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Raje M.G.,NKP Salve Institute of Medical Science
Journal of Indian Academy of Forensic Medicine | Year: 2011

Tendency to commit serious & trivial errors while certifying death still looms large. So some one may say, there is only one certificate in the world which is full of errors and that is death certificate! This study is done to evaluate errors in medical & non-medical part and to assess causes of errors of COD. Total 353 death certificates from teaching hospital were evaluated to detect different errors. Causes of errors of COD were scrutinized & confirmed after examining COD statements extensively. 21% death certificates were incompletely written. 99% certificates were incorrectly written. P value of correct & complete certificates with that of incorrect & incomplete certificates was found insignificant. Commonest error was use of 'with' instead of 'due to' & mention of 'MOD' at I a. Causes of these errors (99%) were Lack of training & diagnostic difficulty. Several errors were found in non-medical part which highlight 'routine attitude' of certifier. To change this scenario team work is needed. Team of doctors need to certify & supervise death certificates closely. Possibility of legal action against often erring certifying doctor may be appraised publically.

Madke B.,Seth GS Medical College | Doshi B.,Seth GS Medical College | Pande S.,Seth GS Medical College | Pande S.,NKP Salve Institute of Medical Science | Khopkar U.,Seth GS Medical College
Indian Journal of Dermatology, Venereology and Leprology | Year: 2011

For a better understanding of various dermatoses, it is imperative for any physician practising dermatology to have a good theoretical knowledge of the underlying pathophysiologic processes involved in various systemic diseases involving the skin. For an easy grasp over this topic, we have discussed the various phenomena under three broad categories, like (a) clinical - Meyerson, Meirowsky, pathergy, Renbok, (b) laboratory - LE cell, prozone and (c) histopathology - Splendore-Hoeppli.

Joshi S.,NKP Salve Institute of Medical Science | Khandwe R.,Janardan Swami Yogabhyasi Mandal | Bapat D.,Janardan Swami Yogabhyasi Mandal | Deshmukh U.,Janardan Swami Yogabhyasi Mandal
Menopause International | Year: 2011

Objectives. To observe the effect of yoga on menopausal symptoms using a prospective, randomized, controlled and interventional study. Main outcome measures. Total Menopause Rating Scale (MRS) score and three subscale scores (somatovegetative, psychological and urogenital) were measured on day 1 and day 90 in the study group which performed yoga (asana, pranayam and meditation) under supervision for three months, and were compared with the control group that did not perform yoga. MRS has been designed to measure health-related quality of life of ageing women. It consists of 11 symptoms and three subscales. Results. It was observed that on day 1 the scores in both the groups were comparable. On day 90, the scores in the yoga group showed a reduction in score on all the subscales, which was statistically significant. No significant difference was noted in the control group. Conclusion. Yoga is effective in reducing menopausal symptoms and should be considered as alternative therapy for the management of menopausal symptoms.

Onkar D.P.,NKP Salve Institute of Medical Science | Govardhan S.A.,SDKS Dental College
Journal of Morphological Sciences | Year: 2013

Introduction: Spleen is the largest secondary lymphatic organ in the body designed to respond immunologically to antigens circulating in blood. Spleen performs important functions such as red blood cells production, their destruction, blood filtration, storage of blood and phagocytosis. Most of the textbooks of microscopic anatomy show picture of human spleen as the combination of findings derived from various animals. Aim: The present study was undertaken to compare histological difference between human and dog spleen as they differ according to their functions. Material and methods: Five mature dog and five normal human spleens were procured and were kept in Bouin's fluid for fixation. Sections were cut after paraffin embedding. Slides were stained by Haematoxylene and Eosin, Masson's Trichrome, Gordon and Sweet's reticular stain and observed under light microscope. Results: Capsule and trabeculae contains collagen and elastic fibers with few smooth muscle fibers in human spleen while in dog spleen more smooth muscle fibers and few elastic fibers were present. White pulp was more in human than dog. Red pulp and marginal zone of dog spleen showed ellipsoids and penicillar arteries which were poorly defined in human spleen. Red pulp showed prominent venous sinuses in dog spleen than human. Conclusion: Histological features are well defined in storage type of spleen as in dog than the defensive human spleen. Histological features of dog spleen are useful in better understanding of microscopic anatomy and can be used for teaching purpose.

Subramaniam G.,Midas Children Hospital | Girish M.,NKP Salve Institute of Medical Science
Indian Journal of Pediatrics | Year: 2015

Iron deficiency is not just anemia; it can be responsible for a long list of other manifestations. This topic is of great importance, especially in infancy and early childhood, for a variety of reasons. Firstly, iron need is maximum in this period. Secondly, diet in infancy is usually deficient in iron. Thirdly and most importantly, iron deficiency at this age can result in neurodevelopmental and cognitive deficits, which may not be reversible. Hypochromia and microcytosis in a complete blood count (CBC) makes iron deficiency anemia (IDA) most likely diagnosis. Absence of response to iron should make us look for other differential diagnosis like β thalassemia trait and anemia of chronic disease. Celiac disease is the most important cause of true IDA not responding to oral iron therapy. While oral ferrous sulphate is the cheapest and most effective therapy for IDA, simple nonpharmacological and pharmacological measures can go a long way in prevention of iron deficiency. © 2015, Dr. K C Chaudhuri Foundation.

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