RajaRajeswari Medical College and Hospital

Bangalore, India

RajaRajeswari Medical College and Hospital

Bangalore, India
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Raveendra L.,Rajarajeswari Medical College and Hospital | Hemavathi R.N.,Rajarajeswari Medical College and Hospital | Rajgopal S.,Rajarajeswari Medical College and Hospital
Indian Journal of Dermatology | Year: 2017

Context: Diabetes mellitus is associated with many skin manifestations including vitiligo. Vitiligo occurs more commonly in Type 1 diabetes mellitus. A few recent studies have shown its increased occurrence in Type 2 diabetes mellitus. Aims: This study aims to study the prevalence of vitiligo in Type 2 diabetic patients and to compare the prevalence of vitiligo in age- and sex-matched group of nondiabetic population. Settings and Design: The present study was a hospital-based cross-sectional study conducted in the Department of Dermatology in a tertiary care hospital. Subjects and Methods: Six hundred consecutive consenting patients of Type 2 diabetes were included in the study group and age- and sex-matched controls were healthy nondiabetic adult volunteers attending the Department of Dermatology. Fasting and postprandial blood sugar levels were done. A complete history, physical examination, and wood's lamp examination to detect vitiligo were conducted. In all those with vitiligo, the type of vitiligo was noted. Statistical Analysis Used: Data were analyzed using SPSS software version 20.0. Comparison between the presence of vitiligo in cases and controls was done using Chi-square test with P = 0.05 for significance. Results: Vitiligo was seen in 12% of cases and 6% of control group which was statistically significant (P < 0.01). There was no significant difference between cases and controls with respect to type of vitiligo. Conclusions: Vitiligo can occur in Type 2 diabetics as seen in our study and few other recent studies. The exact pathogenesis is not very clear and needs further consideration.

Kumar P.,RajaRajeswari Medical College and Hospital | Rayamane A.P.,BGS Global Institute of Medical science | Subbaramaiah M.,Kempegowda Institute of Medical science
American Journal of Forensic Medicine and Pathology | Year: 2013

Eagle syndrome represents symptoms manifested by compression of regional structures by elongation of the styloid process or ossification of the stylohyoid membrane. Various theories have been put forward toward the development of Eagle syndrome. Depending on the underlying pathogenetic mechanism and the anatomical structures compressed or irritated by the elongated styloid process, symptoms vary greatly, ranging from cervicofacial pain to cerebral ischemia. Because the symptoms are variable and nonspecific, patients land up in different clinics for treatment. In the present case, the victim had previous episode of unconsciousness along with frequent headache for which she visited various clinics on numerous occasions. The elongated styloid process was appreciated during the postmortem examination, and the diagnosis of sudden death due to mechanical irritation of the carotid sinus by elongated styloid process was made as the sign of acute cardiovascular failure was present and upon exclusion of other causes of death. Copyright © 2013 by Lippincott Williams & Wilkins.

Rahangdale L.,University of North Carolina at Chapel Hill | Banandur P.,Rajarajeswari Medical College and Hospital | Sreenivas A.,University of California at Berkeley | Turan J.M.,University of California at San Francisco | And 2 more authors.
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV | Year: 2010

In Karnataka, India only one-third of HIV-infected pregnant women received antiretroviral prophylaxis at delivery in 2007 through the state government's prevention of parent-to-child HIV transmission (PPTCT) program. The current qualitative study explored the role of HIV-associated stigma as a barrier to access PPTCT services in the rural northern Karnataka district of Bagalkot using in-depth interviews and focus group discussions with HIV-infected women who had participated in the PPTCT program, male and female family members, and HIV service providers. Participants discussed personal experiences, community perceptions of HIV, and decision-making related to accessing PPTCT services. They described stigma toward HIV-infected individuals from multiple sources: healthcare workers; community members; family; and self. Stigma-related behaviors were based on fears of HIV transmission through personal contact and moral judgment. Experience and/or fears of discrimination led pregnant women to avoid using PPTCT interventions. Government, cultural, and historical factors are described as the roots of much the stigma-related behavior in this setting. Based on these formative data, PPTCT program planners should consider further research and interventions aimed at diminishing institutional and interpersonal HIV-associated stigma experienced by pregnant women. © 2010 Taylor & Francis.

Deshatty D.D.,Rajarajeswari Medical College and Hospital | Shubha R.,Kempegowda Institute of Medical science and Research Center
Biomedicine (India) | Year: 2015

Introduction: Popliteal artery (PA), continuation of femoral artery terminates at the lower border of popliteus muscle into anterior tibial (ATA) and posterior tibial artery (PTA). A good knowledge of variations and their incidence become essential during infrapopliteal vascular surgeries. Aim: The aim of the present study is to note the level and mode of termination of popliteal artery & their variations. Materials and Methods: The study sample comprised of 100 embalmed lower extremities (50 right, 50 left). The specimens were studied by dissection method at the Department of Anatomy, KIMS, Bangalore and other medical colleges in & around Bangalore. The parameters were noted meticulously and the data processed. Results: Following variations in termination of PA were noted-3% high termination, 1% mid termination & 1% trifurcation. In another 1% of specimens, early origin of peroneal artery was noted. Among the 3% of high termination of PA, in 1 % of cases, the ATA coursed distally anterior to popliteus muscle (PM). Conclusion: The results of study showed that the presence of variations of the popliteal artery and its termination are rare, but their occurrence in the small population which the author studied, adds to its significance.

