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Menezes R.G.,University of Dammam | Murlimanju B.V.,Manipal University India | Kharoshah M.A.,Forensic Medicine Authority | Madadin M.,University of Dammam | And 2 more authors.
Clinica Terapeutica | Year: 2014

During the medico-legal autopsy of a male aged 45 years, a bilobed morphology of the spleen was observed. An oblique fissure was located longitudinally at the mid-region of the diaphragmatic surface of the spleen. The fissure was partially deep and observed throughout the diaphragmatic surface. The clinician should be aware of the developmental anomalies of the spleen; as such anomalies may cause confusion during the procedures like splenic biopsy and splenectomy. We believe that, the present case report is important to the radiologists and clinicians involved in the diagnosis and management of splenic pathology. The knowledge is also enlightening to the morphologists and embryologists. The radiologist and clinician should make sure that the fissure in a spleen is not misinterpreted as a laceration or rupture. © Società Editrice Universo (SEU).


Senthilkumaran S.,Sri Gokulam Hospital and Research Institute | Menezes R.G.,Srinivas Institute of Medical science and Research Center | Pant S.,University of Arkansas for Medical Sciences | Thirumalaikolundusubramanian P.,Chennai Medical College Hospital and Research Center
Wilderness and Environmental Medicine | Year: 2013

Snake bite is an environmental and occupational hazard in many tropical and subtropical countries. It demands a high level of knowledge and skill in managing the envenomation syndrome. Herein, we describe a rare case of acute acalculous cholecystitis (AAC) that developed in a 36-year-old man after an Indian cobra (Naja naja) bite in the absence of any other predisposing factors for AAC. The probable mechanisms for the occurrence of AAC have been highlighted. Recognizing the possibility of such a complication after envenomation will definitely aid in early diagnosis and, subsequently, a better outcome. © 2013 Wilderness Medical Society.


Menezes R.G.,Srinivas Institute of Medical science and Research Center | Subba S.H.,Manipal University India | Kharoshah M.A.,Forensic Medicine Authority | Senthilkumaran S.,Sri Gokulam Hospital and Research Institute | And 6 more authors.
Legal Medicine | Year: 2012

Many studies have been conducted in the developed countries to know the magnitude and factors influencing suicidal ideation among medical students, but such data are sparse in developing countries. This cross-sectional study was therefore conducted to find out the prevalence of suicidal ideation and factors influencing such ideation among students of a medical college in Western Nepal. A total of 206 students were selected using random sampling and questioned about their socio-demographic factors, other risk factors and suicidal ideation using a preformed validated questionnaire. The data were analyzed using SPSS for Windows Version 16.0 and the EPI Info 3.5.1 Windows Version. Descriptive statistics and testing of hypothesis were applied for the statistical methodology. The univariate and multivariate logistic regression methods were used to examine the association between different variables. Suicidal ideation in the last one year was present in nearly one tenth of the study population and in almost one fifth of them life-time suicidal ideation was present. Factors that were associated with suicidal ideation were primarily dissatisfaction with academic performance, being in the clinical semesters, having history of drug abuse and feeling neglected by parents. Most common reason reported for suicidal ideation was family related followed by self-related. Recognition of suicidal ideation among students and their associated factors can help in detecting it on time, making the right interventions and controlling the problem. Understanding the magnitude of the problem and their epidemiology via scientific study like this would be the first step in this process. © 2012 Elsevier Ireland Ltd.


Senthilkumaran S.,Sri Gokulam Hospital and Research Institute | Balamurugan N.,Neurosciences | Vohra R.,University of California at San Francisco | Thirumalaikolundusubramanian P.,Chennai Medical College Hospital and Research Center
International Journal of Trichology | Year: 2012

Selenium is a micronutrient. It presents a nutritional conundrum because of its twin status as an essential as well as a highly toxic trace element. Here, we report a case of acute non-intentional selenium toxicity due to increased ingestion of paradise nuts (Lecythis ollaria) which resulted in massive alopecia.


Subba S.H.,Manipal University India | Pant S.,University of Arkansas for Medical Sciences | Senthilkumaran S.,Sri Gokulam Hospital and Research Institute | Menezes R.G.,Srinivas Institute of Medical science and Research Center
Egyptian Journal of Forensic Sciences | Year: 2011

Battered child syndrome, battered baby syndrome, shaken baby syndrome, non-accidental injuries of childhood, etc. are all variants of forms of child abuse that has many names but a single outcome - the child is injured at the hands of a caretaker, more often than not a close relative. Although there are clear guidelines in most developed countries as to what the clinicians should do if they suspect a case of battered child syndrome, no such specific streamlined guidelines exist in most of the developing countries including India. In India, the National Commission for Protection of Child's Rights and the Indian Academy of Pediatricians have recently taken the initiative to educate pediatricians about child abuse and formulate policies on reporting. Although the pediatricians have woken up to the reality of child abuse, rest of the medical fraternity is yet to wake up to the fact that a big proportion of children in India are being battered and most go unnoticed and unreported. In India, there is a need for the medical and nursing educators, practitioners, policy makers, political and legislative wings of the society to get together and raise awareness, formulate specific guidelines regarding the management of a case of suspected battered child; who should investigate and how the investigation has to be done, how to ensure safe settings for at-risk children and facilitate permanent placement for children who cannot return home. © 2011 .

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