Sri Aurobindo Medical College and PG Institute

Indore, India

Sri Aurobindo Medical College and PG Institute

Indore, India
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Sujatha P.L.,Saptagiri Institute Of Med Science And Research Institute | Ananda K.,ESIC Medical College and PGIMSR | Sane M.R.,Sri Aurobindo Medical College and PG Institute
Journal of Indian Academy of Forensic Medicine | Year: 2016

Rape is a notoriously under-reported crime in India, because of its social stigma and the fact that in most of the cases, culprits are known to the victim. The examination of the survivors of alleged sexual offences is one of the most difficult tasks in Medical practice. Methodology: This study was carried out between January 2012 to June 2013 in the Department of Forensic Medicine at Kempegowda Institute of Medical Sciences Hospital & Research Centre, Bangalore, Karnataka. The cases registered under sections 375, 376 IPC and Protection of Children from Sexual Offences Act were included in the study. Results: Total 35 victims were examined during study period. Of these, 24 (68.5%) were in the age group of 15 years to 20 years; 26 (74.2%) cases were educated up to school level. Unmarried victims were the maximum, 34 (97.1%); in 17(48.5%) cases, the incident occurred between evening & midnight, and in 14 (40%) cases, it occurred in the accused's house. Among the 35 female victims, 17 (48.6%) presented with recent tears of hymen while 11 (31.4%) had old tears of hymen. The manner of offence in majority of the rape cases, 23 (58.9%) was of the consensual type, which was followed by 10 cases (25.6%) of forcible rape. Discussion: The present study shows that younger age females who are unmarried and school goers are more vulnerable to sexual assault. In the overwhelming majority of cases, the incident took place within the house of accused or the victim and in the night. Significant number of cases had consensual sexual activity and this was the probable reason for lesser general physical trauma.


PubMed | Sri Aurobindo Medical College and PG Institute and Dean College
Type: Journal Article | Journal: Indian heart journal | Year: 2016

Patent foramen ovale (PFO) has been implicated in the etiology of a number of different pathologies, including cryptogenic stroke, decompression sickness in divers, etc. It can act as a channel for paradoxical embolism. PFO is not an uncommon condition, with a probe-patency in 15-35% population. The fossa ovalis (FOv) varies in size and shape from heart to heart; the prominence of annulus FOv also varies. The entire FOv may be redundant and aneurysmal. The anatomico-functional characterization of interatrial septum seems to be of paramount importance for both atrial septal defect (ASD) and PFO, not only for the device selection, but also for the evaluation of the outcome of this procedure.This study was conducted in 50 apparently normal hearts available in Department of Anatomy. After opening the right atrium, the shape of FOv was observed. The size was measured with the digital vernier caliper; the prominence and extent of limbus, and the redundancy or otherwise of FOv were noted; probe patency was confirmed.In the majority, FOv was oval (82%); average transverse diameter was 14.53mm and vertical 12.60mm. In 90%, the rim of the annulus was raised; in 20%, a recess was found deep to the margin of the annulus; and 18% showed probe patency.As no study of this nature has been carried out in the Indian population, this provides pertinent information on the morphology of FOv, which may be useful for device selection in treating ASD and PFO.


Jain R.K.,Sri Aurobindo Medical College and PG Institute | Shukla R.,Sri Aurobindo Medical College and PG Institute | Singh P.,Sri Aurobindo Medical College and PG Institute | Kumar R.,Central Research Laboratory
European Journal of Orthopaedic Surgery and Traumatology | Year: 2014

Introduction: Surgical site infection (SSI) is the most common complication following surgical procedures. The aim of this study was to determine the incidence and associated risk factors of SSI in orthopedic patients admitted in a tertiary care center.Materials and methods: Data were collected which focused on demographic details, lifestyle factors, diagnosis, surgical procedure, duration of surgery, prophylactic antibiotics, postoperative antibiotics and comorbidity obtained from the patients hospital records. Univariate analysis and multinomial logistic regression tests were performed to identify independent risk factors for orthopedic incisional SSIs.Results: The overall rate of SSI was 2.1 %. Univariate analysis showed diabetes, smoking and duration of hospital stay to be significantly associated with patients in whom SSI developed than in uninfected control patients. Independent risk factors for SSI that were identified by multinomial logistic regression were diabetes (OR 3.953) and smoking (OR 38.319).Conclusion: Diabetes and smoking were independent risk factors for SSIs. Therefore, it is recommended to tightly regulate blood glucose levels and stop smoking to reduce the SSIs. © 2014, Springer-Verlag France.


