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Tauro D.P.,S S Institute Of Medical Science | Kallappanavar N.K.,Ss Institute Of Medical Science
Cleft Palate-Craniofacial Journal | Year: 2012

Syngnathia per se is a rare congenital disorder. A literature survey reveals a total of 26 cases of syngnathia in the English literature since 1936, of which only seven cases involved fusion of the ascending ramus of the mandible to the posterior portion of the maxilla and zygomatic complex. The remaining 19 involved fusion of the alveolar ridges of the maxilla and mandible. This is a unique case of fusion of the mandible to the zygomatic complex presenting with a unilateral anophthalmic orbit in an 18-day-old neonate. The use of the term syngnathia has been reviewed and a modification in classification has been suggested. © Copyright 2012 American Cleft Palate-Craniofacial Association.

Karpoor C.,Ss Institute Of Medical Science
Indian Journal of Public Health Research and Development | Year: 2012

Variety of diseases has been studied in relation to ABO blood groups and secretor status of blood group antigens. There is ample justification for probing into relation between blood groups, secretor status and diabetes mellitus because genetic, environmental factors etc. play important role in etiology of diabetes mellitus. Number of workers have tried to study the relationship between diabetes mellitus, secretor status and blood groups, but results have been variable. Although some workers have found definite preponderance of particular blood group, it has been concluded that so far no convincing association between blood groups, secretor status and diabetes mellitus has been established. There are few studies involving Indian origin on distribution of blood groups and secretor status among patients with diabetes mellitus. Therefore, distribution of blood groups (ABO) and secretor status were studied in 105 diabetic patients and compared with age and sex matched normal healthy controls. Only confirmed diabetic patients were included in this study. Blood group was determined by slide agglutination method. Secretor status was determined by haemagglutination inhibition technique using saliva. The study showed no statistically significant correlation in distribution of blood groups (ABO) and secretor status among diabetics as compared to controls.

Yuvaraj B.Y.,Ss Institute Of Medical Science | Nagendra Gowda M.R.,Basaveshwara Medical College and Hospital | Umakantha A.G.,J J M Medical College
Indian Journal of Community Medicine | Year: 2010

Objective: To study the prevalence, awareness, treatment, and control of hypertension in the rural areas of Davanagere. Type of Study: Cross-sectional community-based study. Setting: Villages belonging to six sectors of the Davanagere Taluk. Materials and Methods: General population above 18 years. Methodology: A community-based sample was chosen by a multistage sampling technique. Subjects were screened for hypertension by a house-to-house survey. Subjects with systolic blood pressure more than 140 and diastolic blood pressure more than 90 mm of Hg, on hypertensive treatment, and history of hypertension were classified as hypertensives. The data thus obtained was compiled and analyzed. Results: The prevalence rate of hypertension in the study population was 18.3% (95% CI, 16.7-19.9%). Prevalence of hypertension was more in males 19.1% (95% CI, 16.7-21.5%) than in females 17.5% (95% CI, 14.9-20.1%); 11.6%, 5.6%, and 1.2% of the total subjects had Grade I, Grade II, and Grade III, respectively. Only 33.8% of them were aware of their hypertensive status. Hypertensives of 32.1% were on treatment, and 12.5% adequately controlled their BP. About 6.9% of the total hypertensives had severe hypertension. Statistical Analysis: Proportions, One way Analysis of Variance, Chi-square test.

Gaddagi R.A.,SS Institute of Medical science | Chandrashekhar A.P.,JSS Medical College
Journal of Clinical and Diagnostic Research | Year: 2012

