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Chandrakant V.A.,Navodaya Medical College and Hospital
Indian Journal of Forensic Medicine and Toxicology | Year: 2016

There has been a steady rise in the casualties of road accidents in our country. The pattern of injury sustained by the road users may vary from region to region. The present study was carried out in a tertiary care center of North Karnataka region with an aim to study the pattern and distribution of injuries due to road traffic accidents in this region. The study revealed that males were more vulnerable than females, highest incidence was among the occupants of two wheeler, abrasions were common type of injury and lower limbs injuries were common. © 2015, Indian Journal of Forensic Medicine and Toxicology. All rights reserved.


Hemanth Kumar R.G.,Navodaya Medical College and Hospital | Manjunatha B.,JSS University | Balaraja B.M.,JSS University | Chandrakanth H.V.,JSS University
Indian Journal of Forensic Medicine and Toxicology | Year: 2015

Age determination at death by skeletal remains is a difficult problem. Determination of age by morphological changes in pubic symphysis is the best indicator for age beyond 25 years. The present study used three morphological indicators of McKern and Stewart’s method, viz: dorsal plateau, ventral rampart and symphyseal rim. Samples were draw from 32 male individuals. The results were compared with the McKern and Stewart’s study. The similariets and differences among the study were discussed. © 2015, Indian Journal of Forensic Medicine and Toxicology. All rights reserved.


Sagarad S.V.,Navodaya Medical College and Hospital | Biradar-Kerure S.,Navodaya Medical College and Hospital | Ramakrishna M.R.,Navodaya Medical College and Hospital | Chaitanya Kumar S.,Navodaya Medical College and Hospital | Reddy S.S.,Navodaya Medical College and Hospital
Journal of Clinical and Diagnostic Research | Year: 2013

Objective: The primary objective of this study was to assess the use of moxonidine, a centrally acting anti-hypertensive agent in real world practice. Material and Methods: Patients who attended out-patients clinic with diagnosis of hypertension were enrolled in the study. Demographics with co-morbid illnesses of all patients were recorded. Patient's prescriptions were recorded and anti-hypertensive medications were also analysed. Results: A total of 990 patients were eligible during the study period. Moxonidine was used in 4.54% of patients. Two groups could be identified in moxonidine users - one Group with resistant hypertension (30 patients, 3.03% of total, 66.66% of moxonidine users) on multiple drugs to control BP and another Group with intolerance to conventional, first line drugs (15 patients 1.51% of total, 33.33% of moxonidine users). Moxonidine was not used in newly diagnosed hypertension cases. Resistant hypertension and renal failure predicted the use of moxonidine. Majority of drug used was as per current guidelines. Conclusions: Our study results reflected real world practice of current anti-hypertensive therapy. Patients generally receive medications in accordance with current recommendations and guidelines. Small but significant proportion of patients may require use of drugs like moxonidine to control high BP. Guidelines need to incorporate these real world practices.


Sagarad S.V.,Navodaya Medical College and Hospital | Kerure S.B.,Navodaya Medical College and Hospital | Chaitanya Kumar S.,Navodaya Medical College and Hospital | Ramakrishna M.R.,Navodaya Medical College and Hospital
Journal of Clinical and Diagnostic Research | Year: 2013

Objective: The primary objective of this study was to evaluate the antihypertensive efficacy of the chlorthalidone and telmisartan combination in Indian hypertensive patients who remained uncontrolled after taking the hydrochlorothiazide and telmisartan combination. Methods: A total of 100 eligible patients were enrolled in this prospective, open label study. The patients were given telmisartan (40 mg) and chlorthalidone (12.5 mg), who had not achieved the target blood pressure (140/90 mmHg) despite taking the combination of telmisartan (40 mg) and hydrochlorothiazide (12.5 mg). The assessment was done at the end of 4 weeks and 8 weeks. Results: The mean SBP and DBP after taking telmisartan (40 mg) and hydrochlorothiazide (12.5 mg) were 154.88±9.57 (range 144 to 160) mmHg and 99.37±2.78 (range 92 to 106). At the end of 4 weeks of being on telmisartan (40 mg) and chlorthalidone (12.5 mg), the mean SBP and DBP were 145.56±5.12 (range 134 to 158) mmHg and 95.14±4.27 (range 84 to 100) mmHg. Significant falls in the SBP (5.32±2.64) and DBP (4.18±2.48) were noted at the end of the 4 week therapy. They were sustained at the end of 8 weeks also. The SBP target (<140 mmHg) was achieved in 24% patients. The DBP target (<90 mmHg) was achieved in 19% patients. The combined SBP and DBP target (<140/90 mmHg) was achieved in 15% patients. No significant clinical adverse events were reported. Similar falls in the SBP and DBP were noted in the subgroups (smokers, females, diabetics, etc). Conclusions: The hypertensive patients who do not achieve the target blood pressures on telmisartan and hydrochlorothiazide can be switched on to the telmisartan and chlorthalidone combination. This combination is effective and well tolerated.

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