Sri Manakula Vinayagar Medical College

Puducherry, India

Sri Manakula Vinayagar Medical College

Puducherry, India
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Kollipaka R.,Sri Manakula Vinayagar Medical College | Arounassalame B.,Sri Manakula Vinayagar Medical College | Lakshminarayanan S.,JIPMER
Journal of Obstetrics and Gynaecology | Year: 2013

A cross-sectional study was conducted among 164 students in a medical school in Pondicherry, India, by administering a questionnaire consisting of anthropometric data, menstrual history and psychosocial stress. Psychosocial stress was assessed using Perceived Stress Scale (PSS10). We observed that out of the 164 students who answered the questionnaire, students who reported premenstrual symptoms, irregular cycles and dysmenorrhoea severe enough to take medication had significantly higher mean PSS scores (p = 0.000, 0.025, 0.035, respectively). High stress (fourth quartile PSS score) was significantly associated with occurrence of premenstrual symptoms and dysmenorrhoea severe enough to take medication. Stress in medical students is associated with severe dysmenorrhoea, irregular cycles and premenstrual syndrome. This implies that interventions to reduce the stress can improve the menstrual health of medical students, thereby reducing future health risks and improving the quality of life. © 2013 Informa UK, Ltd.


Antony L.J.,Sri Manakula Vinayagar Medical College | Paruchuri V.N.K.,Sri Manakula Vinayagar Medical College | Ramanan R.,Sri Manakula Vinayagar Medical College
Journal of Clinical and Diagnostic Research | Year: 2014

Background: Depression is the most common mental disorder in community settings, and is a major cause of disability across the world. Antidepressants such as SSRI (Selective Serotonin Reuptake Inhibitor) and TCA (Tricyclic antidepressants) are used. These drugs affect the adrenergic and serotonergic pathways. These drugs have an unfavorable side effect profile, take longer time to act and are not very effective in resistant cases. Alternate pathways involving the glutamate receptors have also been linked with depression, hence Ketamine an NMDA antagonist was evaluated for the antidepressant effect. Aim: To study the antidepressant effect of ketamine in subanaesthetic doses in male albino mice. Study Design, Materials and Methods: The study was a randomized controlled animal study done on 30 male albino BALB/c mice divided into five groups with Imipramine (10mg/kg) as the standard drug and Ketamine in varying doses (5, 7.5, 10 mg/kg) as the test drug. The animal model used was the forced swim test. The reduction in immobility time was taken as the index of the antidepressant effect. Statistical analysis: The data were analysed with the one way ANOVA test using SPSS version 12. Results and Conclusion: The data analysis showed that Ketamine at a dose lower dose of Ketamine (5mg/kg) did not show a significant antidepressant effect in contrast to the higher doses (7.5 and 10mg/kg) which showed significant antidepressant effect ('p' < 0.05). The inference of this study is that Ketamine has significant antidepressant property at variable dose ranges and further studies can be done on these lines.


Dongre A.R.,Sri Manakula Vinayagar Medical College | Deshmukh P.R.,Mahatma Gandhi Institute | Rawool A.P.,Mahatma Gandhi Institute | Garg B.S.,Mahatma Gandhi Institute
Indian Journal of Community Medicine | Year: 2010

