Indira Gandhi Medical College and Research Institute

Puducherry, India

Indira Gandhi Medical College and Research Institute

Puducherry, India
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Babu T.A.,Sri Lakshmi Narayana Institute of Medical science SLIMS | Joseph N.M.,Mahatma Gandhi Institute | Sharmila V.,Indira Gandhi Medical College and Research Institute
Medical Teacher | Year: 2011

Background: Though doctors are considered to be respectful role models of professionalism and ethics, medical students are no strangers to academic dishonesty. Aim: To assess the academic dishonesty practices among undergraduate students from private medical schools in India. Methods: A pre-tested and validated questionnaire containing 10 commonly done academic misconducts were administered and responses were collected. Results: Out of 166 medical students enrolled in the study, 75% have given proxy for attendance and 49% have copied from others record book. During a theory exam, 74% of students have copied from their friends, 2% have tried to get the question paper before exam and 5% have influenced their teachers by unfair means to get more marks. During clinical/practical exam, 81% have got technical help, 45% had prior knowledge about the exam case, and 54% of them have falsely documented clinical findings. Conclusions: The prevalence of academic dishonesty is high. Academic integrity and ethics should be emphasized to the students which might help them in becoming professional and honest doctors. © 2011 Informa UK Ltd. All rights reserved.

Udayashankar C.,Indira Gandhi Medical College and Research Institute
Dermatology online journal | Year: 2013

We present a 65-year-old man with Darier disease with pityriasis amiantacea on the scalp, alopecia, and congenital facial nerve palsy.

Udayashankar C.,Indira Gandhi Medical College and Research Institute | Nath A.K.,Indira Gandhi Medical College and Research Institute
Dermatology Online Journal | Year: 2011

Dyschromatosis universalis hereditaria (DUH) is usually an autosomal dominantly inherited disorder characterized by the presence of hypopigmented as well as hyperpigmented macules. We report an Indian patient with DUH with widespread involvement of skin including the face, oral mucous membranes (including tongue), and palms and soles. Our patient also exhibited nail changes, involvement of scalp hair, and keratosis pilaris. © 2011 Dermatology Online Journal.

Basu S.,Indira Gandhi Medical College and Research Institute
International Journal of Pharma and Bio Sciences | Year: 2013

The prevalence of metabolic diseases in the urban and semi-urban population in India is high. Most people are unaware of the risks associated with obesity, diabetes mellitus, hypertension and dyslipidemia. This study was undertaken to find the association between Body Mass Index (BMI) and the fasting levels of blood glucose, triacylglycerol along with hypertension in the local population who were apparently healthy.One hundred and nine healthy people were segregated into four group based on BMI- Lean, Normal, Overweight and Obese. The mean values of fasting and post- prandial blood sugar and fasting triglyceride and the range of systolic and diastolic blood pressure was found to increase with the increase in BMI in the four groups. Fifteen cases were found to have Metabolic Syndrome.A close association of the risk factors for cardiovascular diseases with increasing BMI was found to exist in the population studied during a routine health check-up.

Niranjan V.,Indira Gandhi Medical College and Research Institute | Malini A.,Indira Gandhi Medical College and Research Institute
Indian Journal of Medical Research | Year: 2014

Background & objectives: Recent studies suggest an increasing antimicrobial resistance among Escherichia coli causing urinary tract infection (UTI). We undertook this study to know the resistance pattern of E. coli causing UTI in patients admitted to a tertiary care hospital in north India, and to know the treatment given and response of the patients. Methods: The details of E. coli grown from urine samples and their antibiotic sensitivity pattern were collected from the laboratory registers and the patient details were collected from the case records. The urine samples received were processed using standard methods and antibiotic susceptibility was done by Kirby-Bauer disk diffusion test. Results: of the total 311 E. coli isolates, 119 (38.2%) were isolated from in-patients, which were considered for the study. of these 119 E. coli isolates, 91 (76.51%) were multi drug resistant (MDR). The isolates showed high levels of resistance to ampicillin (88.4%), amoxicillin-clavulanic acid (74.4%), norfloxacin (74.2%), cefuroxime (72.2%), ceftriaxone (71.4%) and co-trimoxazole (64.2%). The isolates were sensitive to amikacin (82.6%), piperacillin-tazobactum (78.2%), nitrofurantoin (82.1%) and imipenem (98.9%). Ceftriaxone was most commonly used for empirical therapy for UTI among inpatients in our hospital. of the 93 cases of UTI due to MDR E. coli, 73 improved on treatment and 12 worsened, which were referred to higher centres. Interpretation & conclusions: our study showed that 76.5 per cent of E. coli isolates from urine samples of inpatients were MDR. Diabetes, chronic renal disease and catherization were some of the risk factors associated. The high rate of resistance could be because only inpatients were included and the increased usage of cephalosporins in our hospital for empirical therapy.

