PES Institute of Medical science and Research

Kuppam andhra, India

PES Institute of Medical science and Research

Kuppam andhra, India

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Veena C.N.,Pes Institute Of Medical Science And Research | Vastrad B.C.,Pes Institute Of Medical Science And Research | Nandan T.M.,Pes Institute Of Medical Science And Research
National Journal of Physiology, Pharmacy and Pharmacology | Year: 2017

Background: The reproductive system of women shows regular cyclic changes that teleologically may be regarded as periodic preparations for fertilization and pregnancy. These cyclical changes are also associated with cyclical changes in the level of ovarian steroids. Estrogen is said to have widespread effects throughout the brain regions involved in affective state as well as cognition. Aims and Objectives: This study was undertaken to observe the effect of gonadal hormones on auditory and visual reaction time (VRT) across various phases of menstrual cycle. Materials and Methods: The study was conducted on 30 healthy female volunteers having regular menstrual cycle belonging to the age group of 17-20 years studying in the first year MBBS at P.E.S. Institute of Medical Sciences and Research using pitch change 1000 Hz reaction timer. Results: The results of this study reveal that the auditory and VRT was highest during the mid-proliferative phase compared to premenstrual phase and mid secretary phase. Conclusion: Thus, the fluctuating levels of ovarian hormones across the normal menstrual cycle influence auditory and VRT and this fact can be taken into consideration during neurological and behavioral assessment of women. © 2016 Veena CN et al.


Inakanti Y.,Pes Institute Of Medical Science And Research
Journal of Pakistan Association of Dermatologists | Year: 2015

Infantile hemangiomas (IH) or strawberry hemangioma are benign vascular neoplasms that have a characteristic clinical course marked by early proliferation and followed by spontaneous involution. Hemangiomas are the most common tumours of infancy and usually are medically insignificant. Cutaneous hemangioma at particular sites is more common at head and neck followed by trunk and extremities. Extracutaneous hemangiomas were more common in liver, gastrointestinal tract, larynx, central nervous system, pancreas and lungs. We represent a 4-month-old boy presented with a small but growing, strawberry-colour tumour over the right side of neck since birth.


Kalyanshetti S.B.,Belgaum Institute of Medical science | Vastrad B.C.,PES Institute of Medical science and Research
Biomedicine (India) | Year: 2012

Background & Objective: There are contradictory reports regarding effect of sex on reaction time and also not many studies are done to know effect of age on it. Present study is taken to perform comparative study of auditory, visual and tactile reaction times in male and female subjects, in children and adults. Methods: 200 healthy volunteers of both sexes of age group 18-25yrs and 100 children of both sexes of age group 8-12yrs were participated as subjects. The subjects were presented with auditory, visual and cutaneous stimuli by using an electronic response analyzer. Results: 1. 'Z' test for comparison of all the parameters of simple reaction time recording between male and female subjects in adults show P>0.05 and in children show P<0.001 . 2. 'Z' test for comparision of various parameters of simple reaction times between children and adults show P value<0.001. Interpretation & Conclusion: 1.In children girls are significantly slower than boys in reaction time experiment whereas statistically no significant difference is observed in adult male and female subjects. 2. Children of age group 8-12 years are significantly slower than adult counterpart of age group 18-25 years in both sexes.


Chatura R.K.,JJM Medical College | Nayak V.J.,PES Institute of Medical science and Research
Indian Journal of Pathology and Microbiology | Year: 2012

Abdominal cocoon or sclerosing encapsulated peritonitis is a rare cause of intestinal obstruction often seen in adolescent girls. We present a case of an abdominal cocoon in a 14-year-old female presenting as a surgical emergency. The patient underwent excision of the involved segment of small bowel along with a part of ascending colon. Gross morphology revealed intestinal coils wrapped within a thick fibrous membrane. Diagnosis of this condition is seldom possible on radiological imaging. Characteristic gross appearance is showcased in our case, to create more awareness of this finding.


Soraganvi P.,PES Institute of Medical Science and Research | Narayan Gowda B.,PES Institute of Medical Science and Research | Rajagopalakrishnan R.,PES Institute of Medical Science and Research | Gavaskar A.,Parvathy Hospital
Indian Journal of Orthopaedics | Year: 2014

Rotational dislocations of patella, which involve rotation of the patella around a horizontal or vertical axis are rare. These rotational dislocations of patella are difficult to reduce by close methods. These dislocations can have associated osteochondral and retinacular injury. We report a case of a 20-year-old male who presented with swelling and pain in the right knee following a motor cycle accident. Radiological evaluation using the computed tomography revealed a patellar dislocation with a concomitant Hoffa fracture. Patella was rotated around the vertical axis and was incarcerated into the Hoffa fracture. This is a very rare injury and first of its kind to be reported. The difficulties in diagnosis, mechanism of injury and management have been discussed. We feel closed reduction of such an injury is likely to fail and open reduction is recommended.


