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Mumbai, India

Buchade D.,LTM Medical College | Mohite S.,TN Medical College
Journal of Indian Academy of Forensic Medicine

The present study was carried out in the City of Greater Mumbai's all post mortem centres during the calendar year of 2004 to 2006 with aims and objective to determine the pattern of injuries in cases of homicides during this period with special reference to injuries sustained during these homicidal incidences. Total 371 cases of homicidal deaths were collected from post mortem reports, panchnama, police requisition and statements of relatives. The injuries present on the particular body area were noted with due consideration of kind of weapon used, internal organs injured and cause of death. Male victim's preponderance was noted over female victims with male age group of 21-30 years being most commonly affected. The head face and neck region of the body was most often targeted. Internal organs most commonly affected were neck structures followed by brain while least involved organ was heart. Hard and blunt weapons were most commonly used followed by sharp edged and pointed weapons. Infanticide was most common in female infants. The most common cause of death in male victims was shock and haemorrhages and in female victims was mechanical asphyxia. Source

The key to successful elimination of tuberculosis (TB) is treatment of cases with optimum chemotherapy. Poor chemotherapy over time has led to drug-resistant disease. Drug resistance of Mycobacterium tuberculosis develops by the selective growth of resistant mutants. The incidence of drug-resistant cases depends on the number of bacilli and the drug-resistant mutants in the lesion. The latter is low for individual drugs and even lower for two and three drugs. Therefore, use of combination chemotherapy with three or more drugs results in cure. However, irregular treatment, inadequate drugs, inadequate drug doses or addition of a single drug to a failing regimen allows selective growth of resistant mutants and acquired drug-resistant TB. Contacts of these resistant cases develop primary drug resistant TB. Thus, drug resistance in tuberculosis is a "man-made problem". Anti-TB chemotherapy must be given optimally by (i) ensuring adequate absorption of drugs, (ii) timely diagnosis and management of drug toxicities and (iii) treatment adherence. New classes of anti-TB drugs are needed; but are unlikely to become available soon. It is vital that the 21 st century physicians understand the basic principles of TB chemotherapy to ensure efficient use of available drugs to postpone or even reverse epidemics drug-resistant TB. Source

Bavdekar S.B.,TN Medical College
Lung India

Authorship is a highly sought attribute, as it is associated with recognition for creativity. In addition, it is associated with multiple benefits such as peer recognition, better evaluation and financial gains. These possibilities spur scientists to author articles, but some take recourse to unethical practice of honorary authorships. Another unethical practice is that of ghostwriting. It is a phenomenon wherein individuals who write the articles are not named as authors and are not even acknowledged to be associated with the manuscript. Reputed and renowned scientists, who have not participated in the conduct of the study or in the manuscript preparation, are enrolled by the industry to allow their names to be mentioned as authors. This phenomenon is harmful not only because it suppresses the contribution of ghost-authors but also because the guest "authors" bestow underserved credibility upon an "industry-written" paper. The readers have no way of knowing the bias that may have crept in. The journal editors, institution, and government agencies need to come together to ensure that these malpractices are curbed by employing various measures such as creating awareness amongst authors, academicians, and administrators; enunciating and implementing policies to dissuade unethical behavior, protecting whistle-blowers, and providing punishments to those indulging in malpractices. All of us should remember that if unchecked, these deviant behaviors have the potential to compromise the credibility of scientific research and scientific publications. Source

Rajadhyaksha G.C.,TN Medical College
Journal of Association of Physicians of India

Kikuchi- Fujimoto disease is rarely associated with systemic lupus erythematosus (SLe). Kikuchi Fujimoto disease may precede, follow or coincide with the diagnosis of SLe. We report a case who was initially diagnosed as Kikuchi Fujimoto disease with SLe. She is presently in remission after treatment of SLe. © JAPI. Source

Patil P.,Lakshya Rehab Center | Rao S.A.,TN Medical College
European Journal of Physical and Rehabilitation Medicine

Background: In stroke patients, it is difficult to manually assist dorsi-flexion during the normal gait cycle as it is a distal component. Furthermore, it is nearly impossible to simultaneously guard the patient and manually assist dorsi-flexion during the swing phase of gait. However, one of the key benefits of Thera-Band ® Elastic Resistance-Assisted Gait Training is that it offers distal control of lower extremity during the normal gait sequence without jeopardizing patient safety. Aim: Aim of this study was to compare and measure the effects of Thera-Band ® Elastic Resistance-Assisted Gait Training in stroke patients with respect to quality of gait and functional mobility. Design: This was a pilot study. Setting: The study was carried out at the Occupational Therapy Department, Mumbai, India. Population: The study included 16 patients aged between 30-60 years with first episode of stroke or subacute stroke. Methods: Following informed consent, as per inclusion criteria patients were randomly assigned in two groups: 1) control group: Conventional Occupational Therapy Intervention and Conventional Gait Training; 2) experimental group: Conventional Occupational Therapy and Thera-Band ® Elastic Resistance Assisted Gait Training. Patients were assessed on: 1) Wisconsin Gait Scale; 2) Rivermead Mobility Index. Patients were reassessed as done initially at the end of third and sixth week. Patients received therapy three times a week for six weeks. Results: Each group separately was associated with statistically significant improvement in quality of gait (P<0.001) as well as functional mobility (P<0.001). Thera-Band ® Elastic Resistance-Assisted Gait Training had a more positive effect on improving the quality of gait, functional mobility in a short duration as compared to the conventional gait training. Conclusion: The use of Thera-Band ® Elastic Resistance-Assisted Gait Training contributed to faster recovery as compared to the control group. Functionally patients showed improvement as compared to conventional therapy. Clinical rehabilitation impact: Thera-Band ® Elastic Resistance-Assisted Gait Training facilitates dorsi-flexion during a single cycle of swing. Source

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