Rajarajeshwari Medical College and Hospital

Bangalore, India

Rajarajeshwari Medical College and Hospital

Bangalore, India

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Nandimath M.K.,Rajarajeshwari Medical College and Hospital | Nagesh Babu C.V.,Dhanalakshmi Srinivasan Medical College and Hospital
Journal International Medical Sciences Academy | Year: 2014

Antibacterial account for nearly 20% of all new and repeat prescriptions each year. 64% of the total antibacterial prescribed are not indicated.By using data on prescriptions and prescribing practices with the help of a drug utilization study may help us to identify the problems, suggest the remedial measures and promote rational use. Most instances of URTI, the frequently occurring illness of childhood are of viral origin and resolve spontaneously. Antibiotic treatment is needed only if symptoms persist for 10-14 days. The objectives of the study was (1.) To analyse prescriptions for patients aged 1to14years diagnosed with upper respiratory tract infection; (2.) To see the rationality of the drugs prescribed. Two hundred (200) prescriptions from paediatric OPD were collected and analysed. The commonest illness encountered was Non-specific URTI,92(45%) prescriptions were with antibiotics out of total 200 for respiratory infections where antibiotics use cannot be justified. It is of great importance to identify, among ARI patients those who will benefit from the use of antibiotics. The establishment of recommendations for the prescription of antibiotics is one strategy for minimizing the frequency of bacterial resistance.


Nandimath M.K.,Rajarajeshwari Medical College and Hospital | Ahuja S.,Drbrambedkar Medical College And Hospital
International Journal of Pharma and Bio Sciences | Year: 2012

The infections of the upper respiratory tract including nose, the para nasal sinuses, adenoids, tonsils, nasopharynx and eustachian tube is the most frequently occurring illness of childhood. Most instances of URTI are of viral origin and resolve spontaneously. Antibiotic treatment is needed only if symptoms persist for 10-14 days. There is a need of rational prescription of medicines to minimize medicinal error in children. The pattern of prescriptions in URTI in children aged 1 to 14 years were analyzed and evaluated for the rationality of drug usage. The data from the outpatient record of each patient was collected in a separate proforma and subjected to descriptive statistical analysis using Microsoft Excel. The study included only one prescription per patient. Utilization of different classes of drugs as well as individual drug was analyzed and presented as percentage. Remedial measures were suggested to avoid erroneous prescriptions.


Vishnuvardhan G.,Rajarajeshwari Medical College and Hospital | Saddichha S.,University of British Columbia
General Hospital Psychiatry | Year: 2012

Background: Suicides are an entirely preventable cause of death, with current suicide rates being 11.4 per 100,000 population in India. The city of Bangalore in India is often called the suicide capital of India because of its high suicide and attempted suicide rate. This study attempted to evaluate the psychiatric comorbidity and gender differences among suicide attempters presenting to a general hospital in the city of Bangalore, India. Methods: Using a structured questionnaire [Structured Clinical Interview for DSM-IV (SCID)-I and SCID-II], the study gathered data on the psychiatric diagnoses as well as the reasons for and mode of attempted suicides on 100 suicide attempters after taking written informed consent. In addition, the Beck Depression Inventory was also used to evaluate the severity of depression, the most commonly detected psychiatric comorbidity. Results: Forty-two percent of the sample had a psychiatric comorbidity, with depression (14%) and dysthymia (12%) being the most common disorders. Among personality disorders (PDs), borderline PD (5%) and dependent PD (3%) were the most commonly detected. Severe depression was detected in 15% of those with a mood disorder. Gender differences were found in both mode and reasons for attempted suicide. Conclusion: The presence of any psychiatric comorbidity was observed to confer a high risk of suicide. All attempters should therefore be comprehensively evaluated by a qualified health care professional, and attempts should be made for continuous follow-up. © 2012 Elsevier Inc.


