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Wankhade U.G.,Byramjee Jeejeebhoy Government Medical College and Sassoon General Hospital | Umashankar M.K.,Sri Siddhartha Medical College and Hospital | Jayakrishna Reddy B.S.,Sri Siddhartha Medical College and Hospital
Journal of Clinical and Diagnostic Research | Year: 2016

Introduction: Low back pain affects every population and is one of world’s foremost debilitating conditions. Clinically significant sciatica due to lumbar disc prolapse occurs in 4-6% of population. Fenestration discectomy as a surgical procedure is less time consuming, with lesser blood loss, lesser post-operative complications and does not compromise with stability of spine when compared to laminectomy. Aim: Present study was conducted to determine extent of functional recovery i.e. pain relief and return to work in patients with lumbar disc prolapse treated by fenestration technique. Materials and Methods: From October 2010 to March 2012, 50 patients with signs and symptoms of prolapsed lumbar intervertebral disc who failed to respond to conservative treatment were operated for discectomy by fenestration technique and studied prospectively. Functional outcome was evaluated by ‘Back Pain Functional Score (BPFS)’ of Strafford et al., PROLO rating scale to determine preoperative functional and economical status and outcome at final follow up after 6 months. In order to identify physical signs from non organic signs Wadell’s score system was used. Result of surgery was evaluated with help of McNab’s criteria. Results: In our study, according to Back Pain Functional Scale by Strafford et al., and PROLO scale, good results were found in 42 (84%) cases, fair result in 8 cases (16%) and none with poor results at follow up of six months. According to PROLO economical and functional scale, 84% cases were able to join their previous occupation at end of six months and 76% cases had complete pain relief. In our study, correlation of age and duration of symptoms to functional outcome was statistically significant (p=0.089 & p = 0.098+ respectively) showing more good results among patients with age less than 30 years and patients having duration of symptoms less than 6 months. Conclusion: Functional outcome of fenestration technique in terms of return to work and complete back and leg pain relief at end of six months had been satisfactory in our study. Moreover, old age, long duration of symptoms and presence multiple psychological issues are negative predictors of functional outcome. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved.


PubMed | Sri Siddhartha Medical College and Hospital and Byramjee Jeejeebhoy Government Medical College and Sassoon General Hospital
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2016

Low back pain affects every population and is one of worlds foremost debilitating conditions. Clinically significant sciatica due to lumbar disc prolapse occurs in 4-6% of population. Fenestration discectomy as a surgical procedure is less time consuming, with lesser blood loss, lesser post-operative complications and does not compromise with stability of spine when compared to laminectomy.Present study was conducted to determine extent of functional recovery i.e. pain relief and return to work in patients with lumbar disc prolapse treated by fenestration technique.From October 2010 to March 2012, 50 patients with signs and symptoms of prolapsed lumbar intervertebral disc who failed to respond to conservative treatment were operated for discectomy by fenestration technique and studied prospectively. Functional outcome was evaluated by Back Pain Functional Score (BPFS) of Strafford et al., PROLO rating scale to determine preoperative functional and economical status and outcome at final follow up after 6 months. In order to identify physical signs from non organic signs Wadells score system was used. Result of surgery was evaluated with help of McNabs criteria.In our study, according to Back Pain Functional Scale by Strafford et al., and PROLO scale, good results were found in 42 (84%) cases, fair result in 8 cases (16%) and none with poor results at follow up of six months. According to PROLO economical and functional scale, 84% cases were able to join their previous occupation at end of six months and 76% cases had complete pain relief. In our study, correlation of age and duration of symptoms to functional outcome was statistically significant (p=0.089 & p = 0.098+ respectively) showing more good results among patients with age less than 30 years and patients having duration of symptoms less than 6 months.Functional outcome of fenestration technique in terms of return to work and complete back and leg pain relief at end of six months had been satisfactory in our study. Moreover, old age, long duration of symptoms and presence multiple psychological issues are negative predictors of functional outcome.


