KVG Medical College and Hospital

Sullia, India

KVG Medical College and Hospital

Sullia, India
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Ponnappa B.G.,KVG Medical College and Hospital
Journal International Medical Sciences Academy | Year: 2014

Men's health is a neglected topic. I have presented here the various aspects like alcoholism, smoking, certain diseases and conditions unique to men, the impact of relationship issues on men's health and also the expectations of the society from men and its impact on men's health. I have also made an attempt to suggest a few solutions for the overall improvement of men's health.

Dispenza F.,U.O. Otorinolaringoiatria | Kulamarva G.,KVG Medical College and Hospital | De Stefano A.,University of Chieti Pescara
American Journal of Otolaryngology - Head and Neck Medicine and Surgery | Year: 2012

Objective: The prevalence of benign paroxysmal positional vertigo (BPPV) is becoming more frequent in elderly population. The presence of comorbid factors has to be considered before assessment as well as before commencing any repositioning treatment. Our aims were evaluation of the maneuvers efficacy and evaluation of the applicability of hybrid maneuver (HM) in patients with physical limitation. Study design and setting: This is a randomized study in 2 tertiary referral centers. Intervention: This is a therapeutic intervention. Patients: All consecutive patients with diagnosis of BPPV of posterior canal matching the inclusion criteria were enrolled. Patients underwent treatment soon after the initial diagnosis in all cases with a repositioning maneuver. The maneuver was casually selected among Semont, Epley, and hybrid. Patients were divided into 3 groups according to the maneuver adopted. Results: Eighty-eight patients with posterior canal BPPV were enrolled for treatment. Fisher exact test showed that no statistical differences exist between HM and other maneuvers in terms of efficacy. Latency of repositioning nystagmus appeared longer in HM in comparison with other maneuvers (P <.05). Efficacy of maneuvers used for BPPV decreases in case of cupulolithiasis (P <.0001). We found no relationship between age, sex, and length of disturbance on response to maneuvers. Conclusions: All maneuvers evaluated demonstrated similar efficacy. The HM, as our data showed, allows us to obtain a good percentage of success similar to most maneuvers used. It is also more comfortable for the patients with hip or neck functional limitation allowing an effective treatment of the posterior canal BPPV. © 2012 Elsevier Inc.

Ravikiran S.R.,KVG Medical College and Hospital | Kumar P.M.J.,KVG Medical College | Meundi A.D.,KVG Medical College
Indian Journal of Pediatrics | Year: 2011

Objective: To determine if acute pain response after administration of the BCG vaccine and the Hepatitis-B vaccine is affected by the order in which they are given. Methods: This Single-center randomized clinical trial was conducted in the Vaccination room in the Pediatrics Outpatient Department at KVG Medical College; Karnataka, India. 76 healthy term neonates undergoing routine immunization were included in this study. Newborns received either BCG vaccine or the Hepatitis-B vaccine first, followed by the other vaccine. The primary outcome was neonatal pain during vaccine injection as assessed by a validated measure, the Neonatal Infant Pain Scale (NIPS), scored by resident doctors blinded to the study purpose and hypothesis. In addition, a nurse rated pain using a 10-cm visual analog scale(VAS). Results: A total of 76 infants participated: 38 received the BCG vaccine first and 38 received the Hepatitis-B vaccine first. Demographic characteristics did not differ between the groups. Overall mean (SD) pain scores per neonate were significantly lower when BCG was administered first compared to the order when Hepatitis-B vaccine was administered first (for NIPS 5.55 [0.54] vs. 5.84 [0.29], P=.005; for VAS, 6.25 [0.80] vs. 6.58 [0.54], P=.04). When given first, the BCG vaccine caused significantly less pain (P<.001)than the Hepatitis-B, as assessed by the NIPS and VAS (P<.001). Conclusions: Pain was reduced when the BCG vaccine was administered before the Hepatitis-B in neonates undergoing routine vaccination. The authors recommend that the order of vaccine injections be the BCG vaccine followed by Hepatitis-B. © 2010 Dr. K C Chaudhuri Foundation.

