Shri Vasantrao Naik Government Medical College

Yavatmāl, India

Shri Vasantrao Naik Government Medical College

Yavatmāl, India
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Joshi R.S.,Shri Vasantrao Naik Government Medical College
Digital journal of ophthalmology : DJO | Year: 2016

We report a case of rapid anterior lens capsular contraction leading to decentration of a hydrophilic acrylic lens with stiff haptics (Rayner design). To our knowledge, this is the first report to investigate early capsular contraction with folding of the haptic over the optic in a patient with a tendency toward hypertrophic scar formation.


Nandu V.V.,Shri Vasantrao Naik Government Medical College | Chaudhari M.S.,Shri Vasantrao Naik Government Medical College
Indian Journal of Surgical Oncology | Year: 2017

Breast cancer is the leading malignancy and the second leading cause of cancer-related deaths. Axillary lymph node status is a very important prognostic factor in breast cancer patients; nodal evaluation is therefore a critical part of breast cancer management. Axillary lymph node dissection results in significant morbidity. Sentinel lymph node biopsy (SLNB) is being used in many centers to stage the axilla in planning axillary dissection management of patients and hence plays an important part in reducing morbidity among patients with carcinoma breast. The objectives of this paper is to study the (1) efficacy of sentinel lymph node biopsy in detecting axillary metastasis, (2) location of sentinel lymph node in the axilla, (3) rate of involvement of sentinel lymph nodes, and (4) incidence of skip metastasis. Thirty-five patients with breast cancer with clinically node-negative axilla were selected for the study. Methylene blue dye was injected intralesional and perilesional 20 min prior to surgery. All patients underwent modified radical mastectomy with sentinel lymph node biopsy and axillary dissection and after pathological examination diagnostic statics, namely sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy were computed. Sentinel lymph node was identified in all of these patients. Sixty percent patients had pathologically positive lymph nodes in the axilla. 90.48% patients of these had sentinel lymph nodes positive for malignant cells. Incidence of skip metastasis is 9.52%. 88.57% patients had sentinel lymph node mapped to level I lymph nodes. Sensitivity of SLNB is 90.48%, specificity is 85.71%, PPV of is 90.48%, NPV is 85.71%, and accuracy is 88.57%. Sentinel lymph node biopsy is an effective method of staging the axilla and deciding on axillary clearance in patients of carcinoma breast. Unnecessary axillary dissection and associated complications can be prevented in most of patients due to sentinel lymph node biopsy. © 2016, Indian Association of Surgical Oncology.


Bagga G.G.,Shri Vasantrao Naik Government Medical College | Chavan R.,Shri Vasantrao Naik Government Medical College | Pajai S.,Shri Vasantrao Naik Government Medical College | Nandu V.,Shri Vasantrao Naik Government Medical College
Journal of SAFOG | Year: 2017

A patient with one previous term delivery presented with spontaneous uterine perforation due to choriocarcinoma (CC), requiring emergency hysterectomy due to hemoperitoneum. This tumor appears to follow a more aggressive course with extensive metastatic spread. The CC presenting as a spontaneous uterine perforation with intraabdominal hemorrhage is an extremely rare and life-threatening condition. It should be considered in the differential diagnoses of patients in the reproductive phase with a history of recent pregnancy having acute abdomen with hemoperitoneum. Early diagnosis and aggressive chemotherapy is important for patient survival. The patient should be closely followed up for a better outcome. © 2017, Jaypee Brothers Medical Publishers (P) Ltd. All rights reserved.


