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Segar L.,Mahatma Gandhi Medical College and Research InstitutePuducherry | Kumar S.,Indira Gandhi Institute of Medical science | Joseph N.M.,JIPMERPuducherry | Sivaraman U.,Mahatma Gandhi Medical College and Research InstitutePuducherry
Asian Journal of Pharmaceutical and Clinical Research | Year: 2015

Objective: This study was attempted to evaluate the prevalence of extended spectrum beta-lactamase (ESBL) among Enterobacteriaceae from different clinical samples from a tertiary care hospital in Puducherry. Methods: A total of 204 Gram-negative isolates from different clinical samples were studied. All isolates were identified, and antimicrobial susceptibility testing was done by standard microbiological procedures. ESBL production was detected by phenotypic confirmatory disc diffusion test. The test was carried according to Clinical Laboratory Standards Institute guidelines. Results: Out of 204 isolates, 78 (38.2%) tested positive for ESBL production. Klebsiella pneumoniae (50.9%) showed the maximum ESBL positivity. Amikacin, piperacillin-tazobactam and imipenem are the most effective drugs for the treatment of infections caused by ESBL producing organisms. Conclusion: High prevalence of ESBL producing Enterobacteriaceae in hospitals, with a tendency for multidrug-resistance, suggests that routine detection is mandatory as this may help in regulating hospital antibiotic policy. © 2015, Asian Journal of Pharmaceutical and Clinical Research. All Rights Reserved.

Lakshminarayanan S.,JIPMERPuducherry | Bhardwaj P.,AIIMS | Srivastava J.P.,Eras Lucknow Medical College And Hospitallucknow
Indian Journal of Community Health | Year: 2014

Background: The goal of MBBS training program is to create a basic doctor, physicians of first contact for the community in the primary care setting both in urban as well as rural areas of our country. Internship is a phase of training wherein a graduate is expected to conduct actual practice of medical and health care and acquire skills under supervision so that he/she may become capable of functioning independently. In the context of public health practice, he should be oriented to provide preventive and promotive health care services to the community, demonstrate skills in monitoring of national health programs and develop leadership qualities to function effectively as a leader of the health team. Methods: This study is based on current status assessment and reviewed literature on internship training in India from PubMed, internet and other sources. The review is presented as need for scenario of internship training in Community Medicine, need for its strengthening, guidelines for internship training and conclusions. Results: There is no uniform pattern for internship training in community medicine, in terms of exposure, training and evaluation, at medical college departments and at rural training centers both in government and private medical colleges. This is further complicated by factors like lack of structured framework for need based training, reduced time period of training, preparation for postgraduate examinations and lack of post training assessment. Poor facilities at rural health training centers and primary health centers like transportation and laboratory facilities, lack of infrastructure and basic amenities to cater to the residential needs of interns pose additional difficulties. Internship training in community medicine should be appropriately structured to provide confidence to medical graduates to practice their profession in common and simple settings, and be able to deliver primary health care services. Conclusions: Protocols for internship training in community medicine in all medical colleges are necessary to make it more responsive to community needs and to improve the quality of undergraduate medical education in India. Capacity building of future health service providers is essential to meet the growing responsibilities of the Medical Officers in the context of revitalizing primary care. © Indian Association of Preventive and Social Medicine. All rights reserved.

Padmavathi V.,JIPMERPuducherry | Vishnu Prasad P.S.,MGMCRIPuducherry | Kundra P.,JIPMERPuducherry
Indian Journal of Anaesthesia | Year: 2015

A tertiary care 1000 bedded hospital contains more than 10,000 pieces of equipment worth approximately 41 million USD, while the power cords supplied along with the imported equipment type D/M plug to complete installation and also on-site electrical safety test is not performed. Hence, this project was undertaken to evaluate the electrical safety of all life-saving equipment purchased in the year 2013, referring to the guidelines of International Electrotechnical Commission 62353, the Association for the Advancement of Medical Instrumentation (AAMI) and National Fire Protection Association (NFPA)-99 hospital standard for the analysis of protective earth resistance and chassis leakage current. This study was done with a measuring device namely electrical safety analyser 612 model from Fluke Biomedical. © 2015 Indian Journal of Anaesthesia.

