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Malik S.,ESIC Hospital Andheri E | Ravishekhar K.,Pad Dr D Y Patil Medical College
Journal of Clinical and Diagnostic Research

A retrospective study was carried out from August 2009 to July 2010 to evaluate the rate of contamination in the blood cultures in a tertiary care hospital. A total number of 755 samples were tested for blood culture, 18% of these samples were labeled as contaminants; however, on further scrutiny, this was reduced to 16%. Determining whether a growth in the blood culture is a pathogen or a contaminant is a critical issue and multiple parameters have to be considered before arriving at a conclusion. Without a gold standard for truly distinguishing the contaminants from the true pathogens, it becomes inherently difficult to interpret the results and to institute preventive measures. Source

Girwalkar-Bagle A.,Pad Dr D Y Patil Medical College | Deshpande S.,Government Medical College | John J.,Pad Dr D Y Patil Medical College
Anaesthesia, Pain and Intensive Care

Tocolytics (also called anticontraction or labor suppressants) are the medications used to suppress premature labor. The tocolytic therapy gives time for the administration of steroid (a glucocorticoid drug) which greatly accelerates fetal lung maturity. There is no ideal tocolytic agent in use; various types of agents used for tocolysis include beta-2 adrenergic agonists, calcium channel blockers, oxytocin antagonists, magnesium sulphate and NSAIDs, with varying success rates and side effects. We are reporting a case of pulmonary edema following tocolysis with nifedipine, a calcium channel blocker. Source

Bhatnagar K.,Pad Dr D Y Patil Medical College | Saoji V.,Bharati Vidyapeeth Deemed University | Banerjee A.,Pad Dr D Y Patil Medical College
Indian Journal of Ophthalmology

Background: There has been a growing concern among medical educators about the quality of medical graduates trained in various medical colleges in our country. Data based on the faculty and student perceptions of undergraduate curriculum indicate a need for laying more stress on practical skills during their training and assessment. The Objective Structured Clinical Examination (OSCE) is a reliable and an established and effective multistation test for the assessment of practical skills in an objective and a transparent manner. The aim of this article is to sensitize universities, examiners, organizers, faculty, and students across India to OSCE. Materials and Methods: We designed an assessment based on 22-station OSCE and administered it to 67 students during their final year, integrating all the domains of learning, that is higher order cognitive domain, psychomotor domain, and affective domain. Data analysis was done using SPSS version 15. Results: The OSCE was feasible to conduct and had high perceived construct validity. There was a significant correlation between the station score and total examination score for 19 stations. The reliability of this OSCE was 0.778. Both students and faculty members expressed a high degree of satisfaction with the format. Conclusion: Integrating a range of modalities into an OSCE in ophthalmology appears to represent a valid and reliable method of examination. The biggest limitation with this format was the direct expenditure of time and energy of those organizing an OSCE; therefore, sustaining the motivation of faculty might pose a challenge. Source

Girwalkar-Bagle A.,Pad Dr D Y Patil Medical College | Thatte W.S.,Pad Dr D Y Patil Medical College | Gulia P.,Pad Dr D Y Patil Medical College
Anaesthesia, Pain and Intensive Care

Sacrococcygeal teratoma is a tumour located at the base of coccyx (tail bone) and thought to be derived from embryonic germ cell layers.1,2 The tumors present mostly in infancy and are extremely rare in adults. Modern imaging techniques may be helpful to detect the extent of mass, but surgical excision is generally indicated at the time of detection. Most sacrococcygeal teratomas are not likely to be malignant and prognosis tends to be good after resection. Here we report a case and anesthetic/surgical management of a huge sacrococcygeal teratoma, which was more than half of the size and weight of the baby. Source

Ghosh P.,Pad Dr D Y Patil Medical College | Mangal K.K.,Pad Dr D Y Patil Medical College | Sharma Y.K.,Pad Dr D Y Patil Medical College | Misra R.N.,Pad Dr D Y Patil Medical College | Dash K.N.,Pad Dr D Y Patil Medical College
Journal of Clinical and Diagnostic Research

Diphtheroids, being a part of the commensal flora, have long remained neglected as mere contaminants till their recently reported increased rate of isolation evidenced their potential as nosocomial pathogens, especially in immuno compromised patients. This report is a case of a Corynebacterium amycolatum secondary infection over ulcers of the herpes genitalis infection, mild Pelvic Inflammatory Disease (PID) and vaginal candidiasis in a 55-year old female who was suffering from uncontrolled diabetes mellitus, points to the 'pathogenetic' significance of diphtheroids. This thereby could guide the clinicians towards an appropriate therapy. Source

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