Prakash Upadhyay R.,All India Institute of Medical Sciences | Palanivel C.,Indira Gandhi Medical College and Research Institute
Iranian Journal of Public Health | Year: 2011

First Millennium Development Goal states the target of "Halving hunger by 2015". Sadly, the recent statistics for India present a very gloomy picture. India currently has the largest number of undernourished people in the world and this is in spite of the fact that it has made substantial progress in health determinants over the past decades and ranks second worldwide in farm output. The causes of existing food insecurity can be better viewed under three concepts namely the: 'traditional concept' which includes factors such as unavailability of food and poor purchasing capacity; 'socio-demographic concept' which includes illiteracy, unemployment, overcrowding, poor environmental conditions and gender bias; 'politico-developmental concept' comprising of factors such as lack of intersectoral coordination and political will, poorly monitored nutritional programmes and inadequate public food distribution system. If the Millennium Development Goal is to be achieved by 2015, efforts to improve food and nutrition security have to increase considerably. Priority has to be assigned to agriculture and rural development along with promoting women empowerment, ensuring sustainable employment and improving environmental conditions (water, sanitation and hygiene). As the problem is multi-factorial, so the solution needs to be multi-sectoral.

Sivagnanam G.,Indira Gandhi Medical College and Research Institute
Journal of Pharmacology and Pharmacotherapeutics | Year: 2010

Mesotherapy involves the use of multiple intradermal or subcutaneous injections of a mixture of compounds in minute doses, by means of very fine needles, directly over/near the affected sites. Originally invented in France to manage painful medical conditions, it is presently the buzz word in the field of cosmetic dermatology, chiefly to get rid of disfiguring fat. Depending upon the condition treated, the drugs injected, the techniques followed and the number of sessions involved vary. The wider reception of mesotherapy by its stakeholders are probably due to factors like inexpensive equipments, relatively minimal training for providers, much reduced dosage need of the drugs with resultant minimal untoward effects, quicker realization of benefits, minimal invasiveness/pain involved and not the least it is an outpatient procedure. Despite so many plus points, it has to be noted that currently there is a dearth of rigorous scientific studies to prove its efficacy and safety. Further, the average cost per session alone ranges from 200 USD to 600 USD.

Sivagnanam G.,Indira Gandhi Medical College and Research Institute
Journal of Pharmacology and Pharmacotherapeutics | Year: 2016

Deprescribing is a structured approach to drug discontinuation. An alternative suggested term is raquo;prescription metabolism.raquo; The major aim of deprescription is to purge the drug(s) considered unwanted in a given patient, especially in the elderly patients with multiple comorbidities or in those suffering from chronic disease. Like drug metabolism, prescription metabolism is a way of eliminating unwanted, troublesome, or cost-ineffective medications. The removal of such drugs has been found to decrease the incidence of adverse drug reactions and improves the rate of medication adherence, thereby reducing the economic burden on the patient as well as on the health care providers. Certain categories of drugs are to be tapered rather than abruptly stopped. Despite the availability of many tools to minimize drug therapy-related problems, there is little guidance for the process of deprescribing in general clinical practice. Various methods to reduce the risks of polypharmacy include patient education, physician education, and regulatory intervention. The suggested S and S approach (seek and screen, save and severe, sensitize and supervise) may be tried for deprescribing in general practice. More research on deprescribing is the need of the hour in almost all branches of clinical medicine which may pave the way for the betterment of health care. © 2016 Journal of Pharmacology and Pharmacotherapeutics Published by Wolters Kluwer - Medknow.

Nath A.K.,Indira Gandhi Medical College and Research Institute
Dermatology online journal | Year: 2012

Cylindroma is a benign skin appendageal tumor arising from pluripotent stem cells in the folliculo-sebaceous-apocrine unit. Multiple cylindromas are usually seen as a component of Brooke-Spiegler syndrome (BSS) or as the only skin lesions of familial cylindromatosis (FC). The usual site of occurrence of such tumors is the scalp. We report a case of multiple cylindromas involving the face without any other feature of BSS and no family history supporting the possibility of FC. Multiple cylindromas of 7 years duration, confirmed by histopathological examination of multiple biopsies, were seen on the face of a 70-year-old woman. There was no history of similar lesions in any of her family members. Examination of the scalp revealed no lesions. Surgical excision of the larger lesions was performed to improve the facial appearance of the patient. This case is being reported for the unusual occurrence of multiple cylindromas only on the face without any features of BSS or FC.

Palanivel C.,Indira Gandhi Medical College and Research Institute
Indian journal of public health | Year: 2013

With the on-going epidemiological transition, information on the pattern of mortality is important for health planning. Verbal autopsy (VA) is an established tool to ascertain the cause of death in areas where routine registration systems are incomplete or inaccurate. We estimated cause-specific mortality rates in rural adult population of 28 villages of Ballabgarh in North India using VA. During 2002-2007, trained multi-purpose health workers conducted 2294 VA interviews and underlying cause of death was coded by physicians. Proportional mortality (%) was calculated by dividing the number of deaths attributed to a specific cause by the total number of deaths for which a VA was carried out. 61% of deaths occurred among males and 59% occurred among those aged ≥60 years. The leading causes of death were diseases of the respiratory system (18.7%) and the circulatory system (18.1%). Infectious causes and injuries and other external causes, each accounted for around 15% of total deaths followed by neoplasms (6.8%) and diseases of the digestive system (4%). Among those 45 years of age or more than half of deaths were attributed to non-communicable diseases (NCDs) alone. Accidents and injuries were responsible for one-fourth of deaths in 15-30 years age group. NCDs and injuries are emerging as major causes of death in this region thereby posing newer challenges to public health system.

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