SSIMS Times Vol 8, Apr-Jun 2013

Contents

Dr. Shamanur ShivashankarappaMLA, Honorary Secretary, BEA

Davangere

Sri S.S. MallikarjunaChairman

SSIMS&RC, Davangere

PATRONS

SSIMS&RCNH-4, Bypass Road, Davangere - 577 005.Phone : 08192-261805, 261806, 261807

261808, 261809 FAX : 08192-262633, 266310E-mail : [email protected] site : www.ssimsrc.com

Advisory Board:

Editor:

Editorial Board :

Executive Members

Dr. Nagaraj P.

Student Representatives :

PrincipalDirector (Medical)

:

Technical Support

Dr. Kalappanavar N.K.

Dr. Vidya NadigerProfessor,Department of PhysiologyPhone: 08192- 266321,e-mail: [email protected]

Dr. Chandrashekar Karpoor Dr. Sunitha KalasurmathDr. Prasad BK Dr. Renu Lohitashwa

Dr Sindhu, Dr Kavyashree, Dr Asha, Dr. Mehak

Dr. A.V. Angadi Dr. Deshapande D.V.Dr. C.R. Mallikarjun Dr. Shasikala P.Dr. K.G. Basavarajappa Dr. Umakant PatilDr. Varadraj Rao B.A. Dr. A.M. Shiva KumarDr. Prakash V. Suranagi Dr. Prasad B.S.Dr. P.J. Prabhakar Dr. Prema PrabhudevDr. Anil Nelvigi Dr. V. Jagannath KumarDr. Arun Kumar A Dr. Ramesh DesaiDr. Naredndra Dr. Ravi B.Dr. Satyanarayana M.V.V. Dr. Prashant

Disclaimer :Views and opinions expressed in this newsletter are not

directly that of the editor or the editorial board. For anyclarification, author of the article is to be contacted.

Editorial Office : DEPARTMENT OF PHYSIOLOGYExtn. Nos. : 08192-266320, 266321, 266322

S.S. Institute of Medical Sciences & Research Centre

NEWS BULLETIN COMMITTEE

Page No.

Co-Editor:Dr. Ravikiran KisanAsst. Professor,

Rakesh PM ArtistBasavaraj S.G. TechnicianSanthosh Kumar DM Photographer

Principal's DeskEditorial Desk

Reports:

Cover Story:

Case Report:

Informative articles:

Health:

Congratulations

Departmental ActivitiesPublicationsStudent's activities and Achievements

RGUHS Overall Sports ChampionsJ.P.H.M.R. Journal Inauguration

Essential thrombocythemia in3 year old child

An insight to VEGF and ANTI VEGFTele Medicine in Public Health

Don't get worked up….take a deepbreath & slow down for a healthy heart

PÀ£ÀßqÀ «¨sÁUÀ

Photo Gallery

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Obituary 23

Gender gapsIt is a sad but true fact that in the male dominated Indiansociety, awoman's trystwith discrimination begins in thewomb.Most of the timewhen a baby girl is born there is ageneral gloom in the family, contrary to the birth of ababy boy.Most people do not realise that the development of asociety is measured by the status of women held in thatsociety.Discrimination exists in education, employment, health,pay and worst of all within the family. Promoting femaleeducation (a) Increases the pool of talent for the workforce (b) Is known to reduce fertility levels (c) Reduceschild mortality levels (d) Promotes the education of thenext generation. (e) Improves internationalcompetitiveness. Each factor in turn has a positiveimpact on economic growth.The gender gap in employment results in a number ofissues. Closing this gap would have the followingbenefits. (a) Increased pool of talent to hire from (b)Increased economic growth via demographic effects (c)Increases economic growth as the labour forceeffectively doubles in size (d) Female employment andearnings increase their bargainingpowerwithin families.(e) Wage differences disappear (f) Women appear to beless prone to corruption andnepotism thanmen.It is a disgrace that some families adopt femaleinfanticide and sex selective abortion with the help ofgreedy and unethical medical professionals that providethese illegal services. This has resulted in the decline ofthe female population. It is estimated that 800, 0000female foetuses may have been aborted in the pastdecade. This has resulted in a gender ratio imbalance.Recent census data shows that there are over 30 millionmore men in India than women. These kinds of genderratio imbalances have shown to increase violent crimeslike assault and rape in communities.Adirect causality of the gender gap is poor rural women,who are regularly assaulted by their alcoholic husbands.These women struggle to feed, clothe and shelter theirfamilies. Can these gaps be reduced? This can only beachieved by educating women, capacity building,providing them with equal opportunities, and sociallyand

