NDMVPS Medical College

Nashik, India

NDMVPS Medical College

Nashik, India
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Mumbare S.S.,NDMVPS Medical College | Maindarkar G.,Government Medical College | Darade R.,Government Medical College | Yengl S.,Civil Hospital | And 2 more authors.
Indian Pediatrics | Year: 2012

Objective: To study maternal risk factors associated with full term low birth weight (LBW) neonates. Design: Matched pair case control study. Setting: Multicenter study including 2 medical colleges and 1 civil hospital, between July 2009 to December 2009. Patients: Of 2382 neonates screened, 274 full term LBW babies (of 638) and 274 pair matched controls (of 1744) were included in the study. 364 LBW babies were excluded because of premature delivery/gestational age not known (314), unavailability of suitable matched controls (18), and insufficient data (32). Methods: Maternal factors including birth spacing, height, pre-delivery weight and pregnancy weight gain, age, parity, educational and economic status, type of family, antenatal care (ANC), maternal exposure to tobacco, hypertension and anemia were studied. Results: Birth spacing <36 months, maternal height ?145 cm, pre-delivery weight ?55 kg, pregnancy weight gain ?6 kg, exposure to tobacco, inadequate antenatal care, maternal hypertension, low socio-economic status, maternal anemia and less maternal education were associated with delivery of a low birth weight infants. Conditional logistic regression analysis showed that significant risk factors associated with low birth weight were inadequate ANC (OR-4.98, 95% CI-2.64 to 9.39), maternal weight before delivery ≤55 kg (OR-4.81, 95% CI-2.53 to 9.15) and height ≤145 cm (OR-4.13, 95% CI- 2.04 to 8.37). Conclusion: Maternal malnutrition, inadequate antenatal care and poor weight gain during pregnancy are significant predictors for delivery of a low birth weight neonate.


Giri R.R.,NDMVPS Medical College | Giri K.R.,Jn Medical College | Patel S.S.,Jn Medical College | Palandurkar K.M.,GAIMS Medical college
Research Journal of Pharmaceutical, Biological and Chemical Sciences | Year: 2012

A study was undertaken to evaluate the effect of ethanolic extract of Terminalia arjuna Linn (AT) on the healing process of experimentally fractured tibia of rats. AT treated animals' revealed faster initiation of healing process than the control animals on radiological examination. Healing was almost complete within 4 weeks of fracture in the treated animals & remained incomplete in the control animals.


Mumbare S.S.,NDMVPS Medical College | Rege R.,NDMVPS Medical College
Indian Journal of Community Medicine | Year: 2011

Background: Utilization of Ante natal care (ANC) services is poor in the tribal areas, causing increased maternal morbidity and mortality. Objective: This study was carried out to find out ANC services utilization, delivery practices and factors affecting them in a tribal area of North Maharashtra in Nashik district. Design: Cross-sectional study. Materials and Methods: The study was carried out in two tribal blocks of Nashik district. Cluster sampling technique was used. 210 mothers in the selected clusters, who had delivered within last 1 year, were interviewed. Information about the ANC services utilization and place of delivery was recorded. Relevant socio-demographic data were also collected. Results: Adequate ANC services utilization was found to be 64.76%. Home deliveries were 34.29% and home deliveries conducted by untrained persons were 15.24%. Conclusion: The utilization of ANC services and deliveries at health centers were significantly associated with education of the women and their spouses, and the socioeconomic status of the family. Main reasons for inadequate utilization of ANC services were financial, unawareness about ANC services, etc. Place of delivery was associated with the type of the family. Traditional practices were the most common reason for conducting the deliveries at home.


Chavan S.,NDMVPS Medical College | Mumbare S.,NDMVPS Medical College | Mane M.,NDMVPS Medical College
Biomedical Research | Year: 2010

The Objectives were to compare the mean period of analgesia for intrathecal Midazolam 0.5 ml plus bupivacaine and bupivacaine alone and to monitor the side effects of intrathecal Midazolam (0.5 ml) plus bupivacaine and bupivacaine alone. A comparative study was carried out to evaluate the analgesic efficacy and side effects of intrathecal Midazolam along with 0.5% Bupivacaine in 80 ASA I and II patients, aged 16 - 60 years, undergoing surgeries below umbilicus, elective as well as emergency. They were randomly divided into two groups of 40 each (n=40). Group I (control): received Bupivacaine 0.5% heavy 3 ml + NS 0.5 ml and Group II (study): received Bupivacaine 0.5% heavy 3 ml + Midazolam 0.5 ml. All patients were haemodynamically stable and there were no serious side effects in any of the patients in both the groups. The mean duration of sensory analgesia in group I and II was 76.30 ± 6.05 minutes and 299.25 ± 15.75 minutes respectively. The difference in the mean duration of sensory analgesia in both the groups was statistically significant. (P < 0.01).


