Bagalkot, India
Bagalkot, India
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Patil N.S.,SNMC | Kulkarni S.R.,AIIMS | Lohitashwa R.,SSIMS and RC
Journal of Clinical and Diagnostic Research | Year: 2013

Objectives: To evaluate the perinatal outcome with the abnormal umbilical cord coiling index. Study Design: This prospective study was carried out in the department of OBG at Adichunchangiri Institute of Medical Sciences, B.G.Nagara, Mandya, Karnataka, India from January 2008 to August 2010. 200 patients who were in active labour with term gestations, irrespective of their parities, who had singleton pregnancies with live babies who were either delivered by vaginal or LSCS were included in the study. Umbilical cord coiling index was calculated and it was correlated with various perinatal parameters like birth weight, meconium stained liquor, Apgar score, ponderal index and foetal growth restriction. Chi square and Fisher exact tests were used to find the significance of study parameters. Results: There was a significant correlation between the hypercoiled cords (UCI >90 th percentile) and IUGR of the babies (p value of < 0.001) and low ponderal indices (a p value of 0.022) Hypocoiled cords (UCI which was < 10th percentile) were significantly associated with meconium staining (p < 0.001), Apgar score at 1 min of <4 and at 5 min of <7 (p value 0.065), LSCS rates (p value of 0.008) and NICU admissions (p <0.001). Conclusion: Hypercoiled cords or UCI which was > 90th percentile was associated with IUGR and low ponderal indices. Hypocoiled cords or UCI which was <10th percentile was associated with meconium staining, Apgar score at 1 min of <4 and at 5 min of <7, more LSCS rates and more NICU admissions.

Patil S.K.,SNMC | Ahmed M.M.,Gandhi Institute of Technology and Management
Indian Journal of Public Health Research and Development | Year: 2016

Background: Integrated Child Development Services (ICDS) is one of the world’s largest community based schemes running in India for over three decades. To promote early childhood care frequent evaluations of the scheme have been conducted in the country. Objective: To assess the services provided under ICDS in urban slums of Belagavi city of Karnataka. Method: It was decided to study all the 16 Anganwadi centres (AWCs) of slums which are located under Ramnagar, Rukmininagar and Ashoknagar Urban Health Centres of the Belagavi city. The AWCs visited were evaluated with respect to infrastructure facility of the centre, record keeping activity & knowledge of AWWs, availability of essential drugs & logistics. Results: A total of 16 centers were assessed. 75% (12) centers operated from pucca buildings and toilet facilities were present at only 31.25% (05) of the centers. Unavailability of medicine kits & other logistics, was observed. Poor pay scale, untimely drug supply, poor community support, more of documentation work, increased work burden, lack of supportive staff and no incentives for the increased work were their main difficulties. Conclusion: Most of the AWCs were lacking in basic infrastructural facilities along with absence of essential drugs, equipment and logistics. Responding to the difficulties is the key in improvement of ICDS services. © 2016, Indian Journal of Public Health Research and Development. All rights reserved.

Type: Journal Article | Journal: Indian journal of psychological medicine | Year: 2016

Sexual dysfunction (SD) is a known adverse effect of psychotropic medications. Even though sexual difficulties are common among women; very few studies have been carried out in India.To study the prevalence and nature of SD among females receiving psychotropic medications and to compare the SD among female patients receiving antipsychotics and antidepressants.Female investigator conducted a hospital-based cross-sectional study on female patients visiting the psychiatry outpatient department. Patients meeting inclusion criteria were assessed for SD disorder as per Diagnostic and Statistical Manual of Mental Disorders 4The prevalence of SD in this study was 68.32%. There was more than one SD in 48 (47.52%). FSFI score was significantly low in patients with SD as compared to patients not having SD (SD was prevalent in more than 50% of female patients on psychotropic drugs. Number of patients on individual psychotropic drugs was so small that a definite conclusion could not be drawn. Study emphasizes the need to carry out similar study on larger number of patients to get better insight into this problem.

Vijayanath V.,Salem College | Anitha M.R.,Deptt. of Anatomy | Raju G.M.,Jjm Medical College | Vijayamahantesh S.N.,SNMC
Journal of Indian Academy of Forensic Medicine | Year: 2011

In India, acute aluminium phosphide poisoning (AAlPP) is a serious health care problem. This study aimed to determine the characteristics of AAlPP and the predictors of mortality at the time of patients' admission. We studied consecutive admissions of patients with AAlPP admitted to the intensive care unit (ICU). We noted 38 parameters at admission to the hospital and the ICU and compared survivor and non-survivor groups. A total of 54 patients were enrolled comprising 10 females and 44 males and the mean ingested dose of poison was 0.75 ± 0.745 grams. The mortality from AAlPP was 59.3%. We found the following factors to be associated with an increased risk of mortality: a serum creatinine concentration of more than 1.0 mg % (P = 0.01), pH value less than 7.2 (P = 0.014), serum bicarbonate value less than 15 mmol/L (P = 0.048), need for mechanical ventilation (P = 0.045), need for vasoactive drugs like dobutamine (P = 0.027) and nor adrenaline (P = 0.048) AAlPP causes high mortality primarily due to early haemodynamic failure and multi-organ dysfunction.