Amaranathan A.,JIPMERPuducherry | Ramakrishnaiah V.P.N.,JIPMERPuducherry | Rajan S.,JIPMERPuducherry | Ganesh R.N.,JIPMERPuducherry
Journal of Clinical and Diagnostic Research | Year: 2016

Nodular Fasciitis (NF) is described as a benign reactive proliferation of myofibroblasts that occurs predominantly in the subcutaneous location. Most commonly presents as rapidly growing swelling in the young adults, with usual size of less than 4cm and located commonly in the extremities. We hereby report a case of giant nodular fasciitis of 10cm diameter which presented in an unusual location (gluteal region) and rare plane of origin (intramuscular) with unusual symptom of sciatic nerve involvement. Because of the size, location and neural involvement a clinical diagnosis of soft tissue sarcoma was made. After investigating with trucut biopsy and magnetic resonance imaging, benign nature of the lesion confirmed and treated with complete excision, carefully preserving the sciatic nerve. This case is presented for its rarity in size, location, plane of origin and neural compression. To the best of our knowledge this is the first case of nodular fasciitis of 10cm size and in the gluteal muscles. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved.

Peranantham S.,JIPMERPuducherry | Manigandan G.,JIPMERPuducherry | Shanmugam K.,JIPMERPuducherry
Indian Journal of Forensic Medicine and Toxicology | Year: 2015

The incidence of suicide is highest in the Union Territory of Puducherry in the country as a whole. Suicide is the act of deliberately killing oneself. People may consider suicide when they are hopeless and can't see any other solution to their problems. Often it is related to serious depression, alcohol or substance abuse or a major stressful event. Hanging is a form of asphyxia, which is caused by suspension of the body by a ligature which encircles the neck, the constricting force being the weight of the body. The inner coats of the carotids are ruptured in violent cases of hanging such as long drop. Hereby, we are reporting such a case showing intimal tear of the carotid arteries. © 2015, Indian Journal of Forensic Medicine and Toxicology. All rights reserved.

George K.,Government Medical College | Abdulkader J.K.,Government Medical College | Sugumar M.,JIPMERPuducherry | Rajagopal G.K.,Amrita Institute of Medical science
Journal of Clinical and Diagnostic Research | Year: 2016

Introduction: Infections with MRSA, both community and hospital acquired, are well established and the source of infection is often a carrier. There are very few studies showing the magnitude of MRSA nasal colonization among healthy persons from the community. This study was conducted to detect the prevalence of MRSA nasal carriage in patients who did not have any known risk factors associated with HA- MRSA colonization, admitted to a tertiary care centre in Kerala. Materials and Methods: Nasal swabs were collected from patients within 24 hours of admission. Specimen were inoculated on chromogenic agar (HiCrome MeReSa agar-HiMedia) for MRSA screening. Isolates were then subjected to antibiotic sensitivity tests, SCCmec typing and PVL gene detection. Results: Out of 683 patients, 16 carried MRSA in their nares (2.3%). Of the 16 strains 13 (81.25 %) strain were SCCmec type III and one belonged to SCCmec type IV (6.25 %). Two strains failed to amplify SCCmec genes. Three strains carried genes for PVL toxin (18.75%). Conclusion: With a better understanding of the complex epidemiology of MRSA it is increasingly apparent that demarcations between the HA and CA phenotypes are not as clear cut as previously thought. In this study of nasal carriage of MRSA in the community we have demonstrated prevalence consistent with published data. Most isolates however were shown to belong to the type conventionally assigned to HA-MRSA. © 2016, Journal of Clinical and Diagnostic Research. All Rights Reserved.

Natarajan A.,JIPMERPuducherry | Rohith V.,Pondicherry Institute of Medical SciencesPuducherry | Topno I.,Pondicherry Institute of Medical SciencesPuducherry
Asian Journal of Pharmaceutical and Clinical Research | Year: 2016

Objective: Prescription writing is an art. Writing a correct prescription in compliance with the WHO guidelines requires regular practice. Mistakes in prescription writing are inevitable. Hence, this study was done to analyze the prescriptions from the Outpatient Department of Obstetrics and Gynaecology for errors. To analyze the prevalence and types of common prescribing errors in the Outpatient Department of Obstetrics and Gynaecology. Methods: This cross-sectional study was conducted in the Department of Pharmacy, Pondicherry Institute of Medical Sciences, Puducherry. 500 prescriptions from the Obstetrics and Gynaecology Outpatient Department were collected and analyzed. The study duration was 6 months (July- December 2014). The prescriptions were analyzed for errors. Results: Our study revealed that 30.8% of the prescriptions had, at least, one error in them. The majority of the prescriptions had the doctors’ sign and patient details written in them. The dose of the drug was missing in about 38% of the prescriptions. None of the prescriptions had Type A error in our study. Conclusion: It was found that prescription errors are still prevalent. The prescribers’ have to be updated about the prescribing guidelines and regular auditing should be done to avoid these errors. © 2016, Asian Journal of Pharmaceutical and Clinical Research. All rights reseved.

