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Mahesh Kumar C.H.,Raichur Institute of Medical science | Belagatti S.L.,J J M Medical College
Indian Journal of Public Health Research and Development | Year: 2013

Background: Healthcare workers (HCW) are prone for accidental Needle Stick Injuries. Inspite of health education and interventions for prevention, needle stick injuries are still common. Methodology: We reviewed the surveillance data of NSI over a period of 2 years (March 2009 - Feb 2011) to identify the health groups affected, types of needles used, mechanisms of NSI, pattern of post-exposure prophylaxis and the complications. Results: 118 HCW reported the injuries. Among them were 42 (35%) nurses, 22 (19%) nursing interns/ students, Laboratory technicians 21 (18%), Cleaning staff 14 (12%), Medical interns 12 (10%) and Doctors 07 (06%). The devices mainly responsible for Needle Stick Injuries were hollow bore needles (n=90, 78%), solid 16 (17%) and others 4 (5%). Almost all injuries were caused during blood collection procedure and de-capping or re-capping of the needles. Post exposure prophylaxis for HCW's who reported injuries was provided. Subsequent follow up for Human immunodeficiency virus, Hepatitis B virus, Hepatitis C virus was negative except for one health care worker who was positive for Hepatitis B Surface Antigen(HBsAg). Conclusion: Proper education and appropriate waste disposal of the sharps are necessary to prevent Needle stick Injuries.

Sayana S.B.,Deemed University | Khanwelkar C.C.,Deemed University | Chavan V.R.,Raichur Institute of Medical science
Asian Journal of Pharmaceutical and Clinical Research | Year: 2014

Objective: To evaluate the antiurolithic activity of aqueous extract of roots of Cissampelos pareira (AQERCP) in 2% Ammonium chloride (AC) and 0.75% Ethylene glycol (EG) induced urolithiasis in albino rats. Methods: Urolithiasis was induced in rats by supplying drinking water mixed with 2% (AC) and 0.75% (EG) for 10 days. Calculi were confirmed by the high urinary levels of calcium, uric acid and low levels of magnesium and high levels of serum creatinine and calcium. The animals were treated with 03 doses of AQERCP i.e., 100 mg/kg, 200 mg/kg, 400 mg/kg respectively orally in different groups of rats once daily for 10 days along with 2% (AC) and 0.75% (EG) mixed drinking water. On 11th day 3 rats from each group were kept in one metabolic cage and urine (pooled) collected for 24 h was subjected for estimation of various biochemical parameters. Blood was collected on the same day and analysed for various parameters. Kidneys were observed for the histopathological changes. Results: Rats treated with 03 doses of AQERCP significantly (P≤ 0.05) reduced urinary calcium, uric acid and increased urinary magnesium levels, reduced serum calcium, creatinine and increased serum magnesium. Histopathology of kidneys in groups treated with AQERCP at 200 mg/kg and 400 mg/kg doses revealed less tissue damage and the cytology of nephrotic tissue was almost similar to the control Group I rats. Conclusion: Results showed AQERCP has shown significant antiurolithic effect against chemical induced urolithiasis in rats.

Structural and qualitative evaluation of Revised National Tuberculosis Control Programme (RNTCP) is important to determine actual status of the programme in the field settings and to uncover the concealed gaps. The present cross-sectional study assessed the infrastructural facilities and quality of services provided through microscopy and directly observed treatment (DOT) centers at Nanded city of Maharashtra. The investigator made on spot observation on the activities at microscopy and DOT centers and assessed the infrastructural facilities using an observational checklist. Expert microbiologist cross checked the microscopy report done by the laboratory technicians. It revealed that retrieval mechanism was not functioning in more than half of the DOT centers. Only 5 DOT providers were trained in RNTCP. Stock of sputum containers, methylene blue, and carbol fuchsin was found to be inadequate at some microscopy centers. Half of the laboratory technicians reported high false positive result in spite of being trained. Improvement of infrastructural and logistic support along with the refreshing training for the workers are needed for effective implementation of RNTCP.

Mudurangaplar B.,University | Peerapur B.V.,Raichur Institute of Medical science
Journal of Clinical and Diagnostic Research | Year: 2015

Background: Chikungunya is a debilitating, non-fatal, mosquito borne viral fever caused by Chikungunya virus (CHIVA). The disease is transmitted to humans by the bite of Aedes aegypti and Aedes albopictus mosquitoes. Severe outbreaks of Chikungunya have been reported in several countries of Africa and Asia. Chikungunya fever is characterized by fever with sudden onset, arthralgia, rash, headache and myalgia. However, arthralgia is painful and long-lasting, affecting primarily the peripheral joints. Objectives: To find out the prevalence of Chikungunya fever in and around the regions of Bijapur district. Materials and Methods: The study was conducted from April 2011 to December 2014. Five hundred serum samples were collected from cases with pyrexia and arthralgia. Serum samples were tested for Chikungunya antibodies by Chikungunya IgM ELISA. Results and Conclusion: Out of 500 samples 33 samples were confirmed positive for Chikungunya IgM antibodies. The prevalence rate of Chikungunya was 6.6% with maximum number of cases in the year 2013 (8.5%) and age group 15 to 40 (8.3%). Females (6.9%) were more affected than males. Thus, continuous sero-epidomological surveillance is needed for the control of Chikungunya fever. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved.

Bhagat V.M.,Raichur Institute of Medical science | Gattani P.L.,Government Medical College
Southeast Asian Journal of Tropical Medicine and Public Health | Year: 2010

This study was carried out to determine factors affecting tuberculosis retreatment defaults in Nanded, India. All patients registered as tuberculosis retreatment cases (n=107 excluding deaths during treatment) were interviewed by home visits. Their sociodemographic characteristics and treatment history were recorded and later compared with their treatment outcomes. Among the patients registered for re-treatment of tuberculosis (n=112), 24 (21.4%) defaulted on treatment. The rate of default was 25.8% among those who had previously defaulted on treatment. Those who were employed, illiterate and alcoholics were 3.5, 3.5 and 3.4 times more likely to default, respectively, than others; these differences were significant.

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