From the Desk of Principal

SSIMS T IMESS.S. INSTITUTE OF MEDICAL SCIENCES &RESEARCH CENTRE

Vol. 8, Issue : 2, Apr - June-2013

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and economically empowering them. The Indianconstitution prohibits discrimination on many groundsincluding sex. Women need to be educated about theirconstitutional rights and legal avenues available topursue them. All this involves overturning centuries oldways of thinking. There have been encouraging signs inrecent years with increased participation by women inpolitics, higher education and the workforce. Howeverwe are still miles away from the ultimate goal of being agender neutral society.

Dr. P. NagarajPrincipal

Editorial...........Dear friends&Colleagues,At the outset SSIMS TIMES congratulates Dr.Shamanur Shivshankrappa, Hon secretary, ministerand our beloved chairman Shri S.S Mallikarjuna forwinning the assembly elections and for being electedas the cabinet minister for the state. SSIMS TIMESalso wishes HON. Secretary, minister Dr. Shamannurshivshankarrappa happy birthday (June 16 ) and prayfor his goodhealth,wealth andprosperity.Mr. Dhoni won the champions trophy for India and atthe same time our students won the champions trophyof RGUHS overall sports champions -2012-13. Bywinning the trophy they brought the happiest momentin the history of SSIMS&RC. “Students we are proudof you and we extend our hearty congratulations”.This marks our cover story of this issue. SSIMSTIMES congratulates the editorial board of IPHMRofSSIMS&RCwho contributed in successful launchingof the Journal for SSIMS&RC. This adding a featherin the cap of SSIMSandRC.SSIMS TIMES condoles the death of innocentpilgrims who were the victims of natures fury. Mediacalled it as “man made disaster” making it so

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true asrising population, development pressures fromlogging & tourism lead to deforestation. Thedenuded

DEPARTMENT OF PHYSIOLOGY

denuded hillsides exacerbate the severity of landslidesas tree cover impedes the downhill flow of the water.The devastations that occurred in Uttarakhand wereunimaginable. We salute our army and air forcepersonnel who did most of the rescuing efforts. Topromote aforestration our college took up planting ofsaplings in the campus onworld environment day.Government of Karnataka has imposed CRS(Compulsory Rural Service) for all MBBS studentslast year. Failing to abide by this mandatoryundertaking, including signing aCRSbond,makes thestudent pay the fine in lakhs following protests bystudents and doctors, Kerala govt. abolished CRS.This rule of completing the rural posting before theytake their PGentrance examinationwill lead to all

kinds of manipulations in order to fulfill the criteria.Decrepit infrastructure in PHCs, lack of basicamenities for junior residentsmakes the young doctorsto go for the greener pastures in cities and refuse toserve rural India. Govt in order to reduce infant andmaternal mortality should provide betterinfrastructure and housing facilities and should givebetter pay and incentives for young doctors. Havingserved rural postings they should be given a greaterpreference in securing a PG seat. With this the goodold days may come back where a medical graduateafter serving few years may confidently doappendicectomy, conduct labour and treat MI patientsuccessfully and serve the society and become acomplete doctorwith hisMBBS.

Graduates fromDepartment of Pathology as well asbyBlood bank technicians on 02.04.2013.

A voluntary blood donation and awarenesscamp as conducted at D.R.M. Science College,Davangere in association with Red Cross Societyon 04.04.2013. Dr. Manjula A along with housesurgeons andBlood bank teamconducted the camp.Atotal of 33 unitswere collected.

