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Swapnajaswanth M.,Rajarajeswari Medical College
Asian Pacific Journal of Cancer Prevention | Year: 2014

Background:Cervical cancer is potentially the most preventable and treatable cancer. Despite the known efficacy of cervical screening, a significant number of women do not avail themselves of the procedure due to lack of awareness. Objectives: This study was conducted to elicit information on the knowledge, attitude and practice (KAP) regarding screening (Pap test) and vaccination for carcinoma cervix among female doctors and nurses in a tertiary care hospital in Bangalore and to assess barriers to acceptance of the Pap test. Materials and Methods: A cross-sectional, descriptive study was conducted with semi-structured, self-administered questionnaire among female health professionals. The study subjects were interviewed for KAP regarding risk factors for cancer cervix, Pap test and HPV vaccination for protection against carcinoma cervix. Results: Higher proportion of doctors 45 (78.9%) had very good knowledge as compared to only 13 (13.3%) of the nurses, about risk factors for cancer cervix and Pap test (p=0.001). As many as 138(89.6%) of the study subjects had favorable attitude towards Pap test and vaccination, but 114 (73.6%) of the study subjects never had a Pap test and the most common reason 35 (31%) for not practicing was absence of disease symptoms. Conclusions: In spite of good knowledge and attitudes towards cancer cervix and Pap test being good, practice remained low among the study subjects and most common reasons for not undergoing Pap test was absence of disease symptoms. The independent predictors of ever having a Pap test done was found to be the occupation and duration of married life above 9yrs. Hence there is a strong need to improve uptake of Pap test by health professionals by demystifying the barriers.


Satyanarayana V.,Rajarajeswari Medical College | Prashanth H.V.,Sri Siddhartha Medical College | Basavaraj B.,Rajarajeswari Medical College | Kavyashree A.N.,Sri Siddhartha Medical College
Journal of Clinical and Diagnostic Research | Year: 2011

Background: Surgical site infections (SSI) have been responsible for the increasing cost, morbidity and mortality related to surgical operations and continue to be a major problem even in hospitals with most modern facilities and standard protocols of pre-operative preparation and antibiotic prophylaxis. Aims: This study aimed to determine the incidence of SSI in the abdominal surgeries and to identify risk factors associated with the development of SSI. Settings and Design: This retrospective observational study included patients who had undergone surgeries (abdominal) in the Department of General Surgery and Department of Obstetrics and Gynacology. It was conducted over a period of 18 months. Materials and Methods: All surgeries (1000 cases) where abdominal wall was opened were considered for the study. Wound class was considered as clean, clean contaminated, contaminated and dirty based on the extent of intraoperative contamination. The data collected includes details of timing of antimicrobial prophylaxis, surgical wound infection, types of surgeries (emergency and elective surgeries), the wound classes, apart from demographic profile of the patient. Results: The overall surgical wound infection rate was 13.7%. The infection rate was more with emergency surgery (25.2%) when compared to elective surgery (7.6%). The surgical site infection rate increased as the risk index score increased from 0 to 3. SSI was more with early operative and post operative prophylaxis. There was definite correlation between the wound infection rate and the timing of prophylaxis. Statistical Analysis: Chi-square test was applied and the level of significance was set at 5%. Conclusion: A pre-existing medical illness, prolonged oper ating time, the wound class, emergency surgeries and wound contamination strongly predispose to wound infection. Anti microbial prophylaxis is effective in reducing the incidence of post-operative wound infections for a number of different operative procedures but, timing of administration is critical.


Patil S.B.,J N Medical College | Kodliwadmath M.V.,Navodaya Medical College | Kodliwadmath S.M.,Navodaya Medical College | Patil M.B.,RajaRajeswari Medical College
Indian Journal of Public Health Research and Development | Year: 2015

Introduction: Preeclampsia is a hypertensive disorder and is one of the most leading cause for maternal and fetal mortality in developing countries. Aim: Objective of this study was to investigate lipid profile in women with preeclampsia, eclampsia as compared to pregnant women. Settings and Design: District civil hospital, Case control study. Material and methods: The study comprised of 75 cases out of which 25 were normal 3 rd trimester pregnant women, 25 women in the 3rd trimester with preeclampsia and 25 were in the 3rd trimester with eclampsia, attending District Civil Hospital, Belgaum, Karnataka (India). Serum was used for evaluation of lipid profile: total Cholesterol, HDL-C, Triglycerides, VLDL-C, LDL-C and free fatty acid. Results: There was a consistent significant increase in total cholesterol, triglyceride, VLDL-C and free fatty acid in both groups as compared to pregnant controls (P< 0.001). When compared with pregnant controls, there was a consistent significant increase in LDL-C in pre-eclamptic (P< 0.05) and eclamptic groups (P< 0.001). HDL-C levels in 3rd trimester preeclamptic and eclamptic women were not significantly different as compared to 3rd trimester pregnant women. Conclusion: Pregnant women who develop pre-eclampsia had impaired lipid profile due to abnormal lipid metabolism. This appears to be of immense value in understanding the pathological process of preeclampsia/eclampsia. © 2015 Indian Journal of Public Health Research & Development. All Rights Reserved.