Background: In India, the practice of breastfeeding is almost universal, but initiation of breastfeeding is generally quite late and colostrum is discarded. Integrated Management of Neonatal and Childhood Illness (IMNCI) strategy recommended systematic assessment of breastfeeding and emphasized counseling of the mother on proper positioning and attachment of infant to the breast. Objective: To assess breastfeeding among mothers of below six months children in rural Wardha. Materials and Methods: The present cross-sectional study was undertaken in surrounding 23 villages of Kasturba Rural Health Training Center (KRHTC), Anji. Two Auxiliary Nurse Midwives (ANMs) trained in IMNCI paid house visits to 99 mothers during the study period and undertook the assessment of breastfeeding using IMNCI assessment form for young infants. Auxiliary Nurse Midwives observed and recorded the positioning and attachment of infant to the breast as per IMNCI guidelines. The data were entered and analyzed using Epi-Info (version 6.04d) software package. Results: Most of the deliveries 94 (94.9%) took place in the healthcare facilities. Majority 61 (61.6%) newborn babies had received breastfeeding within half an hour. About half of the mothers had any of the feeding problems like feeding less than eight times in 24 h, giving any other food or drinks or is low weight for age. Significantly more mothers with feeding problems had problems in positioning and attachment of infant to the breast as compared with those mothers who did not have any feeding problems. Conclusions: In the settings, where practice of institutional delivery is high, the staff of healthcare facility should ensure education of the mothers regarding position and attachment of infant to the breast before discharge from the healthcare facility. At the village level, Village Health Nutrition Day (VHND) can be utilized for health education of future mothers and support for the breastfeeding mothers. The IMNCI assessment form for young infant should also include assessment of positioning of infant.


Dongre A.R.,Sri Manakula Vinayagar Medical College
Journal of injury & violence research | Year: 2012

To explore the various perceived reasons for farmers' suicides in the Vidarbha region of Maharashtra, their common factors, and to suggest solutions. The present formative research was undertaken in the 23 villages surrounding the Anji Primary Health Centre, located in the Vidarbha region of Maharashtra, India. A triangulation of free list and pile sort exercises was used. The data was analyzed by Anthropac 4.98.1/X software. This was followed by a semi-structured focus group discussion. To increase the validity of the results, these findings were presented to the participants and later they were circulated to the 26 farmers' clubs in the villages for comment and discussion during their monthly, village-based meetings. Farmers perceived debt, addiction, environmental problems, poor prices for farm produce, stress and family responsibilities, government apathy, poor irrigation, increased cost of cultivation, private money lenders, use of chemical fertilizers and crop failure as the reasons for farmers' suicides. Participants suggested solutions such as self-reliance and capacity building among farmers, a monitoring and support system for vulnerable farmers, support and counseling services, a village-level, transparent system for the disbursement of relief packages. Farmers' suicides in Vidarbha are caused by the complex interplay of social, political and environmental constraints. Hence, a comprehensive intervention to ensure self-reliance and capacity building among farmers in modern farming techniques , monitoring and support system for vulnerable farmers, a village-level, transparent system for disbursement of relief packages is required to prevent farmer suicides in the near future. Apart from this, there is a need to strengthen the National Mental Health Program at primary health care level to offer support and counseling to vulnerable farmers in rural area.


Dongre A.R.,Sri Manakula Vinayagar Medical College | Deshmukh P.R.,Mahatma Gandhi Institute | Garg B.S.,Mahatma Gandhi Institute
Food and Nutrition Bulletin | Year: 2011

Abstract Background. Studies in India have reported a high prevalence of nutritional anemia among children and adolescent girls. Nutritional anemia is associated with impaired mental, physical, and cognitive performance in children and is a significant risk factor for maternal mortality. Objective. To evaluate the effect of a communityled initiative for control of nutritional anemia among children 6 to 35 months of age and unmarried rural adolescent girls 12 to 19 years of age. Methods. This Participatory Action Research was done in 23 villages of the Primary Health Centre, Anji, in Wardha District of Maharashtra. In February and March 2008, needs assessment was undertaken by interviewing the mothers of 261 children and 260 adolescent girls. Hemoglobin levels of adolescent girls and children were measured with the use of the hemoglobin color scale. The girls were given weekly iron-folic acid tablets, and the children were given daily liquid iron prophylaxis for 100 days in a year through community participation. The adolescent girls and the mothers of the children and adolescent girls were also given nutritional education on the benefits and side effects of iron supplementation. In June and July 2008, follow-up assessment was performed by survey and force field analysis. Results. There was a significant reduction in the prevalence of nutritional anemia from 73.8% to 54.6% among the adolescent girls and from 78.2% to 64.2% among the children. There was improvement in awareness of iron-rich food items among the adolescent girls and the mothers of the children. The benefits to girls, such as increase in appetite and reduction in scanty menses, tiredness, and weakness, acted as positive factors leading to better compliance with weekly iron supplementation. The benefits to children perceived by the mothers, such as increase in appetite, weight gain, reduction in irritability, and reduction in mud-eating behavior, acted as a dominant positive force and generated demand for iron syrup. Conclusions. The community-led initiative for onceweekly iron supplementation for adolescent girls and iron prophylaxis for children, in addition to nutritional education, improved the hemoglobin status of children 6 to 35 months of age and unmarried rural adolescent girls 12 to 19 years of age © 2011, The United Nations University.


