Sion, India


Sion, India
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Dhoble S.V.,GMCH | Kukde H.G.,LTMMC and LTMGH | Dere R.C.,LTMMC and LTMGH | Buchade D.D.,MAMC
Journal of Indian Academy of Forensic Medicine | Year: 2016

Asphyxial deaths are the most difficult to be diagnosed on autopsy. A meticulous postmortem examination is required to know the cause and more efforts are needed to know the manner of death. Strangulation deaths are usually homicidal and should be confirmed only after ruling out other causes of death. Strangulation is difficult to execute in ordinary circumstances or until the victim is intoxicated and there is a clear intention of the assailant for committing homicide. One such case is being discussed in which clear intention of homicide is revealed after meticulous postmortem examination, though history given by relatives was different.

Devraj N.A.,Shri Bh Medical College | Kuralkar R.N.,LTMMC and LTMGH | Savardekar R.R.,LTMMC and LTMGH | Buchade D.,Maulana Azad Medical College
Medico-Legal Update | Year: 2015

Road traffic accidents are the major causes of death worldwide. The present study was carried out on 125victims of road traffic accidents and died due to various types of injuries on body. To find out patterns of injuries and cause of death of victims of road traffic accident, their age and sex distribution and site distribution of different types of injuries along with fractures and relevant data are noted down. The highest incidence was seen in age group 21-30yrs and males are commonest victim with male to female ratio 5.5:1. In the present study, most of the accidents and deaths irrespective of the cause occurred between 12.01 to 18.00 hours. The maximum numbers of victims were declared dead at hospital 82 cases (65.6%). The pedestrians were the commonest group of victims 65 (52%) and motorcycle the commonest offending vehicle 47 cases (37.6%). Haemorrhagic shock due to poly-trauma was the commonest cause of death 45 (36%), involving abdominal organ laceration 78 (62.4%) commonest and laceration to liver was most commonly observed 34 (27.2%). © 2015, World Informations Syndicate. All rights reserved.

PubMed | SMO, LTMMC and LTMGH, Professor and Senior Resident
Type: | Journal: Indian heart journal | Year: 2016

A 14-year-old male with a history of symptomatic tachycardia was referred for ablation. Sinus rhythm electrocardiogram was not showing any pre-excitation. Tachycardia episode was showing antidromic tachycardia with left bundle branch block morphology. Echocardiographic examination was showing Ebsteins anomaly with septal tricuspid leaflet displaced 24mm apically. The right bundle branch block (RBBB) was concealed during sinus rhythm. The RBBB was revealed with ablation of right posterior atriofascicular accessory pathway.

Pande A.,Biochemistry | Krishnamoorthy G.,Seth Gs Medical College | Moulick N.,LTMMC and LTMGH
International Journal of Food Sciences and Nutrition | Year: 2011

This study reports the glycemic as well as insulinemic response of seven types of Indian vegetarian mixed meals (MMs). Each of the seven MMs was given at weekly intervals to both normal and type 2 diabetic subjects on the same day to reduce variations in food preparations. In this Indian study, each MM consisted of five to six food items with a low glycemic index (GI) ranging from 28.98 to 46.12%, glycemic load ranging from 15.58 to 23.8 g and energy value (calculated) from each test meal ranging from 403 to 502 kcal. All the seven meals were found to have postprandial glycemic control in normal subjects which ranged from 86 to 102.4 mg%, and a good postprandial glycemic control in type 2 diabetic subjects which ranged from 132.8 to 148.4 mg%, and hence appropriate for routine consumption by diabetic subjects. The glycemic and insulinemic pattern of all these MMs was similar in normal and diabetic subjects. Sustained intake of such low GI MMs by diabetic can result in good glycemic control. © 2011 Informa UK, Ltd.

Pande A.,LTMMC and LTMGH | Krishnamoorthy G.,Seth Gs Medical College | Moulick N.D.,LTMMC
International Journal of Food Sciences and Nutrition | Year: 2012

This prospective study reports significant hypoglycaemic and hypolipidaemic effects in type 2 diabetic subjects who were provided the complete diet plan to be on low glycaemic index (GI) and low-medium glycaemic load (GL) Indian vegetarian snacks and mixed meals for 4 continuous weeks. Five millilitres of fasting blood sample drawn at weekly intervals for 4 weeks were analysed for blood glucose, HbA1c and lipid profile. Four weeks later mean blood glucose level of 173.6 mg% decreased to 137.8 mg%, HbA1c of 8% also decreased to 7.1% which reflected the blood glucose level during the study period and hence correlated well with the fall in blood glucose level. Triglyceride level of 244.5 mg% decreased to 164.7 mg% (p < 0.0001) and total cholesterol of 173.5 mg% decreased to 134.6 mg% (p < 0.0001). High-density lipoprotein cholesterol of 33 mg% increased to 39.8 mg% (p < 0.003), very low density lipoprotein (VLDL) cholesterol of 48.9 mg% decreased to 32.9 mg% (p < 0.0001) and low-density lipoprotein cholesterol of 90.1 mg% decreased to 64.3 (p < 0.009). This significant outcome can be improved further if compliance to low GI and low-to-medium GL diet is continued. This may achieve desired glycaemic control and that's limit oxidative stress. © 2011 Informa UK, Ltd.