Hirkani M.A.,Seth GS Medical College and KEM Hospital | Yogi J.,Shri Vasantrao Naik Government Medical College
National Journal of Physiology, Pharmacy and Pharmacology | Year: 2017

Background: Prolonged resident duty hours may affect patient care. There are no restrictions to the amount of hours a resident can work which may lead to medical errors and lapses in patient care. Aims and Objectives: The purpose of this study was to prospectively evaluate the effect of sleep deprivation (SD) on finger dexterity at different intervals of SD during the residents’ on-call period and to identify the duration after which these effects begin. We further tested if this decline correlated with the subjective assessment of sleepiness. Materials and Methods: The finger dexterity was measured by the O’Connor dexterity apparatus, and subjective sleepiness assessment was carried out using pictorial sleepiness scale in 30 resident doctors at 6 h intervals during their on-call period which lasted for 24 h. Results: The finger dexterity was significantly decreased at the end of the 24 h duty period as compared to the baseline. This deterioration began after being on-call for 12 h and progressed thereafter. The changes in finger dexterity correlated negatively with the subjective sleepiness assessment. Conclusion: 24 h of SD during on-call duty significantly decreases the finger dexterity in resident doctors. This might be a major cause of medical errors and hamper patient safety. © 2017 Munira Abbas Hirkani and Jeetendra Yogi.


Shinge S.S.,Government Medical College and Hospital | Shrigiriwar M.B.,Shri Vasantrao Naik Government Medical College
Journal of Indian Academy of Forensic Medicine | Year: 2013

Sexual offences are the most heinous crimes against women. During examination of an accused of alleged sexual assault preservation of evidences is an important task. In India, owing to poor collection of medical evidences, conviction rate of accused is low.This study aims at recording results of medical examination and knowing injury patterns of alleged sexual assault accused along with preserving proper medico-legal evidence. A consecutive series of 41 accused, were examined in the head-to-toe manner including genitals. Accused were referred from emergency department with proper requisition for examination by investigating police officer. After careful medical examination, samples were collected for chemical analysis. We concluded that most of the accused were young unmarried males from the age group 21-30 years. Fifty six percent accused were friend and 29.2% were known to the victim. Only about a fifth of them were presented for examination on the day of incident itself and none of them had evidence of any struggle injuries.


Joshi R.J.,Shri Vasantrao Naik Government Medical College
Middle East African Journal of Ophthalmology | Year: 2014

Aim: To compare the efficacy and safety of 0.5% intracameral lignocaine to 1% intracameral lignocaine prior to phacotrabeculectomy. Study Design: Prospective, comparative, observational, and interventional study. Setting: Tertiary eye care center in central India. Materials and Methods: This study was comprised of 79 patients (79 eyes) with primary open angle glaucoma scheduled for phacotrabeculectomy. Patients were assigned to 1 of 2 Groups receiving proparacaine 0.5% eye drops and 1% intracameral lignocaine just prior to phacotrabeculectomy (Group 1, n = 39) and 0.5% intracameral lignocaine after completion of phacoemulsification just prior to trabeculectomy (Group 2, n = 40). The visual analogue scale was used to record intraoperative and postoperative pain. Patient comfort, intraoperative painful sensations perceived by the patient, supplemental anesthesia, complications, and surgeon discomfort were noted. An anesthetist also noted the vital parameters and the requirement for intravenous medications. Results: There was no significant difference in the intraoperative pain score (P = 0.0733) or supplemental anesthesia (P = 0.372) between Groups. Postoperative pain score was statistically significant in Group 2 (P < 0.0001). The overall operating conditions in both Groups were comparable (P = 0.7389). A greater number of patients in Group 2 (88.57%) preferred the same anesthetic technique for combined surgery in the fellow eye. There was no difference in inadvertent eye movements and lid squeezing between Groups and they did not interfere with surgery. Conclusion: Topical anesthetic drops supplemented with 0.5% intracameral lignocaine before performing trabeculectomy is as effective as 1% intracameral lignocaine given at the beginning of phacotrabeculectomy for primary open angle glaucoma.


Joshi R.S.,Shri Vasantrao Naik Government Medical College
Middle East African Journal of Ophthalmology | Year: 2013

