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Bellary, India

Rao B.S.,Subbaih Institute Medical science | Veerendrakumar C.M.,VIMS
Journal of Clinical and Diagnostic Research | Year: 2016

Introduction: The nursing mothers, who have already delivered a child in recent period, may prefer to avoid or delay future pregnancy, or may not even have given a thought about it. Among those who prefer to delay next pregnancy, many are unaware of family planning practices. This is mainly influenced by the prevailing sociodemographic factors in their families. Aim: To study the prevailing Knowledge, Attitude and Practice of contraception and the influence of sociodemographic factors on family planning practices among the healthy nursing mothers. Materials and Methods: A cross-sectional study was conducted among 2500 healthy breast feeding mothers who delivered at Medical College Hospital (MCH), Vijayanagara Institute of Medical Sciences(VIMS), Bellary during Dec 2011 to Nov 2013. They were interviewed using a pre structured questionnaire in the post natal wards on 2nd to 7th postpartum day. Later these mothers were educated and counseled regarding various suitable contraceptive methods. The data collected were analysed using percentage and chi- square test. Results: The proportion of willingness for contraception is more among women in the age group 19-29 years, among literate husband and wife, among women belonging to nuclear families and with higher socioeconomic status. Muslim women were least receptive to contraceptive advice. Regarding awareness of contraceptive methods only 46% had knowledge regarding family planning methods. A total of 43% mothers opted to limit family size. Among 16% of mothers who did not want to limit family size, 70% had no male child. In most of the families, final decision regarding family planning method was taken by husband alone or by elders. The most important reason for lack of family planning practices was lack of awareness (57.2%). Conclusion: Many of the nursing mothers are not aware of contraceptive practices. But these women are very receptive to contraceptive advice. Also, the decision of family planning depends not only on the couples but even on elders of the family. Hence, a combined family approach to educate and counsel the entire family including elders is needed. The major determinant is education of the entire family regarding family planning practices. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved.


Osseous differentiation within a phyllodes tumor is extremely rare. Cytological and histological findings of a case of malignant phyllodes tumor with osseous differentiation are presented. A 45-year-old female had a malignant phyllodes tumor with osseous stroma diagnosed by fine needle aspiration cytology. The cytological findings were representative of the histological features. The diagnosis of these tumors preoperatively is important in planning the most appropriate treatment. It is also important to follow up these patients postoperatively for long periods for recurrence and metastasis.


Chatterjee S.,VIMS | Rao K.S.M.,Kanchi Kamakoti Childs Trust Hospital
Child's Nervous System | Year: 2015

Aim: This study aims to highlight the recurrent tethered cord syndrome in relation to the relatively new pathological entity of limited dorsal myeloschisis (LDM) and to mention the difficulties faced by the paediatric neurosurgeon in developing countries with reference to LDM which was not recognized at initial presentation. Materials and methods: We present three cases of recurrent tethered cord syndrome who were operated early in life (not by paediatric neurosurgeons) as meningoceles and who were then subsequently referred to the senior author as they presented with clinical signs of re-tethering of the cord. Results: The first child of 1 year of age represented with cervicodorsal swelling 10 months after primary surgery for a cervical meningomyelocele done elsewhere on the second day of life. The second was a girl of 3 years of age who was operated at birth and presented with severe brachialgia and neck pain after 2 years. The third was a 19-year-old girl operated at birth presenting with spastic paraparesis and also hand weakness associated with kyphosis. All the three patients improved symptomatically and neurologically after redo surgery. Conclusion: The diagnosis of LDMs, especially in developing countries, is frequently missed. This needs to be tackled and addressed so that children with this subset of neural tube defects, who otherwise would normally have a very good outcome, may not be blighted and left scarred for life at an early age. © 2015, Springer-Verlag Berlin Heidelberg.


Dambal S.S.,Korea Institute of Materials Science | Indumati V.,VIMS | Kumari S.,NITTE University
Journal of Clinical and Diagnostic Research | Year: 2011

In the present study, the antioxidant status of obese and overweight individuals was analyzed with an insight into the role of diabetes mellitus towards increasing oxidative stress in the subjects. The assay of enzyme superoxide dismutase (SOD) in erythrocytes and that of antioxidant vitamin C in serum was carried out. The assay of vitamin C alone cannot completely focus on the antioxidant status of the system; the Total antioxidant capacity (TAC) of the serum was also assayed to give a summation of the antioxidants in the system. The study was carried out on five groups of subjects in the age group of 40-60 years. Fifty non-diabetic and non-obese subjects formed the Group A, which were designated as the Controls. The study group was categorized into 4 groups, of which, 50 overweight patients were taken as Group B and Group C consisted of 50 overweight subjects who were diagnosed with diabetes mellitus. Fifty obese individuals were considered as Group D and 50 obese subjects with diabetes mellitus were taken to be Group E. The levels of the enzyme, superoxide dismutase were significantly higher (p<0.0001) and the Total Antioxidant Capacity and vitamin C levels were significantly lower [(p<0.0001) and (p<0.0054)] respectively in the study groups, as compared to those in normal individuals, as the disease conditions like obesity and diabetes mellitus in the study groups contributed to increasing the load of the reactive oxygen species in the system, thus utilizing and depleting the dietary antioxidants.


Divya P.,Vijayanagar Institute of Medical science VIMS | Pavithra D.P.,VIMS
International Journal of Pharma and Bio Sciences | Year: 2015

Escherichia coli is the most common organism causing both community as well as hospital acquired UTI. The antibiotic resistance has increased over the past many years. Hence we aimed to assess the current antibiotic resistance pattern in the common uropathogen E.coli from urine samples from in and out patients at VIMS, Bellary, presenting with UTI. Mid-stream urine samples were processed for routine microscopy and culture and the pathogens isolated were identified by standard methods. Antibiotic susceptibility was done by Kirby Bauer disc diffusion method. A total of 2,024 urine samples collected from patients of suspected UTIs, 812 samples showed growth. E.coli was the predominant urinary pathogen (53.2%) followed by Klebsiella spp(19%), Pseudomonas spp(10.8%).Escherichia coli showed high resistance to Amoxycillin (82.4%), Amoxicillin-clavulanic acid (80.78%) and Ciprofloxacin(78%). The present study shows E.coli to be the most common isolate. The pathogens are multidrug resistant with only few available options like Amikacin, Nitrofurantoin and PiperacillinTazobactum. Increasing antibiotic resistance trends indicate that it is imperative to rationalize the use of antimicrobials in the community and also use these conservatively.

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