PubMed | NDMVPS Medical College
Type: Journal Article | Journal: Journal of dermatological case reports | Year: 2011

We report a retrospective case-control study to investigate whether the rotundiform variant of pityriasis versicolor (PV) is significantly associated with the first episodes of PV. Our setting was a dermatology clinic run by a consultant dermatologist. We retrieved medical records of all patients with PV between April 1, 2002 and March 31, 2005. We identified patients with lesions forming closed round circles. We excluded patients with uncertain diagnosis or diagnosis not substantiated by Woods light examination or skin scrapings for potassium hydroxide examination. For each patient, we retrieved the medical record of the next patient of the same sex and similar age ( three years) with documented non-rotundiform PV and diagnosis substantiated by investigations as the control subject.80 patients were diagnosed as having PV during the record retrieval period. 18 had clinical descriptions or clinical photographs documenting rotundiform PV. Five were excluded owing to uncertain diagnosis, unclear clinical descriptions, or diagnoses unsubstantiated by examination under Woods light or skin scrapings for potassium hydroxide examination. 13 had definite diagnosis of rotundiform PV. Ten agreed to attend clinic. The response rate was 76.9%. Ten age-and-sex pair-matched control subjects with non-rotundiform PV were recruited. Nine patients with rotundiform PV and two controls with non-rotundiform PV had their episode of PV representing their first episode of PV (p = 0.01; OR = 36.0, 95% CI: 2.2 - 866.9). We conclude that rotundiform PV is significantly associated with the first episode of PV. This phenomenon might be analogous to the herald patch being the primary lesion in pityriasis rosea.


PubMed | NDMVPS Medical College
Type: Journal Article | Journal: Indian pediatrics | Year: 2012

To study maternal risk factors associated with full term low birth weight (LBW) neonates.Matched pair case control study.Multicenter study including 2 medical colleges and 1 civil hospital, between July 2009 to December 2009.Of 2382 neonates screened, 274 full term LBW babies (of 638) and 274 pair matched controls (of 1744) were included in the study. 364 LBW babies were excluded because of premature delivery/gestational age not known (314), unavailability of suitable matched controls (18), and insufficient data (32).Maternal factors including birth spacing, height, pre-delivery weight and pregnancy weight gain, age, parity, educational and economic status, type of family, antenatal care (ANC), maternal exposure to tobacco, hypertension and anemia were studied.Birth spacing <36 months, maternal height 145 cm, pre-delivery weight 55 kg, pregnancy weight gain <6 kg, exposure to tobacco, inadequate antenatal care, maternal hypertension, low socio-economic status, maternal anemia and less maternal education were associated with delivery of a low birth weight infants. Conditional logistic regression analysis showed that significant risk factors associated with low birth weight were inadequate ANC (OR-4.98, 95% CI-2.64 to 9.39), maternal weight before delivery 55 kg (OR-4.81, 95% CI-2.53 to 9.15) and height 145 cm (OR-4.13, 95% CI-2.04 to 8.37).Maternal malnutrition, inadequate antenatal care and poor weight gain during pregnancy are significant predictors for delivery of a low birth weight neonate.


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

A comparative study was carried out to evaluate the analgesic efficacy and side effects of addition of fentanyl to local anesthetic undergoing surgeries on forearm and elbow. All patients were hemodynamically stable, and there were no serious side effects in any of the patients in both the groups. The difference in the mean duration of analgesia between the groups was statistically significant (P<0.01). So we can conclude- Addition of Fentanyl to local anaesthetic in brachial plexus block increases duration of analgesia.Patients were randomly divided into two groups: group I (control) and group II (study). All the patients were subjected to brachial plexus block with supraclavicular approach. After obtaining paraesthesia, drugs were administered as follows: Group I (control): bupivacaine 0.5% 20 mL + lignocaine 2% 10 mL + NS 1 mL Group II (study): bupivacaine 0.5% 20 mL + lignocaine 2% 10 mL + fentanyl 1 mL (50 microgm). Observations were noted. All the relevant information was recorded on a pretested, predefined, semi-open pro forma sheet. Regular monitoring of PR, BP and RR, side effects,degree of sedation were recorded. Evaluation of pain and pain relief was done according to McGill pain questionnaire (0- no pain to 5- excruciating pain). When patients complained of discomforting pain (McGill grade II), parenteral analgesic was prescribed, and the total number of doses in the 24-hour period was noted.The duration of analgesia in group II (study) was significantly longer (69585 min) than those in group I (41578 min). However, onset time of analgesia was prolonged in group 2. We conclude that the addition of fentanyl to local anesthetics causes an improved success rate of sensory blockade but a delayed onset of analgesia, although this may be accounted for by the decreased pH caused by fentanyl. There was no statistically significant difference in the incidence of side effects between the two groups.This study has shown that the mean duration of analgesia is extended if fentanyl is added to local anesthetics, without increasing the side effects.

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