Background- Motherhood- An eternal, universal and inherent dream which every woman has. This dream may not always be pleasant and it can involve nightmares. One of this is ectopic pregnancy - a pregnancy which can be life threatening. The present study involves a study on all the cases of ectopic pregnancy who were admitted to the Cheluvamba hospital during November 2004 to May 2006. OBJECTIVES 1. To know the age group, parity and the risk factors with respect to the ectopic pregnancy. 2. To know the clinical presentation of the ectopic pregnancy. 3. To know the outcome of the ectopic pregnancy. Materials And Methods- A total of 37 patients who were diagnosed as ectopic pregnancy cases were analyzed between the period from November 2004 to May 2006. All these cases were analyzed after applying the inclusion and exclusion criteria with respect to the 1. History 2. Clinical presentation 3. Investigations and 4. Treatment Results- The incidence of the ectopic pregnancy in the present study was 1:399 pregnancies. A majority of the cases were multigravidas. In most of the cases, there were no identiable risk factors. However, they did present with pain in the abdomen, amenorrhoea and bleeding per vagina in at least 50% of the cases. Almost half (40%) were in a state of shock at admission. Ultrasound, a urine pregnancy test and culdocentesis were the investigative modalities which were used. All the cases were managed by surgical management. On laparotomy, a majority of the cases were found to be ampullary pregnancies, followed by interstitial pregnancies. The tube was ruptured in almost 80% of the cases and there was a haemoperitoneum. Almost all the patients had intraoperative and/ or postoperative blood transfusions. There was no significant post operative morbidity in these cases. Interpretation And Conclusion- The early diagnosis of an ectopic pregnancy is one of the greatest challenges for a physician. It requires a high index of suspicion i.e to diagnose an ectopic pregnancy, one must be ectopic minded.The importance of an early diagnosis lies in the fact that the lady can be offered a conservative line of management which can definitely have a beneficial effect on her reproductive career.

Arpitha R.,SS Institute of Medical science | Badesaab B.,SS Institute of Medical science
Indian Journal of Public Health Research and Development | Year: 2015

Introduction: Epilepsy also called seizures is characterized by uncontrolled excessive activity of a part of the brain or all of the central nervous system. It is a common neurological abnormality affecting about 1% of the world population. According to the WHO's World Health Report, more than 50 million people in the most productive years of their lives suffer from epilepsy, often leading to unavoidable unemployment. Nearly two out of every three new cases are discovered in developing countries. Epilepsy becomes more common as age advances. Onset of new cases occur most frequently in the infants and the elderly. As a consequence of brain surgery, epileptic seizures may occur in recovering patients. Epilepsy is usually controlled, but not cured, with medication. However, over 30% of the people with epilepsy do not have seizure control even with the best available medications. Surgery may be considered in difficult cases. Not all epilepsy syndromes are lifelong - some forms are confined to particular stages of childhood. Epilepsy should not be understand as a single disorder, but rather as syndromic with vastly divergent symptoms but all involving episodic abnormal electrical activity in the brain. This study was conducted to assess the knowledge, attitude and practice of the population towards epilepsy. © 2015, Indian Journal of Public Health Research and Development. All rights reserved.

Ragunatha S.,BLDE University | Jagannath Kumar V.,Ss Institute Of Medical Science | Murugesh S.,Jjm Medical College
Indian Journal of Dermatology | Year: 2011

Background: Phrynoderma is a type of follicular hyperkeratosis. Various nutritional deficiency disorders have been implicated in the etiology of phrynoderma. Aim: To determine clinical features of phrynoderma and its association with nutritional deficiency signs. Materials and Methods: A cross-sectional descriptive study of 125 consecutive patients with phrynoderma attending the outpatient department (OPD) of dermatology was conducted in a tertiary care hospital. In all patients, a detailed history was taken and cutaneous examination findings such as distribution, sites of involvement, morphology of the lesions, and signs of nutritional deficiencies were noted. Results: The proportion of patients with phrynoderma attending the OPD was 0.51%. There were 79 males and 46 females. Age of the patients was in the range of 3-26 years with a mean of 104.3 years. The lesions were asymptomatic in 114 (91.2%) patients. The distribution of lesions was bilateral and symmetrical in 89 (71.2%) patients. The disease was localized (elbows, knees, extensor extremities, and/or buttocks) in 106 (84.8%) patients. The site of onset was elbows in 106 (84.8%) patients. The lesions were discrete, keratotic, follicular, pigmented or skin colored, acuminate papules in all patients. Signs of vitamin A and vitamin B-complex deficiency were present in 3.2% and 9.6% patients, respectively. Epidermal hyperkeratosis, follicular hyperkeratosis, and follicular plugging were present in the entire biopsy specimen. Conclusion: Phrynoderma is a disorder with distinctive clinical features and can be considered as a multifactorial disease involving multiple nutrients, local factors like pressure and friction, and environmental factors in the setting of increased nutritional demand.