Bettegowda A.,Rajarajeswari Medical College | Rangaiah N.,Rajarajeswari Medical College | Prasad N.,Rajarajeswari Medical College | Channaveeregowda S.,Rajarajeswari Medical College
Journal of Clinical and Diagnostic Research | Year: 2015

Ovarian steroid cell tumours are fewer than 5 percent of sex-cord stromal tumours and 0.1% of all ovarian tumours. The average age at diagnosis is the mid-20s, but patients can present at virtually any age. We present a case of 38-year-old multipara with history of secondary amenorrhea, clinical signs & symptoms of virilization developed over the past 5 years. With elevated (115ng/dL) serum testosterone level and radiological findings of a left adnexal solid mass; the patient was suspected to have a virilizing tumour of left ovary. Laparoscopic left salpingo-oophorectomy was performed. Histopathology revealed tumour cells in small nests with vacuolated to eosinophilic cytoplasm with nuclear atypia completely replacing the ovarian tissue suggestive of steroid cell tumour (NOS) of ovary. The patient was discharged and advised for follow up with serum testosterone levels after 3 weeks. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved.


Jayker S.S.,Rajarajeswari Medical College | Surhonne S.P.,Rajarajeswari Medical College | Rajaram T.,Rajarajeswari Medical College
Online Journal of Health and Allied Sciences | Year: 2013

Brunner gland hamartoma (BGH), is a very rare benign tumor of the duodenum. It is usually asymptomatic and detected incidentally by endoscopy or other imaging modality. But, the definitive diagnosis is only by histopathological examination. We report an autopsy case in which a duodenal mass was found incidentally which was then confirmed histologically as Brunner gland hamartoma and the cause of death in this case was cerebral haemorrhage.


Ankegowda S.T.,Rajarajeswari Medical College | Surhonne S.P.,Rajarajeswari Medical College | Kenchappa S.,Rajarajeswari Medical College | Raymane A.P.,Rajarajeswari Medical College
Online Journal of Health and Allied Sciences | Year: 2013

Littoral cell angioma is a recently described primary vascular neoplasm of the spleen. It originates from the cells lining the venous sinuses (littoral cells) of the normal spleen, which under yet unexplained stimuli, proliferate to form the characteristic lesions seen grossly. We report a case of Littoral cell angioma of spleen in a 57 year old man, an incidental autopsy finding which led to mysterious death.


Sushma T.A.,Rajarajeswari Medical College | Shashikala K.,Rajarajeswari Medical College | Sharmila P.S.,Rajarajeswari Medical College
International Journal of Pharma and Bio Sciences | Year: 2013

We report a case of a 32year old nulligravida female who complained of increasing menstrual lower abdominal pain since 13years. An evaluation for Dysmenorrhoea, revealed a fundal anterior wall uterine fibroid. Preoperatively a rudimentary horn with a bicornis unicolis, didelphys uterus was detected. Histopathological examination revealed multiple leiomyoma and adenomyosis in the uterus and adenomyoma in the rudimentary horn. This is the rarest entity reported in the literature of adenomyosis or adenomyoma in a congenital uterine malformation.


PubMed | Rajarajeswari Medical College
Type: Journal Article | Journal: Asian Pacific journal of cancer prevention : APJCP | Year: 2014

Cervical cancer is potentially the most preventable and treatable cancer. Despite the known efficacy of cervical screening, a significant number of women do not avail themselves of the procedure due to lack of awareness.This study was conducted to elicit information on the knowledge, attitude and practice (KAP) regarding screening (Pap test) and vaccination for carcinoma cervix among female doctors and nurses in a tertiary care hospital in Bangalore and to assess barriers to acceptance of the Pap test.A cross-sectional, descriptive study was conducted with semi-structured, self-administered questionnaire among female health professionals. The study subjects were interviewed for KAP regarding risk factors for cancer cervix, Pap test and HPV vaccination for protection against carcinoma cervix.Higher proportion of doctors 45 (78.9%) had very good knowledge as compared to only 13 (13.3%) of the nurses, about risk factors for cancer cervix and Pap test (p=0.001). As many as 138(89.6%) of the study subjects had favorable attitude towards Pap test and vaccination, but 114 (73.6%) of the study subjects never had a Pap test and the most common reason 35 (31%) for not practicing was absence of disease symptoms.In spite of good knowledge and attitudes towards cancer cervix and Pap test being good, practice remained low among the study subjects and most common reasons for not undergoing Pap test was absence of disease symptoms. The independent predictors of ever having a Pap test done was found to be the occupation and duration of married life above 9 yrs. Hence there is a strong need to improve uptake of Pap test by health professionals by demystifying the barriers.


Over dependence on pharmacotherapy in psychiatry, known as biological imperialism, is a world-wide phenomenon. Some authors have opined that the inadequate and ineffective utilization of psychotherapeutic interventions and only dependence on pharmacotherapy amounts to institutional malpractice. Here is an example of such a case. A young male mainly received multiple psychotropic medicines, including clozapine (and also a failed psychotherapy) over a period of 4 years, without any benefit. His global assessment of function score remained at 30. However, with proper diagnosis and effectively conducted psychotherapy a significant improvement in Global assessment of functioning score of 70 was achieved, over a period of 1 years.


PubMed | Rajarajeswari Medical College
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2015

Ovarian steroid cell tumours are fewer than 5 percent of sex-cord stromal tumours and 0.1% of all ovarian tumours. The average age at diagnosis is the mid-20s, but patients can present at virtually any age. We present a case of 38-year-old multipara with history of secondary amenorrhea, clinical signs & symptoms of virilization developed over the past 5 years. With elevated (115ng/dL) serum testosterone level and radiological findings of a left adnexal solid mass; the patient was suspected to have a virilizing tumour of left ovary. Laparoscopic left salpingo-oophorectomy was performed. Histopathology revealed tumour cells in small nests with vacuolated to eosinophilic cytoplasm with nuclear atypia completely replacing the ovarian tissue suggestive of steroid cell tumour (NOS) of ovary. The patient was discharged and advised for follow up with serum testosterone levels after 3 weeks.

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