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Sudarshan M.K.,Kempegowda Institute of Medical science
Indian journal of public health | Year: 2010

A survey of 23 infectious diseases (ID) hospitals/ID wards of general hospitals was done during 2008-09 to assess the facilities for and management of rabies patients. All were Government hospitals and 0.5% of total beds was earmarked for rabies cases. The hospitals were mostly run by medical colleges (47.8%) and ID hospitals (30.4%) and located outside city limits (52.2%). The patients were admitted to 'rooms (39.1%)' and 'wards (43.5%)'. The general conditions of rabies sections i.e. sanitation and linen (65%), space and toilet (52% and 56%) and bed (47.8%) require improvements. There is a need to improve staff availability, use of personal protective wears, preventive vaccination of care providers and medicinal supplies. It is recommended to encourage hospitalization of human rabies cases to ensure a 'painless and dignified death' and this must be considered as a 'human rights' issue. Source

Ramesh Masthi N.R.,Kempegowda Institute of Medical science
Indian journal of public health | Year: 2012

Domestic accidents are worldwide health problems. A cross-sectional study was conducted in the rural field practice area of Kempegowda Institute of Medical Sciences, Bangalore. A total of 5419 individuals were selected from 30 clusters (villages) using cluster sampling technique. Of the 5419 study population, 50.9% (2748) were males and the rest were females. The prevalence of domestic accidents in the rural community was found to be 9.6% (522 individuals who had sustained domestic accidents), was found to be more in females compared with males, which was statistically significant with P-value =0.0077 (Z value =9.09). Falls 43% (225) was the most common type of domestic accidents. The most common place of occurrence of domestic accidents was 46% (243) kitchen, most frequent site of injures in domestic accidents was upper limbs. Source

Background: Chronic obstructive pulmonary disease (COPD) is a major cause of mortality and morbidity. It is the fourth leading cause of death worldwide. Acute exacerbations of COPD are common and are associated with worsening lung function and mortality. Objectives: To evaluate the prevalence of elevation of cTnI in patients admitted with acute exacerbation of COPD and to study its association with the need for ventilator support, duration of hospital stay, and in-hospital mortality. Methods: In a prospective design, 50 patients admitted to our hospital with acute exacerbation of COPD were included. cTnI was assayed in a blood sample obtained at admission and 24 h later. Levels above 0.017 μg/L were taken as positive. The following data were also recorded-demographic data, pattern of tobacco use, clinical symptoms and signs, comorbidities, Glasgow Coma Scale, arterial blood gas, electrocardiogram/two-dimensional echocardiography, chest X-ray, and peak expiratory flow rate. Results: Among the 50 patients, 4 were females, and 46 were males. cTnI was positive in 32% of patients with a mean value of 0.272. Patients with cTnI positive were taken as Group I and those with negative were included in Group II. Prevalence of comorbidities was higher in cTnI positive group, so was the duration of COPD. cTnI elevation correlated significantly with the need for ICU admission and ventilator support. No significant difference was found in the duration of ventilator support, hospital stay, and in-hospital mortality. Conclusion: cTnI is elevated in a significant subset of patients with acute exacerbation of COPD. Duration of their illness was longer, higher incidence of ischemic heart disease was also found in these patients. Patients with cTnI elevation are more likely to require ICU care and ventilator support. However, it did not predict in-hospital mortality. Thus, it can be used as a marker to identify high-risk patients during acute exacerbation of COPD. © 2016 Indian Chest Society. Source

Shruthi P.,Kempegowda Institute of Medical science
Journal of Indian Academy of Forensic Medicine | Year: 2013

Road traffic accident (RTA), a cause of unnatural death is the third major preventable one amongst all deaths. Road deaths in India are publicly glaring, while road safety is professionally lacking and politically missing. A retrospective observational study was conducted in the Department of Forensic Medicine and Toxicology, Kempegowda Institute of Medical Sciences, Bangalore between January 2010 to December 2012, with an objective to study the demographic, injury profile and mortality pattern in autopsy cases with an alleged history of RTA and to draw public attention and awareness in order to prevent/control RTA. Out of 225 autopsied RTA victims, 55.11% victims were between 21-30 years of age, males constituted 78.22% of the total victims, and four wheeler vehicles were involved in 68.44% RTAs. Maximum RTAs occurred during the daytime, between 6 AM to 12 PM. Head injures constituted 30.22% of the total injuries, followed by injuries involving abdomen, thorax and limb. Haemorrhagic shock caused 63.11% of deaths, while head injury caused death in 30.22% of cases. This study emphasizes that interventions in RTA should include combined efforts from the community, public and private sector, governmental and non- governmental organizations. Source

Kulesza M.,University of Washington | Raguram R.,Kempegowda Institute of Medical science | Rao D.,University of Washington
Asian Journal of Psychiatry | Year: 2014

Background: Few studies exist on the topic of gender associated with depression and mental health-related stigma coming out of non-Western countries such as India. We aimed to add to the literature by assessing these relationships among adults seeking psychiatric services in India. Methods: Participants were 60 individuals seeking care at a psychiatric clinic in Bangalore, India. The majority of participants were female with a mean age of 36 years (SD= 9.75). Results: Contrary to our prediction, there were no significant differences between men (M= 28.96; SD= 9.85) and women (M= 33.03; SD= 12.08) on depression severity, t(58). = 1.42, p= .16. Yet, women (M= 10.09, SD= 8.23) reported significantly more perceived stigma than men (M= 5.79, SD= 5.86), t(58). = 2.30, p= .02. Conclusion: While men and women seeking psychiatric services at the psychiatric clinic in India report similar levels of depression severity, women reported more perceived mental illness stigma. Having experienced regular forms of discrimination associated with female status in India, it may be the case that women are more attuned to other forms of stigma, such as mental health stigma investigated in the present study. Given the detrimental impact of stigma on treatment adherence and engagement in care, additional research is needed support this work, including research on interventions to reduce stigma and improve engagement in care. © 2014 Elsevier B.V. Source

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