Prasanna L.C.,Manipal University India | Bhosale S.,SNMC | D'Souza A.S.,Kasturba Medical College | Mamatha H.,Kasturba Medical College | And 2 more authors.
Journal of Clinical and Diagnostic Research | Year: 2013

Introduction: Anthropological studies have document differences in craniofacial features as well as in body characteristics among different populations. The variations in the facial morphology arise through a differential growth and they help us in distinguishing one person from another. These are controlled by a number of factors which include genetic heritage, climate and environment in which we live. Very few researchers from India have worked on these facial features with respect to population and environment. The present work was undertaken to determine whether facial variations were subjected to sexual dimorphism. In addition, comparison of facial indices was made, in order to determine possible variations between south and north Indian populations. Methods: The sample consisted of 200 individuals, 100 each from north and south Indian regions. Various facial parameters were determined on the basis of international anatomical description and facial indices were calculated. Results: North Indian males and females had highest facial height and upper facial height. Facial width of south Indians was more as compared to that of north Indians in both sexes. Regression equation was calculated to compare the probable height with actual height. Conclusion: All the facial parameters and facial indices were found to be statistically highly significant and they showed inter- regional and gender variations. These indices will be beneficial in facial reconstruction surgeries, maxillofacial surgeries, and in forensic medicine, for estimating the stature and sex of an individual.

PubMed | U.P RIMS & R and SNMC
Type: Journal Article | Journal: Journal of orthopaedic case reports | Year: 2016

Fractures involving bones containing a component of a prosthetic joint are becoming more common. The causation is multifactorial but most of these injuries are associated with trivial trauma. The options available for operative management of these fractures include internal fixation of the fracture alone, fixation of the fracture with revision of the prosthesis, and reconstruction of proximal femur with either modified impaction bone grafting or proximal femoral replacement.We present here a case of periprosthetic fracture Vancouver type B1 with a broken cemented bipolar prosthesis insitu, in which the broken implant was firmly fixed in the proximal fragment and could not be removed following which the whole of the proximal fragment along with the broken implant was removed and replaced by a customized steel long stem cemented mega prosthesis.This case is being presented on account of its unusual presentation and fracture pattern. A broken prosthesis along with a periprosthetic fracture is not a common incident. Thus the treatment had to be individualized. Since the prosthesis was well fixed, its broken stem could not be removed from the proximal fragment and so the whole of the proximal fragment along with stem was removed and replaced with a long stem custom made bipolar prosthesis.

Kakkar K.,SNMC | Shah R.,SNMC | Kakkar M.,Amity University
IET Conference Publications | Year: 2013

With constantly evolving mobile platforms & associated opportunities, numerous developers have entered the domain of mobile application development, leading to spaghetti code and various defects. This paper focuses on evolving area of risk analysis w.r.t. software engineering, provides insight in development of applications for mobile devices, and deals with issues related to associated risks. The paper also describes the different environments in which a mobile application operates, factors which affect its performance and best practices for mobile application development.

Sethi P.,SNMC | Ujawal S.,SNMC
Journal of the College of Physicians and Surgeons Pakistan | Year: 2014

We report a case of 2 years old male child who presented with acute intestinal obstruction with palpable and mobile mass in the abdomen. He was diagnosed as a case of intestinal obstruction due to phytobezoar containing cotton threads. Surgical intervention is the treatment of choice for such conditions. Small bowel obstruction due to bezoar made of hair cotton threads is extremely rare. These cases are rarely reported in paediatric age group.

PubMed | SNMC
Type: | Journal: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP | Year: 2015

Neurofibromatosis type 1 (NF-1) is an autosomal dominant neurocutaneous syndrome which is characterized by formation of neurofibromas all over the skin and various other body systems. The anaesthetic management of these patients requires attention to all possible abnormalities and associated disturbances to prevent any peri-operative complication. NF-1-associated complications of the musculoskeletal, respiratory, cardiovascular, central nervous, and gastrointestinal and genitourinary systems present with various degrees of considerations for anaesthesiologists. While evaluating and managing these patients for surgical procedures. NF-1 or von Recklinghausen disease, is an autosomal dominant disease with incidence of approximately 1/3000 births. Gastrointestinal (GI) neoplasms are present in about 2 - 25% of patients of NF-1. In these patients, neurofibromas are the most frequently (52%) diagnosed benign neoplasms. Patients with NF-1 and GI symptoms are at risk for gastrointestinal neoplasms; symptomatic patients are likely to experience significant morbidity. This report describes the anaesthetic of a patient with NF-1 and gastric outlet obstruction.

Singh G.,SNMC | Mathur B.P.,MLBMC | Chaturvedi S.,General Motors | Rai P.,MLBMC
Indian Journal of Community Health | Year: 2015

Background: A Health Sub-centre is the most peripheral and first point of contact between the primary health care system and the community. It is imperative to get insight into their functioning which were established with the objectives of minimizing the hardships of the rural people. Objective: To study the coverages of maternal services at subcentres in district Jhansi. Material & Methods: A cross-sectional study was conducted with sample of 20 subcentres in the district Jhansi from June 2012 to July 2013. Various records of the Health workers were examined for maternal health services coverages and noted down on a pre-designed questionnaire. Results: Present study showed that currently married pregnant women aged 15-49 years registered for ANC were 72.1%. Women who received antenatal check-up in first trimester in subcentres were around 50%. Women who received 3 or more antenatal visits were only 29% in study. Meager 3.6% women received IFA for 100 days or more. Similarly women with full antenatal check-up were only 3%. In current study it was found that family planning coverages for female Sterilization was 60% but male Sterilization was just 0.5%. Conclusion: Higher emphasis needs to be given for better coverage of all maternal services. There should be provision for improvement of competence, confidence and motivation of health workers to ensure full range of maternal care activities specified under NRHM program. © 2015, Indian Association of Preventive and Social Medicine. All rights reserved.

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