Alva S.,KVG Medical College and Hospital | Damodar D.,KVG Medical College and Hospital | D'Souza A.,Blood Bank | D'Souza U.J.A.,KVG Medical College and Hospital
Indian Journal of Pharmacology | Year: 2012

Aim: To evaluate the pathogenesis in heart and liver by the early induction of biochemical and antioxidant derangements in rats exposed to endosulfan. Materials and Methods: Wistar rats were gavaged with endosulfan (0.5, 1 and 1.5 mg/kg body weight in sunflower oil) for a period of 21 days (single dose at 24 h interval). Control and sunflower oil control groups were also maintained simultaneously. Rats were sacrificed on the 22 nd day posttreatment. Blood samples, heart and liver were collected and different biochemical parameters such as total protein, cholesterol, triglycerides, amino acids and antioxidant and lipid peroxidation level were measured. Statistical analysis was carried out by one way ANOVA, followed by Bonferroni' post-hoc test. Results: Endosulfan induced a significant increase in the serum levels of total protein, amino acids, triglyceride, total cholesterol, free fatty acid and phospholipid levels in a dose-dependent manner. In the heart and liver, lipid peroxidation was increased significantly in a dose-dependent manner and the antioxidant levels such as superoxide dismutase (SOD), glutathione S-transferase, glutathione peroxidase, and catalase were significantly decreased in a dose-dependent pattern. Conclusion: Exposure to endosulfan results in a significant derangement in the biochemical parameters with a decrease in antioxidant levels in the heart and liver. This is an early indication of pathogenesis in the vital organs of rats.

Ravikiran S.R.,KVG Medical College and Hospital | Jagadeesh Kumar P.M.,KVG Medical College and Hospital | Latha K.S.,Manipal University India
Indian Pediatrics | Year: 2011

We assessed 513 children (2-6 y = 252; 7-12 y = 261) who visited the pediatric outpatient of a rural medical college hospital, for sleep problems using 'BEARS' tool. Sleep problems detected in the BEARS domains for preschool (2-6 years, n=252) and school children (7-12 years, n=261) were as follows: bedtime problems (33.3% vs 14.9%, P<0.001), excessive daytime sleepiness (32.5% vs 1.9%, P<0.001), awakening during night (25% vs 11.87%, P<0.001), regularity and duration of sleep (19.84% vs 4.98%, P<0.001), and sleep disordered breathing (4.8% vs 5%, P=0.1). We conclude that sleep problems are common among rural Indian children and should be routinely screened for during health visits. © 2011 Indian Academy of Pediatrics.

Naik S.M.,KVG Medical College and Hospital | Naik S.S.,KVG Medical College and Hospital
Clinical Rhinology | Year: 2011

Background/Objectives: Plaster of Paris (POP), thermoplastic splints and self-adhesive padded aluminium splints are the most common splinting methods used after reduction of fractured nasal bones and rhinoplasty. All these methods have their proponents but may have one or more disadvantages in the way of being cumbersome, time-consuming, bulky, conspicuous and expensive. Design: A retrospective study at KVG Medical College and Hospital, department of ENT and head and neck surgery. Intervention: 94 cases of splinting done for nasal bone fractures and rhinoplasties were included in our study. POP and adhesive aluminium splints were used to stabilize the nasal framework. Results: Eleven cases of nondislocated nasal fractures and 10 cases of internal augmentation rhinoplasties were stabilized by aluminium nasal splints. 69 cases of displaced nasal fractures and 4 cases of external rhinoplasties were stabilized by POP splints. Conclusions: POP splints give the best stabilization for nasal bone fractures as well as for rhinoplasties but are bulky and conspicuous. Aluminium nasal splints are not bulky and conspicuous but cannot be used for fractures with lacerations and external rhinoplasties.

Dhabadi B.B.,KVG Medical College and Hospital | Athavale A.,KVG Medical College and Hospital | Meundi A.,KVG Medical College and Hospital | Rekha R.,KVG Medical College and Hospital | And 3 more authors.
International Journal of Tuberculosis and Lung Disease | Year: 2012

OBJECTIVES: 1) To estimate the prevalence of asthma among secondary school children in a rural area in Karnataka, South India, and 2) to identify risk factors associated with asthma among asthma patients. MATERIALS AND METHODS: A cross-sectional study was undertaken among 588 secondary school children in a rural area in South India. A locally adapted version of the questionnaire used in an asthma prevalence study in Iowa, USA, was administered. RESULTS: The prevalence of asthma in the study group was 4.9%. In a multivariate model, significant association was found with sex (male predominance) and exposure to dust in the house. Place of residence, farm dwelling, household pets (cats or dogs), smokers in the family, type of cooking fuel used and the use of firewood without chimneys did not show any significant association. CONCLUSION: In the present study, the prevalence of questionnaire-diagnosed asthma in the study group was 4.9%. Of the total number of schoolchildren with asthma, 17 (58.6%) were detected who had not been diagnosed previously. One third of the children with asthma had visited emergency departments in the last 12 months, indicative of poor asthma control. Another third suffered limitation of activity at home and or at school, which could indicate poor quality of life. © 2012 The Union.

