juniors had not been taught the subject and had no clinical exposure. Hence their knowledge could be more or less compared with any other student of biological sciences. The seniors although have been taught the subject and have clinical exposure, they lacked knowledge on entomological aspects particularly mosquito bionomics, clinical manifestations, clinical staging, criteria for diagnosis and management of cases. There is a need to refresh their knowledge because of the rapid geographic expansion of both the virus and the mosquito, regularity of epidemics, and the increasing occurrence of Dengue Haemorrhagic Fever (DHF) and Dengue Shock Syndrome (DSS) all causing great concern. © 2015, Indian Journal of Public Health Research and Development. All Rights Reserved.

Karnasula V.K.,GSL Medical College
Indian Journal of Plastic Surgery | Year: 2012

Lymphoedema is a progressive condition that can have a marked physical and psychological impact on affected patients and significantly reduce the quality of life. The ulcers on chronic lymphoedema patient, which often also makes it impossible for them to work. If left untreated, tends to progress or worsen. Ulcers in lymphoedema patients, therefore, represent not only a medical but also a psychological problem. The treatment is often regarded as being worse than it actually is. In our study of more than 25 years shows around 10% cases are due to chronic lymphodema. Ulcers of chronic lymphoedema are classified into four stages according to their presentation. Their management depends upon their stage of presentation. Patients with chronic lymphoedema and ulceration require a different approach to treatment. The specific issues associated with managing the patient with lymphoedematous ulceration include, limb shape distortion i.e., elephantiasis, care of the skin creases and folds, and swelling of the toes and fore foot. Stage I ulcers will heal with conservative treatment without any surgical intervention. Stage II ulcers needs debridement of the wound and split-thickness skin grafting. The most difficult to treat are the stage III and IV ulcers, due to associated skin changes and reduced vascularity. These cases need debulking along with excision of the ulcer. In order to prevent recurrence of the ulcer in all the four stages needs prolonged follow-up and limb care.

Patnaik S.K.,GSL Medical College
Indian Journal of Public Health Research and Development | Year: 2016

Case records of 200 patients attending the filaria clinic at National Centre for Disease Control, Rajahmundry, and Andhra Pradesh were analyzed to study some epidemiological and clinical profiles. When compared with an earlier study at the same centre it was observed that there was a drop in patients hailing from urban areas and an increase from rural areas. It was found that majority (95%) of patients attended the clinic from the twin Godavari districts of Andhra Pradesh, mostly females (67.5%) above the age of 15 years (99%), house wives by occupation and majority (41%) illiterate followed by education up to primary level (35.5%). Amongst most common clinical manifestations, 92.5% of the patients had swelling in the lower limbs with a slight preponderance for the left side. Hydrocele and other genital manifestations were uncommon. All the 200 subjects under study were found to be negative for microfilaria in their peripheral blood smears. There has been no appreciable change in the findings of the present study when compared with the earlier study findings. Coverage of MDA was not satisfactory and there is an urgent need to streamline MDA for effective interruption of transmission. © 2016, Indian Journal of Public Health Research and Development. All rights reserved.

Nene A.R.,GSL Medical College
European Journal of Anatomy | Year: 2010

The brachial plexus is formed by a series of stages- roots, trunks, divisions, cords and branches. The lateral and medial cords are derived from ventral divisions of the trunks, while the dorsal divisions together form the posterior cord. The lateral and medial cords are destined to supply the pectoral region and front of the entire upper limb. Often, during their formation and course, the cords and their branches show a plethora of variations, especially the lateral cord and its branches. Compared to the lateral cord, the medial cord shows variations much more infrequently. In the present work, a comparative study was performed in a set of one hundred upper limbs to note the variations in these two cords and their branches. It was observed that the lateral cord variations outnumbered those of the medial cord. The reason for this probably lies in the development and histogenesis of the brachial plexus during embryonic life. The stepwise journey of the path-finding axons and their interactions with guidance cues probably explains why medial cord variations are seen more infrequently than those of the lateral cord.

Jaya Chandra T.,GSL Medical College
Indian Journal of Tuberculosis | Year: 2012

Background: Sputum smear microscopy is the initial and rapid diagnostic technique for tuberculosis. This requires two (spot and morning SM) sputum sample examinations over two days. Collection of two spot samples (SS2) on the same day would reduce the number of visits, time, money and early initiation of treatment. Methods: We evaluated same day approach (SS2) against standard (SM) for the diagnosis of pulmonary tuberculosis. Results: Out of 658 participants, same day approach could identify 62 cases, whereas standard approach could identify 64 cases. Both the approaches are equally effective (p>0.05). Conclusion: The diagnosis of pulmonary tuberculosis is possible in one day by examining two spot samples.

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