Sundar U.,Medicine and In charge of Neurology Services | Shrivastava M.S.,LTMMC and LTMGH
Journal of Association of Physicians of India | Year: 2012

Introduction: There is paucity of data on acute disseminated encephalomyelitis (ADEM) in adults in India. Recent reports indicate that demyelinating disorders in the eastern hemisphere are quite distinct from conventional western type multiple sclerosis. Aims: This study aimed to study the clinical profile, laboratory and imaging parameters, in-hospital morbidity/ mortality and clinical and imaging predictors of in-hospital outcome in ADEM. Results: A total of 29 patients were studied, gender ratio being not significantly different. Prior infection was present in 55.1% patients. Motor deficits (68.9%), bowel bladder abnormalities (65.5%) and sensory deficits (24.1%) were the commonest presenting features. Encephalopathy was seen in 24.1% patients. 10.3% patients had seizures and meningism. A polysymptomatic presentation was seen in 79.3% patients. Pure spinal cord affection (41.3%) was the commonest MRI pattern followed by subcortical (31%) and periventricular white matter involvement (24.1%). A normal MRI was seen in 17.2% of patients. 63% patients showed raised Cerebrospinal fluid (CSF) protein. The commonest in-hospital morbidity was urinary tract infection (18.5%). At admission, 81.4% patients had modified Rankin's score (MRS) between 4 and 6. At 6 weeks post admission, 90.4% patients had MRS score between 0-3, i.e, a favourable MRS. Conclusion: This short term, in-hospital study of ADEM showed preponderance of polysymptomatic onset with motor deficits, commonest MRI pattern being pure spinal cord involvement. A good prognosis for short-term recovery at 6 weeks was noted, despite moderate to severe disability at admission. © Japi.

Palkar A.V.,L.T.M.M.C and L.T.M.G.H | Karnik N.D.,Seth Gsmc And Kem Hospital
Journal of Association of Physicians of India | Year: 2013

Objective: To screen indoor geriatric patients for deep venous thrombosis (DVT) risk, assess them for the presence of DVT with hand-held microdoppler (HHMD) and correlate DVT risk score with inpatient mortality. Methods: 111 patients (≥60 years) admitted for ≥72hours [51 patients from intensive care unit (ICU) and 60 patients from general medical wards(GMW)] over 15 months were included. Patients with suspected venous thromboembolic disease on admission were excluded. On admission, patients were screened with HHMD for the presence of DVT; those with evidence of lower limb DVT were excluded. DVT risk was stratified using the SMART Tool and patients classified into mild(1), moderate(2), high(3-4) and very high(≥5) risk groups. Patients were screened periodically clinically and with HHMD for DVT till discharge. The effect of thromboprophylaxis (heparin) on all-cause mortality was correlated. Levene's test for equality of variances and Pearson's Chi-square test were used for statistical analysis. Results: Mean risk score (SMART TOOL) in study group was 5.15. Among 111 patients, 75 (67.56%) had high to very high risk for DVT. Immobilization, sepsis, heart failure, and acute coronary syndrome were most common risk factors for DVT. Only 2.7% of indoor geriatric patients had clinical evidence of DVT while 13.5% had presumptive evidence of DVT as detected by HHMD. The mean risk score for DVT in expired patients was higher than in discharged patients (p=0.052). ICU patients receiving thromboprophylaxis had significantly lower mortality (9.5%) compared to those who did not (50%). (p=0.004). Patients with presumptive evidence of DVT on HHMD had significantly higher mortality (53.33 percent) compared to those without evidence of DVT (15.62 percent); p<0.05. Conclusions: Indoor geriatric patients constitute high risk group for DVT. There could be an increased risk of mortality in patients with presumptive evidence of DVT on HHMD. © JAPI.

Tidake A.,LTMMC and LTMGH | Gangurde P.,LTMMC and LTMGH | Mahajan A.,LTMMC and LTMGH
Journal of Clinical and Diagnostic Research | Year: 2015

Left ventricular to right atrial communications (the Gerbode defect) are rare types of ventricular septal defect and present as direct or an indirect type. We hereby, report two cases, one direct and another indirect type. Cardiopulmonary bypass surgery was done and a successful suture closure of ventricularseptal defect using pericardial patch was performed. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved.

PubMed | LTMMC and LTMGH
Type: Case Reports | Journal: Annals of cardiac anaesthesia | Year: 2016

Patent ductus arteriosus (PDA) is an extracardiac left to right shunt. It should be corrected at an early age, but some patients may survive into adult life even without repair. Anesthetic management for adult patients with PDA poses many challenges for the anesthesiologist due to alterations in the cardiopulmonary physiology. We report successful anesthesia management of a case of an adult patient of PDA with moderate pulmonary artery hypertension with infective endarteritis (two large mobile vegetations at the pulmonary end of the duct).

PubMed | L.T.M.M.C and L.T.M.G.H.
Type: Journal Article | Journal: Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India | Year: 2012

Virtual bronchoscopy is one of the many new radiological scanning techniques that have been recently introduced. Virtual endoscopy, according to Ahlquist (Ahlquist and Johnson CD, Gastroenterology, 112, 1997, 2150) is a technique for visualizing interior cavities using computer graphic techniques. Virtual bronchoscopy generates 3D reconstructions of the human airway from high-resolution CT data sets of the chest and performs a simulated bronchoscopy. This method uses perspective surface or volume rendering to produce endoscope-like visualizations of the airway. Our early experience with this new investigative modality in cases of laryngeal and subglottic stenosis and intratracheal tumors is discussed.

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