PubMed | KVG Medical College and Hospital
Type: Journal Article | Journal: Oman medical journal | Year: 2015

Postoperative nausea and vomiting (PONV) is the most common complication seen following laparoscopic surgery. Our study sought to evaluate the efficacy of the newer drug palonosetron with that of ondansetron, in combination with dexamethasone, for PONV in patients undergoing laparoscopic hysterectomies..A total of 90 patients, aged between 30-50 years old, posted for elective laparoscopic hysterectomies under general anesthesia belonging to the American Society of Anesthesiologist (ASA) physical status I and II were included in the study. Patients were randomly divided into one of two groups (n=45). Before induction, patients in the first group (group I) received 0.075mg palonosetron with 8mg dexamethasone and patients in the second group (group II) received 4mg ondansetron with 8mg dexamethasone. Postoperatively, any incidences of early or delayed vomiting, requirement of rescue antiemetic, and side effects were recorded. Patients hemodynamics were also monitored. Statistical analysis was done using Students t-test, chi-square test, and Fishers exact test..Preoperative, intraoperative, and postoperative heart rate, mean arterial pressure, peripheral capillary oxygen saturation were statistically not significant (p>0.050) in either group. In group II, eight patients had nausea in the first two hours and three patients had nausea in the two to six-hour postoperative period. In group I, three patients experienced nausea in the first six hours period. Eight patients in group II had vomited in the first two-hour period compared to one patient in group I (p=0.013). The requirement of rescue antiemetic was greater in group II than group I (20% vs. 4%). No side effects of antiemetic use were observed in either group..The combination of palonosetron with dexamethasone is more effective in treating early, delayed, and long term PONV compared to ondansetron with dexamethasone in patients undergoing elective laparoscopic hysterectomies under general anesthesia.

PubMed | KVG Medical College and Hospital and Sharavathi Dental College
Type: Journal Article | Journal: Anesthesia, essays and researches | Year: 2015

We evaluated the effect of adding dexmedetomidine to lidocaine and bupivacaine for peribulbar block in two different doses. The primary endpoints were the onset and duration of corneal anesthesia, globe akinesia, and duration of analgesia.A randomized controlled clinical trial was conducted on 90 ASA I-II patients scheduled for elective cataract surgery under peribulbar anesthesia. Patients were randomly allocated to one of three groups of 30 each; group C (control) received 3 ml of 2% lidocaine with 3 ml of 0.5% bupivacaine; group D50 received 3 ml of 2% lidocaine with 3 ml of 0.5% bupivacaine and 50 ug of dexmedetomidine; and group D25 received 3 ml of 2% lidocaine with 3 ml of 0.5% bupivacaine and 25 g of dexmedetomidine.The onset of corneal anesthesia and globe akinesia was significantly shorter in group D50 (P < 0.001) as compared to group C; however, in Group D25 onset of corneal anesthesia was significantly faster, but not onset of globe akinesia (P = 0.45). The duration of corneal anesthesia and globe akinesia was significantly longer (P < 0.001) in both Group D50 and Group D25 in comparison to Group C. Decrease in IOP was observed in both group D50 and group D25 at 5 minutes and 10 minutes following peribulbar block which was significant (P < 0.05) compared to group C.Addition of dexmedetomidine to lidocaine and bupivacaine in peribulbar block shortens the onset time and prolongs the duration of the block and postoperative analgesia. It also provides sedation which enables full cooperation and potentially better operating conditions.

PubMed | KVG Medical College and Hospital
Type: Journal Article | Journal: Anesthesia, essays and researches | Year: 2015

Situs inversus totalis is an uncommon congenital positional anomaly in which orientation of all asymmetric organs in the body are mirror image of normal morphology. The condition if undetected may pose a diagnostic problem of abdominal pathology. We present a case of situs inversus totalis with acute appendicitis in adult female who was previously unaware of her situs anomaly. A 35-year-old adult female presented with history of acute pain abdomen in left iliac region; clinically, she was diagnosed to be acute diverticulitis. Further investigation with abdominal computerized tomography (CT) and ultrasound imaging confirmed situs inversus with acute appendicitis. Patient underwent emergency laparoscopic appendectomy under general anesthesia; intraoperative electrocardiogram (ECG) monitoring was done with reverse lead placement.

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