Babladi P.I.,Mrmedical College | Vijayanath V.,Ss Institute Of Medical Science | Vijayamahantesh S.N.,Snijalingappa Medical College
Medico-Legal Update | Year: 2010

Deaths due to burns are common causes of unnatural deaths contributing nearly 25% of all autopsies. Dowry deaths are a menace to the society and many of these are caused by burns. In the current study a total of 525 cases of burns were analysed over a period of five years at Government General hospital Gulbarga. Of these 381(72.5%) cases were of female. During the five years the cases were almost evenly distributed with highest of 121 cases in the year 2000. out of the 525 cases studied 450 case were accidental in nature and 52 cases were suicidal and 23 cases were homicidal in nature based on history from the relatives and inquest papers furnished by police which some times was sketchy. Out of the 381 female cases, 92 were unmarried and the remaining 289 cases were of married females. Maximum numbers of cases i.e 289 were admitted to hospital and 92 were brought dead. Out of these 289 cases, a maximum of 74 cases survived for period of more than five years.

Mirajkar P.R.,PES Institute of Technology | Bhagwat K.A.,SS Institute of Medical Science | Singh A.,PES Institute of Technology | Ashalatha M.E.,Bapuji Institute of Engineering and Technology
2015 International Conference on Advances in Computing, Communications and Informatics, ICACCI 2015 | Year: 2015

Ischemic stroke is a condition which causes death of brain cells due to lack of blood supply and hence stops normal brain functioning. Due to finite academic studies of ischemic stroke detection, the success rate to detect stroke initial period is low using only CT image. Fusion of CT and DW-MRI images creates a composite image which provides more information than any of the input signals provided by a single modality alone. Diffusion Weighted MRI is widely used for the detection of acute ischemic stroke compared to CT. In this paper, image of both modalities i.e. CT and DW-MRI are used. The proposed algorithm consists of four phases. Pre-processing of both images is the first phase. Finding equivalent CT image of an input pathological MRI image for image fusion is done in second phase. Third phase includes image registration and fusion of CT and MRI image. Segmentation of stroke lesion from fused image is performed in fourth phase. The performance evaluation of fusion is computed using Peak Signal to Noise Ratio (PSNR) and Root Mean Square Error (RMSE). © 2015 IEEE.

Raju S.M.,Ss Institute Of Medical Science | Gaddagi R.A.,Ss Institute Of Medical Science
Journal of Clinical and Diagnostic Research | Year: 2013

Background: Olecranon fractures are one of the most com-monly seen orthopaedic injuries in the emergency room. The K-wire which is used in the AO Tension Band Wiring (TBW) technique resists the shear better than the figure of eight wire alone, but, it does not add compression to the fixation strength. But, the cancellous screw plus the tension band wire, in com-bination, provides the strength of fixation i.e., by converting the tensile force to a compressive force at the fracture site, with additional resistance to the displacement due to the lag screw compression. Objective: • To clinically evaluate the result of the cancellous screw with tension band wiring for fractures of the olecranon. • To assess the elbow joint motion and stability after the pro-cedure. Material and Methods: 25 cases of fractures of the olecranon which were treated by using 6.5mm AO cancellous screws with a screw length of 80-105mm with a 16 gauge TBW, were evaluated. All the cases were followed up and the results were analyzed by using a 19 point scale. Results: The results which were obtained in our series were excellent in 15(60%) patients, good in 3(12%) patients and fair in 7(28%) patients and there were no poor results. Conclusion: The technique of open reduction and internal fixation with a 6.5mm AO cancellous screw and TBW, is a sim-ple and effective means of treating fractures of the olecranon and it is based on the biomechanical principle of sound.

PubMed | Jjm Medical College and SS institute of Medical science
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2014

To compare the efficacy of topical antifungal agents, Sertaconazole and Clotrimazole in Tinea corporis patients.A total of 60(n=60) patients were included in the study. They were divided into two groups of 30 patients each. First group included patients treated with topical Sertaconazole as test drug whereas the second group constituted patients treated with topical Clotrimazole as standard drug. The patients were advised to apply the drug on affected area twice daily for three weeks. The parameters like erythema, scaling, itching, margins and size of the lesion and KOH mount were taken for the assessment of efficacy. This was an open labelled study and patients were followed up every week for three weeks.The total score included all grades in erythema, itching, scaling, margins and size of lesion and KOH mount. There was significant reduction in erythema (p<0.02) and highly significant reduction in scaling (p<0.001), itching (p<0.001) and margins of lesion (p<0.001) among Sertaconazole group. The mean difference and the standard deviation of total scores for Clotrimazole were 7.20 and 1.69 and for Sertaconazole group 8.80 and 1.52 respectively. The p-value on application of students unpaired t- test was p<0.001 (Highly significant).From the present study, it can be concluded that topical Sertaconazole shows better improvement in the clinical parameters than topical Clotrimazole within a span of three weeks in the treatment of T corporis.

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