PubMed | VIMS Bellary, Sri Siddhartha Medical College and Sri Siddhartha Medical College and Hospital
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2016

Tuberculosis is very common disease in India. It is one of the most common causes of Granulomatous Uveitis in our Country even today. So the strongest suspicion in our mind when we are treating a case of Uveitis, should be TB. We reviewed all the cases of clinically suspected ocular tuberculosis attending the Ophthalmology OPD of Sri Siddhartha Medical College between December 2012 and December 2014 who were refractory to routine uveitis management and later on responded to anti-Tubercular treatment. History of TB contact, Ocular manifestation, Demographic Profile of the patients, Diagnostic test, Treatment regime were looked into. Here by we present a case series of 15 cases of refractory uveitis that later were detected to be of tuberculous origin. We studied the characteristic features, complications and correlation of mantoux test, ESR and Kochs contact with these cases.


Srinivasa Reddy P.,Sri Siddhartha Medical College and Hospital | Rajendra Kumar R.,Sri Siddhartha Medical College and Hospital | Rudramurthy,District General Hospital
Journal of Indian Academy of Forensic Medicine | Year: 2012

Asphyxial death forms one of the modes of death which may be suicidal, homicidal or accidental in nature. A retrospective study of autopsies conducted between years 2006-2010 is an attempt to know the incidence of asphyxial deaths at district hospital, Tumkur. During this period there were 2288 deaths, out of which 438 deaths were of asphyxial deaths. The most common form of asphyxial death was hanging followed by drowning. The incidences of asphyxial deaths were more in males than females in the ratio of 1.4:1. These cases were studied to know age and sex distribution of the victims. In this study, we found that among asphyxial deaths hanging were more 268 (61.18%) followed by drowning 140 (31.96%), strangulation 19 (4.33%) and others respectively. Appropriate education, influencing the media in their portrayal of suicidal news, reporting method, involvement of young generations in encouraging activities may reduce the rate of suicidal death by hanging in future.


Sureshbabu K.P.,Sri Siddhartha Medical College and Hospital | Gireesh,Sri Siddhartha Medical College and Hospital | Oswal A.,Sri Siddhartha Medical College and Hospital
Research Journal of Pharmaceutical, Biological and Chemical Sciences | Year: 2014

Hypothyroid patients present clinically with a myriad of symptoms and signs which are nonspecific. As a result patient are diagnosed lately. This study was conducted in order to identify the cardiac manifestations of hypothyroidism at a very early stage. The study included 100 patients with newly detected hypothyroidism and old under-controlled hypothyroidism. These patients were subjected to history and clinical examination, investigations like thyroid profile, Electrocardiography, Echocardiography & lipid profile. In this study there was an overall female preponderance of 87%. 52% were in age group 21-40 yrs. Mean age was 40yrs. Abnormal ECG in 31%, abnormal ECHO in 23%, Diastolic hypertension in 21%, Dyslipidemia in 41%, pericardial effusion in 4%, Ischemic heart disease in 2% and Anaemia in 25% were seen in the study. Also it was seen that subclinical hypothyroid patients who presented with few symptoms also had cardiac changes. As these changes seen were significant, it is advised to subject hypothyroid patients for fasting lipid profile, Electrocardiography and Echocardiography when necessary. Also it is seen that with treatment these changes are reversible.


Harish Kumar N.,Sri Siddhartha Medical College and Hospital | Srinivasa Reddy P.,Sri Siddhartha Medical College and Hospital
Indian Journal of Forensic Medicine and Toxicology | Year: 2013

Drawing a public attention and awareness towards casualties is important to prevent unnatural deaths; this possibly could reduce the incidence of such cases. This is a retrospective study (3 years & 3 months) conducted to understand the magnitude & pattern of medico-legal cases in this region of the state. In this study revealed that road traffic accidents 929 (75.3%) constituted the majority of medico-legal cases out of 1510, followed by poisoning 149 (9.84%) and assault 74 (4.9%) respectively. Male predominance is quite evident. The affected age group is 21-30 years 664 (44%) followed by 31-40 years 335 (22.18%) and were more prone to such casualties.