Fifth CME in Pathology on Histotechniquesin association with Academy of Pathology,Bangalorewas conducted on 14.04.2013. About 84delegates from various Medical Colleges all overKarnataka attended the programmewhich includedfaculty, postgraduates and technicians formDepartment of Pathology, Oral Pathology andAnatomy. Resource persons were Dr. Shashikala.P, Dr. Shammim Shariff, Dr. Hiremath S.S, DrSiddegowda,Dr.Kanthraj andDr. Siddique.

Voluntary blood donor's day was celebratedon 6.6.2013. Amobile bus from NACO, arrived inthe college premises at 3.30pm. About 14 MBBSphase II, IV term students donated blood on theoccasion. Dr. Shashikala P. Dr. Kavita G.U. Dr.Deepti Pruthvi, postgraduates&members of

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REPORT : DEPARTMENTAL ACTIVITIES

Dr. Vidya NadigerEditor

Project approved for STS-2013MBBSStudents(1 yr):Miss. ASapna, Guide: Dr. D. V. Deshpande, Prof &HeadMr. Malay,Guide:DrSunithaKalasurmath,Miss.AbhignaKulkarni,Guide:DrRavikiranKisan

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DEPARTMENT OF PATHOLOGY

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A Voluntary blood donation and awarenesscamp was conducted at BIET College, Davangerein association with Red Cross Society on22.03.2013. Dr Manjula A. along with housesurgeons and blood bank team conducted the camp.Atotal of 134 unitswere collected.

Workshop on Blood Bank Technology atS.S. Blood bank conducted by Teruo Penpolcompanywas attended by facultymembers and post



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DAPCU, Davangere were present on the occasionalong with Hospital administatrator Mr.Satyanarayan andDirectorDr.Kalappanavar.

A voluntary blood donation camp wasorganized by JCI Cotton, Kottur on 14.06.2013. SSblood bank participated in the camp in associationwith C.G blood bank, Davangere. Dr. Manjula A.along with house surgeons post graduate studentsand blood bank team conducted the camp. Total of60 unitswere collected.

Voluntary blood donation & awareness campwas conducted atGopnal, Davangere on 26.6.2013.S.S. Blood Bank participated in the camp alongwith C.G.Blood Bank. Dr. Kavita, along withPostgraduates, House surgeons & blood bank teamconducted the camp. Total of 26 units werecollected.

Sindhura B.R, III year MBBS, presented a researchpaper (oral presentation) in InternationalConference held at JSSMedicalCollege,Mysore on6 April 2013 on “Anti-hyperglycemic activity ofdopamine 2 receptor agonist bromocriptine aloneand combination of bromocriptine and glipizide(sub therapeutic doses) on alloxan induced diabetesin albino rats.”Guided by - Harish Kumar V.S Asst Prof, PradeepA.N Asst Prof, Dr. Sathisha Aithal Asso Prof, Dr.Umakant Patil Prof&Head,Dept of Pharmacology.

On occasions of Blood donor's day 14 June2013 Dr. V. L. Jayasimha Professor Department ofMicrobiology was felicitated by DistrictCommissioner Sri. Pattana Shetty along withDis t r ic t hea l th au thor i t i e s Davangere .

The Department of Microbiology &Community Medicine conducted CME on thetheme Key concepts of RNTCP” on 6 May 2013.The guest lectureswere delivered by

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DEPARTMENTOFMICROBIOLOGY

DEPARTMENTOF PHARMACOLOGY

Speakers TopicDr.Bheemayya.B IntroductionDr.Ayesha S Nawaz TB situationDr.VinodKumar C.S. TB DiagnosisDr.Manjunath Sarathi TB management

in childrenDr.Siddappa Management of

MDR TBDr.Rhagavan Key concepts

of RNTCP

3. Dr. VinodKumar C.S. Attended aCME/Workshop - on “Suvarna JNMC” as Resourceperson and delivered a talk on Recent Trends inAnaerobic Infections:Anaerobic glove box on 22June 2013At IAMM-KC Chapter Meet JawaharlalNehruMedicalCollege,Belgaum.