Dongre A.R.,Sri Manakula Vinayagar Medical College | Kalaiselvan G.,Sri Manakula Vinayagar Medical College | Mahalakshmy T.,Sri Manakula Vinayagar Medical College
Education for Health: Change in Learning and Practice | Year: 2011

Introduction: In India, there has been little effort to teach medical students about public health research. Few medical institutions in India and nearby Nepal formally offer exposure to field surveys or projects to medical undergraduates as a part of their training in community medicine. Little is known about the effect of such activity on students or how they apply what they learn. We implemented a systematic, hands-on experience in the public health research process with medical undergraduates in Puducherry, India to evaluate its effect on students. Material and Methods: Two groups, each with 30 third-semester (second year) medical undergraduates, participated in a 15- day, two and one-half hours per day course on the public health research process. At the end of course, a retrospective post-then- pre self-assessment of students' skills was obtained. One year later, we resurveyed students with open-ended questions to assess their impressions of what they had gained from learning about the field survey process. Results: Out of the 60 students, 55 (91.6%) provided complete responses for analysis. The mean post-exposure Likert scores of students' self-perceived skills and knowledge were significantly higher than their retrospective assessments of themselves prior to the course in areas such as being aware of the public health research process, their skills in interviewing and communicating with local villagers, and ability to collect, enter via computer and present gathered information (p<0.005). Six categories of common responses, all positive, emerged from the open-ended feedback: 1) ability to apply learning to research work, 2) communication skills, 3) awareness about local epidemiology of injury,4) awareness of local first-aid practices and health care seeking behavior, 5) awareness of survey techniques, and 6) anticipated application of this learning in the future and its effect on the student. Conclusions: Overall, the initial implementation of a program exposing medical students to the community survey research process was well received. Early exposure of medical undergraduates to the survey research process appears to help them be better clinicians, who are able to understand and use field level data. © AR Dongre, G Kalaiselvan, T Mahalakshmy, 2011.


Lourdu Jafrin A.,Sri Manakula Vinayagar Medical College | Shanthi M.,Institute of Pharmacology | Meher Ali R.,Sri Manakula Vinayagar Medical College
Research Journal of Pharmaceutical, Biological and Chemical Sciences | Year: 2013

Anxiety affects one-eighth of the total population world-wide and has become an important area of psychopharmacological research during this decade. Ondansetron a selective 5HT-3 antagonist commonly used as an antiemetic has been claimed to have psychotropic effects. The aim of this study is to evaluate the anxiolytic and sedative properties of ondansetron. Male albino mice were treated with ondasetron (0.04, 0.08, 0.16 mg/kg), distilled water and diazepam intraperitoneally and the anxiolytic effect was evaluated using elevated plus maze. The spontaneous locomotor activity of mice after administering ondansetron (0.08, 0.16 mg/kg) was also tested using the actophotometer. Ondansetron showed significant anxiolysis at doses of 0.08mg/kg and 0.16mg/kg with increase in time spent in open arm(p<0.001)and increase in open arm entries (p<0.01). Ondansetron showed no significant(p > 0.05) decrease in counts in the actophotometer when analysed (p > .05). Hence ondansetron showed anxiolytic effects and had no sedative properties.