Dubey S.P.,Lnmedical College And Research Center And Jk Hospital | Munjal V.R.,Sri Aurobindo Medical College and PG Institute
Indian Journal of Otolaryngology and Head and Neck Surgery | Year: 2014

An endoscope was used in transsphenoidal surgery and eventually replaced the operating microscope as a tool for visualization. Initially patients underwent operation via a sublabial transseptal approach using a rigid endoscope in conjunction with an operating microscope. The subsequent operations were performed through a nostril using only rigid endoscopes, initially through single nostril by one surgeon (two hands) and later through both nostrils by two surgeons (four surgeons). This is a retrospective study of 96 patients who had pituitary adenomas in last ten years. Postoperatively all patients who had undergone endonasal endoscopic surgery had unobstructed nasal airways with minimal discomfort. More than half of the patients required only an overnight hospitalization. © 2014 Association of Otolaryngologists of India.


Khan S.A.,Chhattisgarh Institute of Medical science | Siddiqui N.I.,Sri Aurobindo Medical College and PG Institute
Indian Journal of Pharmacology | Year: 2016

Objectives: To assess pharmacotherapeutics (PT) knowledge of second professional medical undergraduates. Materials and Methods: It is a questionnaire-based cross-sectional study. The questionnaire was designed to objectively assess the current level of knowledge of PT acquired by the second MBBS students in a medical college in India. Thirty Type-A multiple choice questions (MCQs) related with the PT of common and important medical conditions and some emergency conditions were administered to 125 participants. Grading of knowledge was also done as poor, average, and good both subjectively and objectively. Descriptive statistics were used to analyze responses. Association of PT knowledge with respect to mode of admission in a medical college was analyzed with Chi-square test. Results: MCQs related with PT of nonemergency conditions were responded correctly by 9.8-77.7% of participants. MCQs related with PT of some emergency conditions were responded correctly by 17-66.1% of participants. No statistically significant association was observed in PT knowledge with respect to mode of admission. Conclusion: Gross deficiency in the PT knowledge can potentially and adversely affect future rational prescribing skills. PT knowledge about common medical conditions should be emphasized during undergraduate training program. © 2016 Indian Journal of Pharmacology Published by Wolters Kluwer - Medknow.


Dubey S.P.,Ln Medical College And Research Center And Jk Hospital | Munjal V.R.,Sri Aurobindo Medical College and PG Institute
Indian Journal of Otolaryngology and Head and Neck Surgery | Year: 2014

Since Toti described the initial dacryocystorhinostomy (DCR) operation in 1904 many technical modifications have evolved (Becker in Ophthalmic Surg 19:419-427, 1988). Overall, three groups of procedures are currently practised; external DCR, endoscopic DCR with contact laser, and surgical endoscopic DCR without laser (Woog et al. in Am J Ophthalmol 116:1-10, 1993; Jokinen and Karja in Arch Otolaryngol 100:41-44, 1974. Many factors influence the outcome of these different approaches. The purpose of this study was to improve the long term surgical outcome in endonasal DCR. A retrospective analysis of more than 1,500 patients, who underwent primary endoscopic DCR, was done and specific small modifications were identified and applied in the next 108 cases showing an improvement in the results. © 2014 Association of Otolaryngologists of India.


