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Chetana N.,Smt Kashibai Navale Medical College | Chetana N.,Ghaisas ENT Hospital | Jayesh R.,Mimsr Medical College
Indian Journal of Otolaryngology and Head and Neck Surgery | Year: 2015

Subjective Visual Vertical (S.V.V.) assesses the ability to perceive verticality which depends on visual, vestibular and somatosensory inputs. The judgment of verticality is altered when there is otolith dysfunction. Objective of our study was to present a simple method to assess S.V.V. and to analyze S.V.V. changes in various vestibular disorders. 100 subjects presenting with vestibular disorders in period of 1 year 2 months were subjected to Neurotological history and examination. Patients with non-vestibular causes were excluded. S.V.V was tested with a simple innovative device—a specially designed bucket. The angle of deviation from vertical was noted in degrees. Normal deviation is 0 ± 2°. Out of 23 patients with vestibular neuritis 83 % showed abnormal S.V.V. Amongst 11 patients of Meniere’s disease, 55 % and 42 patients of BPPV, 71 % had abnormal S.V.V. Amongst 24 patients with other causes 15 % showed abnormal S.V.V. S.V.V is a reliable screening tool in assessment of vestibular dysfunction along with other clinical tests. It has a prognostic value during recovery following vestibular damage. The modified ‘Bucket’ is a simple, easy to use and cost-effective device to do the S.V.V. in daily practice. © 2014, Association of Otolaryngologists of India.


Dingre N.S.,Smt Kashibai Navale Medical College | Kaulaskar Shashikant V.,Smt Kashibai Navale Medical College
Medico-Legal Update | Year: 2016

The study was conducted in the Department of Forensic Medicine and Toxicology, Indira Gandhi Government Medical College, Nagpur. Total 100 cases were examined to study various patterns, anatomical location and histological extent of the cervical carotid artery injuries.Traumatic vascular injury to the extra cranial circulation appears relatively underdiagnosed in part because of frequent co-existence of traumatic brain injury. In this study, intimal tears were present in 15(57.69%) and compound intimo-medial tears were found in 15(57.69%) subjects of the 26 subjects with positive findings. Medial tears were noted in 12(46.15%) subjectsand total 8 complete wall transections were present. It seems, the intimal tear is the basic and most common injury which leads to further thrombosis and occlusion. © 2016, World Informations Syndicate. All rights reserved.


Dingre N.S.,Smt Kashibai Navale Medical College | Kaulaskar Shashikant V.,Smt Kashibai Navale Medical College
Indian Journal of Forensic Medicine and Toxicology | Year: 2016

The main aim of this study was to analyse different causes of unnatural deaths and its epidemiological aspects. Identifying the risks of unnatural deaths will help to improve overall planning & enable to prevent avoidable deaths. The study was conducted in the Department of Forensic Medicine and Toxicology, Dr. V.M. Government Medical College, Solapur in an attempt to explore pattern of unnatural deaths in Solapur. Total 1794 cases of medico-legal autopsies were studied during the period of one year. As per this study, trauma (51.92%) was the most common cause of death followed by thermal injuries (21.16%), violent asphyxia deaths (13.46%) and poisoning (12.02%). While in case of males, trauma (64.39%) was the most common cause of the death in case of males, it was thermal injuries (46.78%) in case of females. Deaths due to trauma (25.13%) and thermal injuries (34.42%) were most common among age group 21-30 years. © 2015, Indian Journal of Forensic Medicine and Toxicology. All rights reserved.


Dingre N.S.,Smt Kashibai Navale Medical College | Kaulaskar Shashikant V.,Smt Kashibai Navale Medical College
Indian Journal of Forensic Medicine and Toxicology | Year: 2016

The study was conducted in the Department of Forensic Medicine and Toxicology, Indira Gandhi Government Medical College, Nagpur. Total 100 cases were examined to study various patterns, anatomical location of the cervical carotid artery injuries. Traumatic vascular injury to the extra cranial circulation appears relatively underdiagnosed in part because of frequent co-existence of traumatic brain injury. The blunt injuries to the carotid arteries usually present late with devastating stroke. As per this study, the maximum number of cases belonged to the age group 21-30 years (27%) and 82% of the victims were male. In only 42.3% of the cases with carotid artery injuries, there were surface injuries to the neck. The most common vessel involved was left common carotid artery (45.9%) followed by right common carotid artery (35.1%). In maximum number of cases, the cause of death was head injury (65%) which usually masks the presentation of the carotid artery injury. The multiple i.e. dual vessel involvement was found in the 42.31% of the positive cases suggesting possible mechanism of hyperextension of the neck rather than direct trauma. © 2015, Indian Journal of Forensic Medicine and Toxicology. All rights reserved.


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.


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.


Debnath D.J.,Smt Kashibai Navale Medical College | Parulekar C.V.,Smt Kashibai Navale Medical College
International Journal of Preventive Medicine | Year: 2014

Background: Malnutrition is a major public health problem in a developing country like India. Keeping this in mind a study was carried out to find the proportion of under-five children suffering from malnutrition among the under-five hospitalized children and to study co-morbid illnesses and epidemiological factors associated with malnutrition. Methods: This was a hospital-based cross sectional study carried out in the pediatric ward of a tertiary care teaching hospital in Pune, India. All under-five children suffering from malnutrition were studied over a period of 1 month. Results: Total number of under five children diagnosed as malnourished were 47 (39.83%). Moderate and severe/very severe malnutrition was statistically significantly higher in a girl child. The proportion of moderate and severe/very severe malnutrition was higher in low birth weight babies, children who were incompletely immunized for age. Faulty infant feeding practice was observed in 28 (59.6%) children. Some of the co-morbid illnesses contributing to morbidity in the malnourished child were acute diarrheal diseases, acute respiratory infection, anemia, and septicemia. Conclusion: A large proportion of hospitalized children were malnourished. Girl child suffered from moderate to severe forms of malnutrition as compared to male child and this was the only statistically significant association. This may be due to neglect of girl child.


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.


Deshmukh S.D.,Smt Kashibai Navale Medical College | Bavikar R.,Smt Kashibai Navale Medical College | Naik A.M.,Smt Kashibai Navale Medical College
Indian Pediatrics | Year: 2012

We report a female neonate, who presented with abdominal distension and failure to pass meconium. Antenatal ultrasound at 32 weeks gestation and postnatal ultrasound on day1 suggested intestinal obstruction. During laparatomy, atresia of distal jejunum was found. The lumen of the distal segment contained an intussusceptum. Resection of the blind ends was done and end-to-end anastomosis was performed.


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.

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