Purpose: The purpose of this study was to compare the efficacy of a single drop of 0.5% proparacaine hydrochloride in uncomplicated cataract surgery with phacoemulsification. Materials and Methods: Two hundred and ninety five patients scheduled for the phacoemulsification were divided into 2 groups based on the anesthetic agents they were to receive: 146 patients who received a single drop of 0.5% proparacaine 2 min before the start of the surgery (proparacaine group) and; 149 patients who received supplementation of 0.5% intracameral preservative free xylocaine (xylocaine group). A single surgeon performed all surgeries. Intraoperative and post-operative pain scores were evaluated on a visual analog scale. The surgeon noted his subjective impression of corneal clarity, discomfort while performing the surgery any supplemental anesthesia required and intraoperative complications. An anesthetist noted vital parameters and the need for intravenous sedation. Total surgical time was noted. Comparison of parameters was performed with the Chi-square test, and A P value less than 0.05 was considered as statistically significant. Results: No statistically significant difference was seen in the intraoperative (P = 0.24) and post-operative (P = 0.164) pain scores between groups. There was no pain (0 score) in 41.8% of patients in the proparacaine group and 46.3% of patients in the xylocaine group. The average surgical time (P = 0.279) and surgeon discomfort (P = 0.07) were not statistically significantly different between groups. No patients required supplemental anesthesia. There were no surgical complications that could compromise the visual outcome. An equal number of patients in both groups preferred same type of anesthetic technique for the fellow eye cataract surgery (89.11% for the proparacaine group and 90.18% for the xylocaine group). No patients in either group had changes in vital parameters or required intravenous sedation. Conclusion: A single drop pre-operatively, of proparacaine hydrochloride was comparable to the intracameral supplementation of preservative free xylocaine for phacoemulsification in uncomplicated cataract surgery without compromising the visual outcome. However, we recommend individualizing the anesthetic technique according to the requirements of the surgeon.


Patle R.A.,Shri Vasantrao Naik Government Medical College | Khakse G.M.,Shri Vasantrao Naik Government Medical College
The National medical journal of India | Year: 2015

BACKGROUND: The health-seeking behaviour of elderly individuals can help in ascertaining the determinants and in developing appropriate policies for their healthcare.METHODS: In this community-based cross-sectional study, we included 250 elderly persons above 60 years of age living in the urban field practice area of Shri Vasantrao Naik Government Medical College, Yavatmal, Maharashtra. We used a structured proforma to collect information about their health-seeking behaviour.RESULTS: Overall, 48% of the study subjects chose an allopathic practitioner. The difference in the health-seeking behaviour for self-treatment, treatment from traditional healers and paraprofessionals as one group and allopathic treatment as another group was significant for the determinants of age (p<0.001), educational level (p<0.0001) and poverty status (p=0.0007) and registration under any government scheme (p=0.0446). The average expenditure on health was significantly more among those who were above 75 years of age, employed, educated and above the poverty line, irrespective of gender.CONCLUSION: Elderly persons who prefer allopathic treatment are likely to be above 75 years of age, those having some education and those above poverty line. Copyright 2015, NMJI.


PubMed | Shri Vasantrao Naik Government Medical College
Type: Journal Article | Journal: Digital journal of ophthalmology : DJO | Year: 2016

We report a case of rapid anterior lens capsular contraction leading to decentration of a hydrophilic acrylic lens with stiff haptics (Rayner design). To our knowledge, this is the first report to investigate early capsular contraction with folding of the haptic over the optic in a patient with a tendency toward hypertrophic scar formation.


PubMed | Shri Vasantrao Naik Government Medical College
Type: Journal Article | Journal: The National medical journal of India | Year: 2016

The health-seeking behaviour of elderly individuals can help in ascertaining the determinants and in developing appropriate policies for their healthcare.In this community-based cross-sectional study, we included 250 elderly persons above 60 years of age living in the urban field practice area of Shri Vasantrao Naik Government Medical College, Yavatmal, Maharashtra. We used a structured proforma to collect information about their health-seeking behaviour.Overall, 48% of the study subjects chose an allopathic practitioner. The difference in the health-seeking behaviour for self-treatment, treatment from traditional healers and paraprofessionals as one group and allopathic treatment as another group was significant for the determinants of age (p<0.001), educational level (p<0.0001) and poverty status (p=0.0007) and registration under any government scheme (p=0.0446). The average expenditure on health was significantly more among those who were above 75 years of age, employed, educated and above the poverty line, irrespective of gender.Elderly persons who prefer allopathic treatment are likely to be above 75 years of age, those having some education and those above poverty line.

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