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Kardile P.B.,Shri Vasantrao Naik Government Medical College | Ughade J.M.,ESIC Medical College and PGIMSR | Pandit S.V.,Shri Vasantrao Naik Government Medical College | Ughade M.N.,ACPM Medical College
Journal of Clinical and Diagnostic Research | Year: 2013

Introduction: The Circle of Willis is a vascular network formed at the base of skull in the interpeduncular fossa. Its anterior part is formed by the anterior cerebral artery, from either side. Anterior communicating artery connects the right and left anterior cerebral arteries. Posteriorly, the basilar artery divides into right and left posterior cerebral arteries and each joins to ipsilateral internal carotid artery through a posterior communicating artery. Anterior communicating artery, an important component of circle of Willis, acts as collateral channel to stabilize blood flow. In the present study, anatomical variations in the anterior communicating artery were noted. Material and Methods: One hundred apparently normal formalin fixed brain specimens were collected from human cadavers. Normal anatomical pattern and variations of anterior communicating artery were studied. The anterior communicating arteries were then coloured, photographed, numbered and the abnormalities, if any, were noted. Result: Thity eight variant anterior communicating arteries were noted. The most common variation observed in the anterior communicating artery was its duplication in 10 subjects, followed by its absence in 8 subjects. Some variations like plexus formation, median artery were found in adults, because of persistence of embryonic pattern. Conclusion: Knowledge on variations in the anterior communicating artery is of clinical significance, as it is one of the components of circle of Willis which stabilizes cerebral blood flow when principle conduits fail.


PubMed | ACPM Medical College, Shri Vasantrao Naik Government Medical College and ESIC Medical College & PGIMSR
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2014

The Circle of Willis is a vascular network formed at the base of skull in the interpeduncular fossa. Its anterior part is formed by the anterior cerebral artery, from either side. Anterior communicating artery connects the right and left anterior cerebral arteries. Posteriorly, the basilar artery divides into right and left posterior cerebral arteries and each joins to ipsilateral internal carotid artery through a posterior communicating artery. Anterior communicating artery, an important component of circle of Willis, acts as collateral channel to stabilize blood flow. In the present study, anatomical variations in the anterior communicating artery were noted.One hundred apparently normal formalin fixed brain specimens were collected from human cadavers. Normal anatomical pattern and variations of anterior communicating artery were studied. The anterior communicating arteries were then coloured, photographed, numbered and the abnormalities, if any, were noted.Thity eight variant anterior communicating arteries were noted. The most common variation observed in the anterior communicating artery was its duplication in 10 subjects, followed by its absence in 8 subjects. Some variations like plexus formation, median artery were found in adults, because of persistence of embryonic pattern.Knowledge on variations in the anterior communicating artery is of clinical significance, as it is one of the components of circle of Willis which stabilizes cerebral blood flow when principle conduits fail.


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.


Chaware P.,Shri Vasantrao Naik government Medical College | Pandit S.,Shri Vasantrao Naik government Medical College
Journal of Datta Meghe Institute of Medical Sciences University | Year: 2012

Objetive: In operative dentistry, anaesthesia of mandibular teeth is achieved by inferior alveolar nerve block. The success of this technique highly depends on the proximity of the needle tip to the mandibular foramen at the time of anesthetic injection. For this reason, the technique must be based on precise anatomical knowledge of the correct location of mandibular foramen. The aim of this study was to analyse the location of mandibular foramen in relation to the borders of mandibular ramus and also to locate the quadrant of ramus in which, the foramen was located in a vertical and horizontal directions. Study Design: Mandibular foramen was first located and its distance from anterior, posterior, superior and inferior borders of ramus of mandible was measured. Then gonial angle and its correlation to other linear parameters was studied. Results: This study revealed that mandibular foramen was located on the third quadrant anteroposteriorly and at the junction of second and third quadrant of ramus supero-inferiorly. There was a negative correlation between the gonial angle and other linear parameters studied. Conclusion: Localisation of mandibular foramen is a prerequisite prior to inferior alveolar nerve block and during any surgical procedures on mandibular ramus.


Rathod A.D.,Shri Vasantrao Naik Government Medical College | Pajai S.P.,Shri Vasantrao Naik Government Medical College | Gaddikeri A.,Shri Vasantrao Naik Government Medical College
Journal of SAFOG | Year: 2014

Gestational trophoblastic disease encompasses a diverse group of lesions. If molar changes in the placenta are known along with an alive fetus, then situation is difficult for both obstetrician and parents. On one hand, there may be a normal pregnancy whereas on the other hand the mother may be threatened by numerous complications caused by the hydatid mole, if the pregnancy is continued. We present successfully managed case of partial molar pregnancy with an alive fetus at 1st stage of preterm labor with premature rupture of membranes with anemia with a live diploid female fetus with good neonatal out come. Follow-up till 1 year showed no progression to malignant gestational trophoblastic diseases. © 2014, Jaypee Brothers Medical Publishers (P) Ltd. All rights reserved.


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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