Naik B.N.,JIPMERPuducherry | Veerakumar A.M.,JIPMERPuducherry | Manikandan M.S.,JIPMERPuducherry | Kar S.S.,JIPMERPuducherry
Indian Journal of Forensic Medicine and Toxicology | Year: 2016

Objective: To find out the prevalence of domestic poisoning in a rural village of Tamil Nadu. Material and Method: A community based cross-sectional study was conducted during the month of October, 2015 in a rural village of Tamil Nadu. Sociodemographic information and details of domestic poisoning were obtained from a sample of alternately selected 398 households (housing 1251 individuals) using a semi structured questionnaire. Results: The three months period prevalence of domestic poisoning was found to be 11.9 per 1000 persons. Majority (61.5%, 8/13) of domestic poisoning cases were due to scorpion sting. Others were inhalation of pesticides while spraying (2/13), consumption of poisonous seeds (2/13) and a case of snake bite. Except one case of scorpion sting which occurred while the victim was sleeping, rest all cases of scorpion sting had occurred during performing household works like gardening, cleaning, lifting a brick etc. Conclusion: Awareness should be generated among community members focusing on prevention of domestic poisoning. Specific activities like health education on adopting preventive measures while handling pesticide will prevent unintentional poisoning due to pesticides. Awareness should be spread on availability of mental health services and same should be off ered to the family having mental health issues. © 2015, Indian Journal of Forensic Medicine and Toxicology. All rights reserved.

Jothi S.,JIPMERPuducherry | Lakshminarayanan S.,JIPMERPuducherry | Ramakrishnan J.,JIPMERPuducherry | Selvaraj R.,JIPMERPuducherry
Journal of Clinical and Diagnostic Research | Year: 2016

Introduction: National Old Age Pension Scheme (NOAPS) was aimed at providing a safety net for India’s aging population in terms of social, economical and moral support by helping eligible elderly citizens with direct cash benefit. Aim: To assess the beneficiary satisfaction and utilization pattern of the monetary benefit received under the old age pension scheme and to explore the perception of the stakeholders regarding delivery of the pension. Materials and Methods: This is a mixed method research consisting of both quantitative surveys and qualitative in-depth interviews. The survey was conducted among 205 randomly selected beneficiaries of old age pension scheme belonging to urban Puducherry. Around 12 qualitative interviews were conducted with beneficiaries, family members and Anganwadi workers. Results: The mean age of the study participants was 71 years. Almost 80% of participants avail pension from banks. Majority of participants (98%) were satisfied with the overall scheme, though half of them expressed their dissatisfaction with the amount of pension received. Among the study subjects, 65% were satisfied regarding the mechanism of delivery of old age pension. Anganwadi is the preferred mode of payment in 80% subjects. Around 85% of them spent the entire pension amount for their own use (health needs, travel, daily activities and social needs) while the remaining gave some economic support to their family. Half of them (55%) felt that they possess financial autonomy in planning their expenditure. Majority felt that receiving pension had given them economic empowerment, self-esteem and renewed confidence in life. Conclusion: Financial assistance to the elderly empowers them and improves their social status, independence, self-esteem and overall quality of life. With increasing proportion of elderly in Indian population, it is important to study the effectiveness of such schemes so that corrective measures can be taken to facilitate its access to the disadvantaged section of the society. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved.

Das S.,JIPMERPuducherry | Jena M.K.,SCB Medical College
Egyptian Journal of Forensic Sciences | Year: 2016

A case of death of a healthy male in his early forties is described, where three different asphyxial methods, i.e., manual strangulation, smothering and traumatic asphyxia by thoracic compression were used. The interest in the case is generated because all this three methods were carried out by a single assailant. Nail scratch abrasions were present on the cheek and neck. Internal examination revealed haemorrhagic infiltration into the muscles of the neck, contusion of the inner wall of upper respiratory tract and fracture of the hyoid bone. The autopsy findings helped the forensic pathologist in reconstructing the sequence of events and the manner in which the act was carried out. This case highlights the possibility of the involvement of a single person only, in the homicide of a healthy adult male by the application of three different asphyxial methods. © 2015

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