Srinivasa Reddy P.,Sri Siddhartha Medical College and Hospital | Harish Kumar N.,Sri Siddhartha Medical College and Hospital
Indian Journal of Forensic Medicine and Toxicology | Year: 2013

Accidents occur not only due to ignorance but also due to carelessness, thoughtlessness and over confidence. Human, vehicular and environmental factors play role before, during and after a Road Traffic Accidents (RTA). Road traffic injuries are partially predictable and hence preventable. A total of 1136 road traffic accident cases reported to emergency department of Harsha Hospital during the study period. All of these cases were included in the study. Majority 740 (65.13%) of the victims were in the age group of 21-30 years followed by 31-40 years. 929 (81.77%) of the victims were males and 207 (18.23%) victims were females. Majority of cases were head injuries 326 (28.69%) followed by abdominal injuries & limb injuries 215 (18.92%) & 190 (16.72%) respectively.


Harish Kumar N.,Sri Siddhartha Medical College and Hospital | Srinivasa Reddy P.,Sri Siddhartha Medical College and Hospital
Indian Journal of Forensic Medicine and Toxicology | Year: 2013

In the past two decades, India has witnessed rapid urbanization, motorization, industrialization and migration of people resulting in socio demographic, epidemiological, technological and media transition and development. In spite of recent advancement of technology in the field of medical sciences, death and deformities due to all causes, are yet to be controlled successfully; rather incidences of road traffic accidents has been increasing at an alarming rate in our country and also throughout the world3. Drawing a public attention and awareness towards casualties is important to prevent unnatural deaths; this possibly could reduce the incidence of such cases. This is a retrospective study of pattern of medico legal cases conducted and compared at two tertiary care hospitals at different places in Karnataka namely Sri Siddhartha Medical College Hospital, Tumkur and Harsha Hospital, Nelamangala, Bangalore rural district to understand the magnitude & pattern of medico-legal cases in these regions of the state. In this study conducted at these tertiary care hospitals revealed that road traffic accidents constituted 840 (64.6%) & 1136 (75.3%) cases respectively being majority of medico-legal cases, followed by poisoning 110 (8.4%) & 149 (9.84%) cases respectively and assault cases 134 (10.3%) & 74 (4.9%) cases respectively. Male predominance is quite evident. The affected age group is 21-30 years with 397 (30.5%) & 664 (44%) cases respectively followed by 31-40 years 291 (22.6%) & 335 (22.18%) cases respectively indicating young were exposed to such casualties. Violence is a significant public health problem and assault or homicide is severest form of violence, depriving a human being of his fundamental right to live.


Srinivasa R.P.,Sri Siddhartha Medical College and Hospital | Harish K.N.,Sri Siddhartha Medical College and Hospital
Medico-Legal Update | Year: 2013

Drawing a public attention and awareness towards casualties is important to prevent unnatural deaths; this possibly could reduce the incidence of such cases. This is a retrospective study (3 years & 11 months) conducted to understand the magnitude & pattern of medicolegal cases in this region of the state. In this study revealed that road traffic accidents (64.6%) constituted the majority of medicolegal cases out of 1300, followed by assault and poisoning (10.3% and 8.4% respectively). Male predominance is quite evident. The affected age group is 21-30 years (30.5%) followed by 31-40 years and were more prone to such casualties.


Shobha M.V.,Sri Siddhartha Medical College and Hospital | Ravindra P.N.,Sri Siddhartha Medical College and Hospital | Deepali A.,Sri Siddhartha Medical College and Hospital
Indian Journal of Physiology and Pharmacology | Year: 2013

Increase in diabetes mellitus (DM) is a major health concern. Offspring's of subjects with diabetes are known to express various trait characteristics. In the present study, anthropometric and metabolic parameters among healthy offspring's with (cases, n=50) and without (control, n=50) family history of type 2 DM is compared. Anthropometric measurements, fasting blood sugar and lipid profile were estimated. Cases showed significant increase in their anthropometric measurements than controls and they also demonstrated significant increase in total cholesterol, LDL and decreased HDL and HDL/LDL ratio. Cases were further categorized into two subgroups based on BMI (group 1, BMI=21.55±1.7 kg/m2, group 2, BMI=29.03±4.3 kg/m2). Groups 2, inspite of showing significant increase in their anthropometric measurements than group1 the lipid profiles were comparable. Thus, demonstrating a temporal dissociation between anthropometric and lipid changes, former preceding the later. Therefore, in younger age group, anthropometric measures could be used for risk stratification and as a metric to evaluate the efficacy of preventive intervention.

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