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

OBJECTIVES: To assess the level of knowledge among private practitioners regarding NACO protocols and guidelines. METHOD: Design: Descriptive, cross sectional survey of private practitioners in urban Advancer. Sampling: random sampling. Subjects: private practitioners in urban Advancer Inclusion criteria: Allopathic doctors practicing in urban Advancer, both MBBS and MD Doctors of all specialities included Exclusion criteria: Non allopathic doctors, Doctors who did not give consent. Study period: two months from June to august 2011 Sample size: 129 RESULTS: More than two thirds of the study population don't have correct knowledge about the objectives of NACO. Most of private practitioners have good knowledge about HIV.Most of the study population have no knowledge about the questions regarding regimens under NACO guidelines and about perinatal transmission. RECOMMENDATIONS: Knowledge and Attitudes of Private Practitioners was reasonably good but improvement is required with respect to management of HIV. Targeted continuing medical education programmes and special training sessions are recommended. © 2015, Indian Journal of Public Health Research and Development. All rights reserved.

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.

Ragunatha S.,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.

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.

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.

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