Joshi S.D.,Sri Aurobindo Medical College and PG Institute | Chawre H.K.,Sri Aurobindo Medical College and PG Institute | Joshi S.S.,Sri Aurobindo Medical College and PG Institute
Indian Heart Journal | Year: 2016

Aims: Patent foramen ovale (PFO) has been implicated in the etiology of a number of different pathologies, including cryptogenic stroke, decompression sickness in divers, etc. It can act as a channel for paradoxical embolism. PFO is not an uncommon condition, with a probe-patency in 15-35% population.The fossa ovalis (FOv) varies in size and shape from heart to heart; the prominence of annulus FOv also varies. The entire FOv may be redundant and aneurysmal. The anatomico-functional characterization of interatrial septum seems to be of paramount importance for both atrial septal defect (ASD) and PFO, not only for the device selection, but also for the evaluation of the outcome of this procedure. Method: This study was conducted in 50 apparently normal hearts available in Department of Anatomy. After opening the right atrium, the shape of FOv was observed. The size was measured with the digital vernier caliper; the prominence and extent of limbus, and the redundancy or otherwise of FOv were noted; probe patency was confirmed. Results: In the majority, FOv was oval (82%); average transverse diameter was 14.53. mm and vertical 12.60. mm. In 90%, the rim of the annulus was raised; in 20%, a recess was found deep to the margin of the annulus; and 18% showed probe patency. Conclusion: As no study of this nature has been carried out in the Indian population, this provides pertinent information on the morphology of FOv, which may be useful for device selection in treating ASD and PFO. © 2015 Cardiological Society of India.


Mehta S.,Sri Aurobindo Medical College and PG Institute
Journal of Pediatric Neurosciences | Year: 2015

Objectives: This study was performed to know the prevalence of primary headache disorders in school going children of central India and to elucidate the effects of various sociodemographic variables like personality or behavior traits, hobbies like TV watching, school life or study pressure in form of school tests, family history of headache, age, sex, body habitus etc., on prevalence of primary headaches in school going children of central India. Materials and Methods: A cross-sectional school-based study was performed on 500 school children (aged 7-14 years) for the duration of 1 year. Potential triggering and aggravating demographic and social variables were investigated based on a diagnosis of International Classification of Headache Disorder-II headache. Results: The prevalence of recurrent headache was found to be 25.5% in Indore. Of the studied population, 15.5% had migraine, 5% had tension-type headache migraine, and 5% had mixed-type headache symptoms suggesting both of above. Overall headaches were found to be more common among girls, but tension-type was more common in boys. Using regression analysis, we found that sensitive personality traits (especially vulnerable children), increasing age, female gender and family history of headache had a statistically significant effect on headaches in children. In addition, mathematic or science test dates and post weekend days in school were found to increase the occurrence of headache in school-going children. Hobbies were found to have a significant effects on headaches. Conclusion: As a common healthcare problem, headache is prevalent among school children. Various sociodemographic factors are known to trigger or aggravate primary headache disorders of school children. Lifestyle-coping strategies are essential for school children.


Gupta R.,Sri Aurobindo Medical College and PG Institute | Patil H.,Sri Aurobindo Medical College and PG Institute
Journal of Pediatric Neurosciences | Year: 2016

Parry-Romberg syndrome (PRS) is a rare, poorly understood degenerative condition characterized by atrophic changes affecting one side of the face. The cause of these changes remains obscure. Migraine and facial pain such as trigeminal neuralgia are the most common neurological symptoms in this patient group. Sometimes, it causes epilepsy and rarely cerebral hemiatrophy, meningeal thickening, cortical dysgenesis, calcified lesions, aneurysms, and intracranial vascular malformations. Herein, the author reports the first case of PRS with multiple large intracranial cysts producing raised intracranial pressure. © 2016 Journal of Pediatric Neurosciences.


Rege S.,Sri Aurobindo Medical College and PG Institute | Patil H.,Sri Aurobindo Medical College and PG Institute
Journal of Pediatric Neurosciences | Year: 2016

Schizencephaly is an extremely rare developmental birth defect characterized by abnormal slits or clefts in the cerebral hemispheres extending from the lateral ventricle to the cerebral cortex. The margins of the cleft are lined with heterotropic, dysplastic gray matter. The causes of schizencephaly are heterogeneous and include teratogens, prenatal infarction/infections, maternal trauma, or EMX2 mutations. This condition is present at birth and manifests early in life. © 2016 Journal of Pediatric Neurosciences.

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