Malleshappa K.,Pesinstitute Of Medical Science And Research | Krishna S.,Pes Institute Of Medical Science And Research | Nandini C.,Pesinstitute Of Medical Science And Research
Biomedical Research | Year: 2011

Adolescents in rural areas may face troubles due to lack of right kind of information regard-ing their own physical and or sexual developments. The need to address this problem through health education by health professionals needs to be ascertained. The objective is to determine the effectiveness of a reproductive health education intervention programme in improving the knowledge of adolescent girls aged between 14-19 years in Kuppam mandal, chittoor dt, Andhra Pradesh. The study was carried out over a period of 8 months. A total of 656 girls in the age group of 14-19 years were randomly selected from 3 high schools (class X) & 3 intermediate colleges(class XI &XII) in kuppam mandal, chittoor dt, Andhra Pradesh. The reproductive health education package developed in consultation with par-ents, teachers & adolescents was used to educate the girls. A 50 item structured question-naire was used to test the knowledge of all the participants about the reproductive health be-fore & after the education session. The data was tabulated & analyzed using SPSS version 11.0 for windows.Findings were described in terms of proportions & percentages, chi square test was used to test the effect of intervention. Reproductive health Knowledge score improved significantly after intervention. A significant increase in overall knowledge re-garding menstrual cycle, ovulation, fertilization & pregnancy by 44.5% was noted (95%CI=42.5,46.5;P<0.001); knowledge regarding contraception improved remarkably from 33.7% to 97.4%(P<0.0001);A significant improvement in the knowledge about trans-mission & prevention of STDs was noted after intervention (P<0.0001). A reproductive health education intervention programme improves the knowledge & attitude among rural adolescent girls regarding reproductive health.


Lo T.-S.,Chang Gung University | Ashok K.,Chang Gung University | Ashok K.,PES Institute of Medical Science and Research
International Urogynecology Journal and Pelvic Floor Dysfunction | Year: 2011

Introduction and hypothesis: To study the efficacy and safety of performing anterior mesh (Perigee) with vaginal reconstructive surgeries (sacrospinous ligament fixation) for treatment of advanced prolapse. Methods: One hundred twenty-eight patients, POP-Q stage III (n = 85) or IV (n = 43), underwent surgery. The objective cure was defined as less than stage 2 prolapse. Introital ultrasonography was used for mesh morphological evaluation. Results: Post-operative data were available for 120 patients. At 30 months, the objective cure was 91.8%. The subjective cure was 93.3% on POPDI-6 feedback. No apical and anterior recurrence was observed. Surgical complications were minor. Five cases (4.1%) of mesh extrusion was observed. Mesh shortening, shrinkage, and thickening was also observed. Conclusion: The combination of anterior vaginal mesh and vaginal reconstructive surgery appears to be a safe and effective in restoring the anatomy and achieving favorable pelvic function. The anterior mesh deployed seems to cover a lesser area than anticipated. A longer period of follow-up is necessary to confirm its efficacy. © 2010 The International Urogynecological Association.


Ashok K.,PES Institute of Medical Science and Research | Wang A.,Chang gung Memorial Hospital
Journal of Obstetrics and Gynaecology Research | Year: 2010

Aim: We review the literature regarding recurrent urinary stress incontinence (USI) following various anti-incontinence procedures and analyze possible risk factors for failure of different anti-incontinence procedures. Management options for recurrent USI and future trends are also covered. Methods: A PubMed search was undertaken for English language literature using the MeSH terms 'stress urinary incontinence', 'recurrence', 'treatment', and 'failure'. Literature from the year 2001 to 2010 was selected. We only selected those studies including randomized control trials, meta-analysis, and prospective and retrospective cohort studies for this review. Studies are analyzed on the basis of their methodical quality and time of follow-up. Results: In spite of the wide spectrum of options available, treatment of USI fails in 10-20% of patients. Management of such recurrent USI is technically challenging to the surgeon and a frustrating problem for the patient. Conclusion: TVT may be used as a high priority in patients with recurrent USI with encouraging success. For refractory USI, more advanced procedures, like periurethral bulking agents, adjustable continence therapy system, spiral sling systems remain a viable option. © 2010 Japan Society of Obstetrics and Gynecology.


Sunita M.,PES Institute of Medical Science and Research
Indian Journal of Otolaryngology and Head and Neck Surgery | Year: 2012

The hearing threshold in atrophic tympanic membrane is assessed in 35 individuals. Assessment of hearing threshold in patients having atrophic tympanic membrane. Prospective clinical study. Tertiary referral centre. Thirty-five patients who had atrophic tympanic membrane in one ear and normal tympanic membrane of the other ear which was used as control, were selected Hearing threshold of patients having atrophic tympanic membrane. Twenty-nine patients with atrophic tympanic membrane had absolutely normal PTA of the ear and the opposite ear with normal tympanic membrane had similar normal PTA. Majority of the patients with atrophic tympanic membrane have normal hearing. © 2011 Association of Otolaryngologists of India.


Inakanti Y.,Pes Institute Of Medical Science And Research
Journal of Pakistan Association of Dermatologists | Year: 2015

Porokeratosis are a group of hereditary or acquired disorders characterized by annular plaques with an atrophic centre and a hyperkeratotic peripheral ridge. Pathologically, porokeratosis is characterized by a column of parakeratotic cells, called the cornoid lamella. This report describes a 55-year-old male with his two sons affected by porokeratosis of Mibelli and it was confirmed histopathologically. The rarity of this disorder in family, its clinical exuberance and the destructive character of the lesions, as well as, nasal, finger and abdomen involvement were unusual in case of porokeratosis.

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