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Bagalkot, India

Burn injuries due to attempted suicide and homicide are one of the leading causes of death and disability globally. In view of the above, this study was done with the objectives to elucidate epidemiological and outcome characteristics of alleged suicidal and homicidal burn injuries admitted in two tertiary care hospitals in South India. The present cross sectional study of all suicidal and homicidal burn injuries admitted in two tertiary care hospitals of Belgaum city during the study period from April 2004 to March 2005 were included after informed consent from the patients themselves or from close family members. Out of the total cases, 35(60.34%) were suicidal and 23(39.66%) were homicidal. Females contributed to 21(60%) of the suicidal and 17(73.91%) of the homicidal cases. Sixty percent (60%) of attempted suicidal burn injuries and 34.78% of homicidal victims had TBSA more than 80% and was found to be statistically significant In suicidal injuries, mortality was 81.80% and in homicidal cases it was 52.17%. Source

Sidhalingreddy,Mrmedical College | Sidhalingreddy,Snmedical College | Andola S.K.,Mrmedical College
Journal of Clinical and Diagnostic Research

Background: Intra-abdominal masses always remain as an enigma in surgical practice. A documentary evidence of the nature of the pathology before the institution of therapy and for the prognosis is mandatory. FNAC is a substitute for surgical procedures like diagnostic laparotomy. Aims: To assess the utility of FNAC in the diagnosis of intraabdominal lesions. Objectives: To study the cytomorphological features, age and sex distribution of intra-abdominal lesions and to categorize them organwise and as inflammatory, benign and malignant lesions. To classify the malignant lesions according to their cell type. To evaluate the sensitivity, specificity and diagnostic accuracy. Materials and Methods: The study included 245 intra-abdominal lesions which were detected clinically or radiologically. The lesions were divided clinically into palpable and non-palpable lumps. USG or CT were used for all the non-palpable lesions and for a few palpable lesions and direct in selected palpable lesions. Giemsa's and Papanicolaou's stains were used. Results: The mean age was 45.16 years, with M:F of 1:1.3. The diagnostic yield was 92.1% in USG guided, 100% in CT guided and 95% in direct aspiration. There were 148 (60.3%) malignant, 55 (22.4%) benign, 25 (10.2%) inflammatory and one (0.6%) suspicious lesions and 16 (6.5%) unsatisfactory smears. The liver and the ovary were the most common sites. Adenocarcinomas and hepatocellular carcinomas were the most common malignant lesions. This study showed 94.1% sensitivity, 100% specificity, 100% positive predictive value, 92.3% negative predictive value and 96.5% diagnostic accuracy. Conclusion: Intra-abdominal FNA is a simple, economical and a safe procedure with high sensitivity, specificity and diagnostic accuracy and it can be utilized as a pre-operative procedure for the management of intra-abdominal lesions. Source

Patil R.B.,Snmedical College
Indian Journal of Public Health Research and Development

Pregnancy is a unique time in women's life accompanied by various physiologic, anatomic and hormonal changes in the body. The mouth is obvious portal of entry to the body and oral health reflects and influences general health and well being. Maternal oral health has significant implications for birth outcomes and infant oral health. Oral health promotion should include education of women and their health care providers ways to prevent oral disease from occurring, and referral for dental services when disease has occurred. This article discusses the oral changes during pregnancy and general considerations in care of pregnant patients. Source

Sheikh N.,Drvmmedical College | Jahagirdar V.,Veer Chandra Singh Garhwali Government Medical science and Research Institute | Kothadia S.,Snmedical College | Nagoba B.,MIMSR Medical College
European Journal of General Medicine

There has been a significant increase in the number of reports of mucosal and systemic infections caused by Candida spp. in recent years. Despite the increase in the infection rates by Candida spp., therapeutic options for their treatment are relatively limited. In the recent years, there has been a marked increase in the incidence of treatment failures in candidosis patients receiving long term therapy, which poses a serious problem in the treatment of infections caused by Candida spp. Source

Baragundi Mahesh C.,Snmedical College | Sonth Suresh B.,Snmedical College | Gokale Shilpa K.,Snmedical College | Kulkarni Ramakant B.,Snmedical College
Journal of Pure and Applied Microbiology

The anterior nares is the most frequent carriage site for Staphylococcus aureus. Methicillin resistant S.aureus (MRSA) are now the major hospital acquired pathogens worldwide. To know the prevalence of nasal carriage of S.aureus and MRSA among health care workers (HCWs) and to compare cefoxitin and oxacillin disc diffusion methods in detecting MRSA. Study was conducted on 102 HCWs of a tertiary care hospital consisting of 12 laboratory technicians, 37 staff nurses and 53 nursing students. Samples were collected from anterior nares using sterile cotton swab soaked in sterile saline. Swabs were processed without delay. S.aureus were identified by standard microbiological techniques. Detection of MRSA was done by cefoxitin and oxacillin disc diffusion method according CLSI 2011 guidelines. Highest S.aureus and MRSA carriage of 54.05% and 45.94% respectively was seen in staff nurses. S.aureus and MRSA carriage was 41.66% and 33.33% in laboratory technicians and 41.50% and 22.64% respectively in nursing students. Cefoxitin detected 33 and oxacillin detected 30 MRSA. Prevalence of nasal carriage of S.aureus and MRSA is very high in HCWs. Cefoxitin disc is superior to oxacillin disc in detecting MRSA. Continuous surveillance, decolonization of carriers and improvement of hygiene standards in hospital should be adopted to break the transmission of MRSA. Source

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