Pradeep Kumar M.V.,RajaRajeswari Medical College and Hospital | Rayamane A.P.,Mysore Medical College and Research Institute
Journal of South India Medicolegal Association | Year: 2015

Hanging is considered as the most preferred method of suicide, by many people as it is considered as a painless form of death. In a city like Bangalore more than 50% of cases of suicides are due to hanging. Sometimes hanging is preferred as the last resort after all other methods have failed to produce the desired effect. This cross sectional study has been under taken by the first author working in a postgraduate medical college. The aim of the study was to find out the neck injuries in hanging deaths and to correlate similar findings undertaken by the eminent personalities in the field of forensic medicine. The internal findings in cases of hanging deaths help the autopsy surgeon to decide and opine the manner of death of the individual. © 2015 South India Medico-Legal Association. All rights reserved.

Mangala S.,Rajarajeswari Medical College and Hospital
Biomedicine (India) | Year: 2013

The duodenum is the second most common site for gastrointestinal diverticulum after colon. The author report here, a case of solitary duodenal diverticulum, arising from its second part in a 65 year old male cadaver during routine dissection of abdomen in the department of Anatomy, Rajarajeswari Medical College and Hospital, Bangalore. The diverticulum in the present case was a thin out pouch, measuring 3.3.cms in length and extending into the lower part of the head of pancreas with the major duodenal papilla opening at the lower left margin of the diverticulum and it was of periampullary type. There were no signs of previous insults like ulceration, inflammation or scarring in or around the diverticulum. The presence of duodenal diverticulum explained anatomically in this case report gains importance compared to the available literature investigated radiologically and adds to the existing knowledge about such diverticula, thereby facilitating early detection and surgical intervention if needed.

Srividya V.,Rajarajeswari Medical College and Hospital | Kumar J.,Rajarajeswari Medical College and Hospital
Journal of Clinical and Diagnostic Research | Year: 2013

Introduction: The extent of acceptance of contraceptive methods still varies within societies. Reliance on sterilisation is appearing earlier in marriage and among ever-younger ages and lower parities. Aim and Objective: To study the family planning practices adopted by women who undergo tubectomy before the acceptance of tubectomy. Material and Methods: Cross-sectional study of tubectomy acceptors who attended a corporation referral maternity home in Bangalore, India by interview method using a pre-designed a pre-tested structured questionnaire. Results: Majority 295(73.9%) of the study subjects had not practised any method of contraception before they underwent sterilisation. Increase in the education levels of the study subjects was associated with an increase in the contraceptive use (temporary methods) before they accepted tubectomy; this association was found to be statistically significant (p<0.0001).

Mangala S.,Rajarajeswari Medical College and Hospital
Biomedicine (India) | Year: 2014

Assimilation of atlas (I cervical vertebra) is one of the most common osseous anomalies of the cranio-vertebral junction. Also termed as Occipitalization of atlas, Atlanto occipital fusion & occipitocervical synostosis, it is defined as a congenital fusion of bony ring of atlas to the base of the occipital bone. The fusion may be complete or partial. The author report here, one such case of assimilation of atlas observed in a skull during routine osteology demonstration class for undergraduate medical students in the department of Anatomy. The fusion of atlas in the present case was a partial one in that, the superior articular facets of atlas on both the sides were completely fused with the occipital condyles & the so fused lateral masses along with the osteophyte changes around them were seen protruding slightly into the foramen magnum. The inferior articular facets were asymmetrical with the diameter of the left slightly larger than the right. There was no fusion of anterior and posterior arches to the margins of foramen magnum. The right and left transverse process were normal and showed the presence of foramen transversarium in them. Interior of the skull showed asymmetrical features. Assimilation of atlas vertebra whether complete or partial may produce narrowing of foramen magnum which may compress spinal cord or brainstem. Therefore, understanding the anatomical basis of occipitocervical synostosis is vital to Orthopaedicians & Neurosurgeons as it is a prerequisite to perform a thorough preoperative clinical assessment and prevent complications during and after upper cervical manipulative procedures. Hence the present study gains importance in view of clinical significance attached to the morphology and implications of Assimilation of atlas in guiding many interventional procedures in craniovertebral region.

Belliappa P.R.,Rajarajeswari Medical College and Hospital | Umashankar N.,Rajarajeswari Medical College and Hospital | Raveendra L.,Rajarajeswari Medical College and Hospital
International Journal of Trichology | Year: 2013

Pilomatricoma (pilomatrixoma) or calcifying epithelioma of Malherbe, is a tumor with differentiation toward hair cells, particularly hair cortex cells. It frequently presents as a firm, deep-seated nodule that is covered by normal skin. Bullous pilomatricoma is an unusual clinical variant. Reports on bullous variant of pilomatricoma is sparse, and only 17 cases have been reported world-wide until date out of which only two cases are reported from India. We present a report of a 17-year-old female with a solitary reddish semi-transparent blister over her right upper arm since 3 months resembling a bouncy ball. Histopathology revealed tumor nests of basophilic cells and eosinophilic shadow cells, which are consistent with pilomatricoma.

Bavle A.,Rajarajeswari Medical College and Hospital
Asian Journal of Psychiatry | Year: 2015

This is the second report of a patient developing severe prolongation of QTc interval with a dose of 300. mg/day of venlafaxine; on stopping it, QTc reverted to normalcy. Venlafaxine was restarted and maintained at 150. mg/day, with QTc interval remaining normal, indicating, that it has a dose-dependent effect on QTc interval. Venlafaxine was not changed as she had responded best to this drug compared to any other antidepressant. Over 20 years, the only time she had a period of 5 years of remission, was when she was on 75. mg of venlafaxine/day. © 2015 Elsevier B.V.

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