Nandimath M.K.,Rajarajeshwari Medical College and Hospital | Reddy N.B.,Dhanalakshmi Srinivasan Medical College and Hospital Siruvachur
International Journal of Pharma and Bio Sciences | Year: 2013

Background: Antibiotics are often combined with other agents for topical acne treatments that are effective against inflammatory and non- inflammatory lesions and minimize the development of antibiotic resistance. Retinoids and associated treatments also have anti-inflammatory activity and decrease microcomedon formation. The study was a prospective study done from November 2008 to October 2009. Objectives: To compare and evaluate the clinical efficacy of topical clindamycin with adapalene and adapalene gel in mild to moderate facial acne vulgaris. Methods: Prospective, randomized, open label, comparative-efficacy study was carried out at a Tertiary Care Hospital after obtaining approval from the Institutional Ethics committee to investigate the efficacy and tolerability of adapalene gel 0.1% plus clindamycin phosphate lotion 1%, compared with adapalene 0.1% alone for the treatment of mild to moderate acne vulgaris. A total of 60 patients, divided into two groups, one receiving clindamycin 1% lotion and adapalene 0.1% twice daily (30 patients), while the other group received adapalene gel 0.1% (30 patients) once daily for 12 weeks. Results: A significant reduction of total (P.001), inflammatory (P.004) and noninflammatory lesions (P.001) was seen in the clindamycin 1% plus adapalene 0.1% group than in the adapalene 0.1% treated group. These significant treatment effects were observed as early as week 4 for both non inflammatory and total lesion counts. The mean percentage reductions were 46.45% versus 25.28% for total lesions, 55.1% versus 44.51% for inflammatory lesions, and 42.8% versus 17.06% for noninflammatory lesions. Conclusions: The study confirms that the use of adapalene gel 0.1% in combination therapy is beneficial at the initiation of treatment for those suffering from acne.


Ravikumar R.,Rajarajeshwari Medical College and Hospital
Indian Journal of Forensic Medicine and Toxicology | Year: 2014

Indian penal code is the main criminal code of India. It is a comprehensive code, intended to cover a substantive aspects of criminal law. Indian Penal Code, 1860, sub-divided into twenty three chapters, comprises five hundred and eleven sections. Sections 304B and 498A of the Indian penal code (1) were enacted to make it easier for the wife to seek redress from potential harassment by the husband's family. Dowry laws have come under criticism as they have been misused by women and their families. Here is a case where a woman died alleged had been murdered by her husband and mother in law and was booked under 304B and 498A. During autopsy there was no external injuries or internal injuries found in the body incidentally liver was enlarged weighing 5kg's, histopathology report and chemical analysis reports ruled out the foul play and confirmed the pathology of the deceased. The success of the investigation of dowry death cases largely depends upon forensic medicine experts. © 2014, Indian Journal of Forensic Medicine and Toxicology. All rights reserved.


Ravikumar R.,Rajarajeshwari Medical College and Hospital
Medico-Legal Update | Year: 2014

Road Traffic accident is an unplanned event occurring suddenly, unexpectedly and inadvertently in an unforeseen circumstance. Low Income and middle income countries accounts for 85% of the death, and for 90% of the annual disability adjusted life years lost because of road traffic injuries. Incidences are more common among the two wheeler vehicles. Head is the most common site to be injured in road traffic accidents. Factors and events contributing to accident may arise from man, machine and environment, may occur either before, during or after accident. Hence the present study was conducted to know the patterns of accident and head injuries involving riders and pillion riders of two wheelers. This study was conducted from 1st April 2009 to 30th Sept 2010 at Victoria Hospital Mortuary, Bangalore. A total of 245 cases of deaths due to two wheeler accidents were reported for the autopsy. Riders constituted (76.33%) and pillion riders (23.67%). Most victims were male (87.75%), 20 to 39 years constitutes 70.20% of victims, most of the accidents have occurred during 6PM - 12midnight, Helmets used by the victims (64.17%), skull fractures (67.75%) were observed in the two wheeler accidental death. Subdural hemorrhage was the commonest intracranial hemorrhage and rib injuries were commonly associated with head injuries.


Kumar R.R.,Rajarajeshwari Medical College and Hospital | Punitha P.,Rajarajeshwari Medical College and Hospital
Journal of Punjab Academy of Forensic Medicine and Toxicology | Year: 2014

Hanging is one of the most common methods of suicide in India in which death of the individual occurs almost immediately. It is a widely practiced suicidal method in all cultures and has a very effective killing potential with a mortality of 80 percent. Death in hanging occurs immediately, however, a few cases have been reported in literature in which death has occurred after a certain period of time or the patient has survived after prolonged resuscitative measures. We report those cases of delayed death in hanging, for its rarity, for the discussion of the possible delayed causes of death in case of hanging and to emphasize the complications associated with delayed hanging. Present study is conducted on all cases of hanging deaths brought to mortuary of RRMC & hospital, Bangalore for postmortem examination from Jan 2013 to June 2013. The present study is conducted to analyze the cause of death in immediate & delayed cases of hanging. © 2014 JPAFMAT. All rights reserved.


