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Pandve H.T.,Smt Kashibai Navale Medical College
Indian Journal of Occupational and Environmental Medicine | Year: 2010

Climate change has emerged as one of the most important environmental issues ever to confront humanity. Recent events have emphatically demonstrated our growing vulnerability to climate change, and health hazards are a major concern. Research pertaining to the effects of climate change on human health is the need of the hour. This paper discusses the broad challenges in health research in developing countries with specific reference to climate change. Source

Deshmukh S.D.,Smt Kashibai Navale Medical College
The Gulf journal of oncology | Year: 2012

Carcinosarcoma, a malignant tumor with biphasic morphology is uncommon in the renal pelvis. Immunohistochemistry (IHC) plays an important role in establishing the diagnosis and differentiating it from other biphasic malignant tumors. We present a rare case of immunohistologically confirmed carcinosarcoma of renal pelvis in a 42-year old female, which possibly developed on a background of multicentric squamous cell carcinoma arising as a consequence of chronic irritation caused by calculi. Source

Shekhawat G.S.,Smt Kashibai Navale Medical College
Medical Journal Armed Forces India | Year: 2012

Background: Controlled ovarian hyperstimulation (COH) combined with intrauterine insemination (IUI), using a volume of 0.5 ml of inseminate is commonly offered to couples with non-tubal sub fertility. Another method is Fallopian tube sperm perfusion (FSP) which is based on a pressure injection of 4 ml of sperm suspension while attempting to seal the cervix to prevent semen reflux. This technique ensures the presence of higher sperm density in the fallopian tubes at the time of ovulation than standard IUI. The aim of this study was to compare the efficiency of standard intrauterine insemination (IUI) and Fallopian tube sperm perfusion (FSP) in the treatment of non-tubal infertility. Methods: 200 consecutive patients with infertility in 404 stimulated cycles were included in the study. Those randomized to standard IUI included 100 patients in 184 cycles [158 clomiphene citrate/human menopausal gonadotrophin cycles and 26 Letrozole/FSH cycles exclusively for polycystic ovarian disease patients] (group A). Patients subjected to FSP included 100 patients in 220 cycles (193 clomiphene citrate/human menopausal gonadotrophin cycles and 27 Letrozole/FSH cycles exclusively for polycystic ovarian disease patients] (group B). Swim up semen preparation technique was used in all cases. Insemination was performed in both groups 34-37 h after hCG administration. Standard IUI was performed using 0.5 ml of inseminate. In FSP 4 ml inseminate was used. Results: In group A (184 IUI cycles in 100 patients), 22 clinical pregnancies (presence of gestational sac with fetal cardiac activity) occurred (11.95% per cycle over four cycles). In group B, (220 cycles of FSP in 100 patients), 48 clinical pregnancies occurred (21.81% per cycle over four cycles) and this difference was statistically significant (p < 0.05). Conclusions: For non-tubal sub fertility, the results indicate clear benefit for FSP (Fallopian tube sperm perfusion) over IUI (Intrauterine insemination). © 2012, Armed Forces Medical Services (AFMS). All rights reserved. Source

Kaulaskar Shashikant V.,Smt Kashibai Navale Medical College | Dingre N.S.,Smt Kashibai Navale Medical College
Indian Journal of Forensic Medicine and Toxicology | Year: 2015

The incidence of unnatural deaths is a reflection of prevailing social setup & mental health status of the population.Medico-legal post-mortem examination is the most important tool for analysing unnatural deaths. The main aim of the present study was to determine the causes and epidemiological aspects of unnatural death.This retrospective 5-year study was carried at Forensic Medicine Department at Gujarat AdaniInstitute of Medical Sciences, Bhuj.All the cases of unnatural deaths brought to post-mortem centre at G.K. General Hospital, Bhuj during 1st January 2008 to 31st December 2012 were studied. Trauma was the most common cause of death (n=598; 35.51%) followed by burn injuries (n=539; 32.62%), poisoning (n= 201; 12%) and violent asphyxia deaths (n=193; 11.46%). © 2015, Indian Journal of Forensic Medicine and Toxicology. All rights reserved. Source

Pandve H.T.,Smt Kashibai Navale Medical College | Raut A.,Smt Kashibai Navale Medical College
Indian Journal of Occupational and Environmental Medicine | Year: 2011

Background: Climate change has emerged as one of the most devastating environmental threat and there is overwhelming evidence of wide range of implications for human health. To mitigate this, well-prepared medical man power is required. Objectives: The objectives of this study were (1) to assess the awareness regarding climate change and its health hazards among the medical students and (2) to recommend the awareness campaigns regarding climate change and its health hazards for students based on the results. Settings and Design: This observational study was conducted at the Medical College in Pune city. Materials and Methods: Medical students from all years of M.B.B.S. (Bachelor of Medicine and Bachelor of Surgery) who had given the written consent were included in this study. A self-administered, pre-tested, questionnaire was used. Responses were evaluated. Statistical Analysis Used: Proportions, percentage, and Chi-square test. Results: A total of 250 medical students were included in this study. In all, 246 (98.40%) students commented that global climate is changing, while 245 (98%) students opined that human activities are contributing to climate change. The commonest source of information about climate change was newspaper and magazines (78.20%). Majority commented that deforestation and industrial and vehicular pollution contribute most to climate change. According to 47.50% of the students, health-related issues are priority for climate change prevention strategy. According to 65.10% students, direct physical hazards of extreme climatic events are most important health-related impact of climate change, followed by natural disaster-related health hazards (43.50%), waterborne diseases (27.60%), vector-borne diseases (17.60%), and malnutrition (10%). There was statistically significant difference found between year of MBBS of the students and the awareness regarding United Nations Federation on Climate Change, Kyoto protocol (2 = 7.85, P = 0.02), and Intergovernmental Panel on Climate Change (2 = 12.77, P = 0.002). A significant difference was found between the awareness about health impact of climate change at different places (2 = 11.25, P = 0.001). Conclusion: Students had awareness regarding health hazards of the climate change, but improvement for mitigation is required. It is suggested that a large nation-wide awareness survey regarding climate change and its health hazards is necessary to determine the preparedness of medical students and also to suggest any changes in the current curriculum. Source

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