TheDissertation topic titled AMycologicalstudy of Candida species isolated from nosocomialurinary tract infections with special reference to itsvirulence factors by Dr.Kruthika under theguidance of Dr.K.G.Basavarajappa andDr.V.L.Jayasimha has been accepted for ICMRgrants.

The Dissertation topic titled Biofilmproducing bacterial isolates from urinary tractinfections and urinary catheter: A comparativestudy. By Dr. Vishwajeet Bardoloi under theguidance of Dr.K.G.Basavarajappa andDr.Yogeesha babu has been accepted for ICMRgrants.

A Research project titled “Role ofPseudomonas aeruginosa carriers among healthcare workers in tertiary care hospital” byMr.Jayanth S.S. under the guidance of Dr.Yogeeshababu.K.V. Professor Dept ofMicrobiology has wont h e “ SPEC IAL AWARD FOR ORALPRESENTATION” in Medicon 2013 6International student research conference held atUniversity college of Medical Sciences New DelhionApril 11 to 14 2013.

A Research project titled “Study ofcontaminated hand washing antiseptics in opencontainers by in-use test tertiary care hospital. byMis.Namratha.S. under the guidance ofDr.Yogeesh

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babu.K.V. Professor Dept ofMicrobiology has won“FIRST PRIZE FOR ORAL PRESENTATION” inMedicon 2013 6 International student researchconference held at University college of MedicalSciencesNewDelhi onApril 11 to 14 2013.ICMR-STS project t i t led “Study of

Onychomycosis in India”, by Priyanka B.V.underthe guidance of Dr.Niranjan H.P. Has beenaccepted.

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Dept. of Forensic Medicine and Toxicology hadorganized a programme “Stress Management andPositive Mental Attitude” under Marga on18.05.2013 at LT3 where Dr. Sachin Parab ofBrahmakumari Ashram gave spiritual talk andconducted meditation programme for both studentsand staff.2. Dr. Hemanth Raj M N., Asst. Prof., hasattended the Basic Workshop in Medical EducationTechnologies held from 15.05.2013 to 17.05.2013by regional centre,DOME,KLEUniversity, JNMC,Belgaum.

DEPARTMENT OFCOMMUNITYMEDICINE

DEPARTMENT OF FORENSICMEDICINE & TOXICOLOGY

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Dr. Aswin Kumar, Asst Prof gave a talk on“Disaster preparedness” at a programme organisedat Rotary club, Davangere on 17-03-2013.Dr. Varadaraja Rao, Prof & Head, Dr. Ayesha

Nawaz, Asst Prof and Dr. Kusum Mane, Asst Profparticipated in the health checkup of students atDIET D.Ed. College, Davangere on 22-03-2013.Dr. Varadaraj Rao gave health talk on “Balanceddiet” and Dr. Ayesha Nawaz gave health talk on“AdolescentHealth”.As part of the “World TB day” observation,

Role-plays were organized to create awarenessamong the general public about Tuberculosis on 25-03-2013.These role playswere carried out on thestreets of rural field practice area of SSIMS&RC atLokikere and Turchgatta. Interns posted inCommunityMedicine actively participated in the

Role-plays.Dr. Aswin Kumar, Asst Prof and Dr. Devraj

Patage, First year postgraduate student participatedas resource persons in a workshop on “FirstAid andDisaster Management” held at Government Firstgrade College, Chennagiri, on 27-03-2013. Thisprogramme was organized in collaboration withYouthRed cross.Dr. Aswin Kumar, Asst Prof and Dr. Devraj