Kumar A.,Sri Manakula Vinayagar Medical College | Karthikeyan K.,Sri Manakula Vinayagar Medical College and Hospital
International Journal of Trichology | Year: 2012

Madarosis is a terminology that refers to loss of eyebrows or eyelashes. This clinical sign occurs in various diseases ranging from local dermatological disorders to complex systemic diseases. Madarosis can be scarring or non-scarring depending upon the etiology. Appropriate diagnosis is essential for management. Follicular unit transplantation has been found to be a useful method of treating scarring madarosis and the procedure relevant to eyebrow and eyelash reconstruction has been discussed. A useful clinical approach to madarosis has also been included for bedside diagnosis. The literature search was conducted with Pubmed, Medline, and Google scholar using the keywords madarosis, eyebrow loss, and eyelash loss for articles from 1960 to September 2011. Relevant material was also searched in textbooks and used wherever appropriate.


Dongre A.R.,Sri Manakula Vinayagar Medical College
Education for health (Abingdon, England) | Year: 2011

In India, there has been little effort to teach medical students about public health research. Few medical institutions in India and nearby Nepal formally offer exposure to field surveys or projects to medical undergraduates as a part of their training in community medicine. Little is known about the effect of such activity on students or how they apply what they learn. We implemented a systematic, hands-on experience in the public health research process with medical undergraduates in Puducherry, India to evaluate its effect on students. Two groups, each with 30 third-semester (second year) medical undergraduates, participated in a 15-day, two and one-half hours per day course on the public health research process. At the end of course, a retrospective post-then-pre self-assessment of students skills was obtained. One year later, we resurveyed students with open-ended questions to assess their impressions of what they had gained from learning about the field survey process. Out of the 60 students, 55 (91.6%) provided complete responses for analysis. The mean post-exposure Likert scores of students self-perceived skills and knowledge were significantly higher than their retrospective assessments of themselves prior to the course in areas such as being aware of the public health research process, their skills in interviewing and communicating with local villagers, and ability to collect, enter via computer and present gathered information (p < 0.005). Six categories of common responses, all positive, emerged from the open-ended feedback: 1) ability to apply learning to research work, 2) communication skills, 3) awareness about local epidemiology of injury, 4) awareness of local first-aid practices and health care seeking behavior, 5) awareness of survey techniques, and 6) anticipated application of this learning in the future and its effect on the student. Overall, the initial implementation of a program exposing medical students to the community survey research process was well received. Early exposure of medical undergraduates to the survey research process appears to help them be better clinicians, who are able to understand and use field level data.


Dongre A.R.,Mahatma Gandhi Institute | Deshmukh P.R.,Sri Manakula Vinayagar Medical College | Garg B.S.,Sri Manakula Vinayagar Medical College
National Medical Journal of India | Year: 2011

Background. We studied the effect of a health-promoting school-based intervention for disadvantaged children in the residential Ashram schools of rural Wardha, Maharashtra. Methods. At baseline, 1287 children in 10 Ashram schools were examined using a locally adapted Global Schoolbased Student Health Survey questionnaire. The haemoglobin level of all children was estimated using the haemoglobin colour scale. Body mass index and physical activity score for each child were calculated. The intervention was carried out through school health committees. After 1 year, 1226 children were examined using the same questionnaire. Results. There was significant improvement in personal hygiene and reduction in hygiene-related morbidity among the children. The median haemoglobin level of the children increased from 10.7 g/dl to 11.4 g/dl. There was also a significant increase in the proportion of children with body mass index that was normal for age (5th-85th percentile) from 32.2% to 38.5%. Conclusion. The need-based participatory health-promoting school initiative for disadvantaged children in Ashram schools led to an improvement in their personal hygiene and health. © The National Medical Journal of India 2011.

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