Ravikumar R.,Rajarajeshwari Medical College and Hospital
Journal of Indian Academy of Forensic Medicine | Year: 2013

Road traffic accidents (RTA) have been the bane of the modern civilization accounting for considerable loss to the nation. Head injuries are leading causes of death from motorcycle crashes with many deaths occurring despite optimal use of the available treatment facilities. Hence the present study was conducted to know the patterns of head injuries in fatal accidents involving riders and pillion riders of two wheelers. This study was conducted from 1st April 2009 to 30th Sept 2010 at Victoria Hospital Mortuary, Bangalore. The present study entirely focuses on the patterns of head injuries in fatal accidents involving riders and pillion riders of two wheelers who were autopsied during this period.A total of 245 cases of deaths due to two wheeler accidents were reported for the autopsy. Riders constituted (76.33%) and pillion riders (23.67%). Most victims were male (87.75%), skull fractures (67.75%) were observed in the two wheeler accidental death. Linear fracture (55.43%) was the commonest pattern of fracture observed in these accidents. Sub-dural haemorrhage was also the commonest intracranial haemorrhage and rib injuries were commonly associated with head injuries.


Patil M.B.,Rajarajeshwari medical College and Hospital | Burji N.P.A.,Gawhati Government medical College
Journal of Association of Physicians of India | Year: 2012

Introduction: Diabetes mellitus is one of the most common diseases in the world and is acquiring epidemic proportions. Its prevalence is growing in both developed and developing countries. Indians are genetically more susceptible to diabetes compared to other races cardiovascular complications are known to be the main cause of morbidity and death in diabetic patients. There is an increased rate of ischemic heart disease and cardiomyopathy which may lead to heart failure (Diastolic heart failure). Left ventricular diastolic dysfunction represents an early stage of heart failure, without any clinical manifestations. In the view of these above facts the present study was done to assess the diastolic dysfunction in diabetic patients. Methods: A cross-sectional hospital-based study was done which included 50 asymptomatic patients with type 2 diabetes mellitus without evidence of cardiovascular involvement and blood pressure less than 130/80 mmHg were studied. LVDD was evaluated by Doppler echocardiography, which included E/A ratio; left atrial size was assessed in relation with age/sex, duration of diabetes and HbA1c level. Results: Results showed that diastolic dysfunction was present in 32 (64%) of the patients. Diastolic dysfunction was more common among female sex (68.18%) compared to male (60.17%). Diastolic dysfunction was significantly associated with uncontrolled diabetes as assessed by HbA1c levels. Diastolic dysfunction was more common in patients who were on treatment with both oral hypoglycemic agents and insulin. The prevalence of diastolic dysfunction increased with longer duration of diabetes. There was a linear progression of diastolic dysfunction with the increase age group. Conclusion The findings in our study indicate that myocardial damage in patients with diabetes affects diastolic dysfunction before systolic function. E/A ratio and Left atrial size are significantly altered in diabetic patients with diastolic dysfunction. Diastolic dysfunction is significantly associated with duration of disease, glycemic levels and the type of treatments. Doppler Echocardiography is a simple non invasive valuable tool in diagnosing diastolic dysfunction. In diabetics before they develop cardiac symptoms it has to be done routinely on every diabetic patients to assess the cardiac function. © JAPI.


PubMed | Rajarajeshwari Medical College and Hospital
Type: Journal Article | Journal: Iranian journal of medical sciences | Year: 2016

An obstructed inguinal hernia is a common surgical emergency, which presents with a variety of contents like the small intestine, omentum, and colon. Intestinal knotting is a rare entity encountered in surgical practice; it occurs when one coil of intestine wraps around the other and eventually leads to complications such as intestinal obstruction, ischemia, and gangrene. Both conditions are considered surgical emergencies and should be dealt with through appropriate surgical measures forthwith. We report the case of an obstructed inguinal hernia, which, on exploration, showed an ileoileal knot as its content. Ileoileal knotting is a very rare phenomenon and, to the best of our knowledge, such an ileoileal knot as a content of obstructed inguinal hernia has not been reported in the surgical literature so far.

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