Patage, First year postgraduate student participatedas resource persons in a workshop on “First Aid” atGovt College, Harapanahalli on 28-03-2013. Dr.Ayesha Mariam and Dr. Akshata interns posted incommunity Medicine gave a health talk onAdolescent health. This programme was organizedin collaborationwithYouthRed cross.Dr. Varadaraj Rao and Dr. Aswin Kumar

participated in the one day workshop on“Adolescent Health” at DRR Polytechnic College,Davangere on 30-03-2013.Department of CommunityMedicine observed

the “World Health Day” by organizing a screeningcamp for Hypertension and Diabetes at PHC,Lokikere on 24-04-2013. Dr. Aswin Kumar, Dr.Kusum Mane, Dr. Ayesha Nawaz and Dr. DevarajPatage participated in the health camp.Dr.Aswin Kumar,Asst Prof along with interns

participated in the Health check up camp atchandranahalli on 03/05/2013.Dr. KusumMane, Asst Prof created awareness

about “Anaemia and its prevention” at PHC,Lokikere area on 15-05-2013. Dr. Suman, Internposted in Community Medicine gave a health talkonAnaemia.Dr. Kusum Mane, Asst Prof along with interns

carried out the health check up of anganwadichildren atYellamnagar on 31-05-2013.Dr. Ayesha Nawaz, Asst Prof and Dr. Kusum

Mane, Asst Prof, along with interns carried out thehealth check up of anganwadi children in the Urbanand Rural field practice area respectively followedby the distribution of biscuits under Mathoshreeprogramme.UnderMathoshree programmedistribution of nutrition supplements to anganwadichildren will be carried out on every Monday andThursday and Medical checkup will be carried outquarterly.

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Workshop and CME

Basic to Advanced

Dr.AyeshaNawaz,Asst Prof participated in theprogramme for creating awareness among womenabout “Cancer cervix” held at Giriyapura on 06-06-2013. Dr. Soujanya and Dr. Sunitha, interns gave ahealth talk on “Cancer cervix”.Dr. Soujanya, intern gave a health talk on

“Cervical cancer” to create awareness amonganganwadi workers at Lokikere on 14-06-2013. Dr.AswinKumar also participated in the programme.Diabetes and Hypertension screening camp

was organized at Urban Health Center, Bashanagar.Dr. Pragathi Chavan, Associate prof, Dr. AyeshaNawaz, Asst Proff and Dr. Devaraj P, Second yearpostgraduate student participated in the camp.Project approved for STS-2013: Study of the

impact of menstrual practices on the health ofadolescent girls and the challenges faced inmenstrual hygiene management at schools. Takenup by Miss Pratibha S (7 term student) under theguidance ofDr.AyeshaNawaz.

In “Basic Surgery SkillsCourse” on 20 April 2013, Saturday

Presented by: Dr. C.S Rajan Professor &HOD, Department of Surgery and MedicalSuperintendent-StMartasHospital

Department of Orthopaedics, SSIMS and SPARSHin Association with Karnataka OrthopedicAssociation conducted a Continuous MedicalEducation and workshop on Upper ExtremityTrauma on May 18 and 19 2013 inAuditorium ofSSIMS and SPARSH. The organizing chairmen ofthe programme were Dr.Anil S. Nelivigi, Professorand Head Department of Orthopaedics, SSIMS andSPARSH Davangere and Dr. Sharan. S. Patil,Chairman, SPARSHHospital Bangalore.The teaching faculty, Dr. Ashok Kaul, Bangolore,Dr. Anil Bhatia, Pune, Dr. Binu Thomas, Vellore,Dr. K. R. PrathapKumar, Cochin, Dr. Subramanian,Bangalore, gave lectures on “

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Organized byDepartment of General Surgery SSIMS & RC,Davangere.

DEPARTMENT OF SURGERY.

DEPARTMENTOFORTHOPAEDICS

Skills of Upper Extremity Trauma cases” weretaken up for live demonstration to an audience ofabout 100 delegates from different parts ofKarnataka State. With help of excellent audio-visual facility the audiencewere verymuch satisfiedfor having cleared their queries regarding Upperlimb trauma the whole programme was a grandsuccess.

DEPARTMENTOFOPTHALMOLOGYConducted a CME on Medical retina &Anti VEGFon 25 May, 2013. CME was attended by variousdelegates from Davangere & from places aroundDavangere.

Dr. Ajay S. Hatti gave introduction toAntiVEGF. Dr. Prakash. V. Suranagi spoke abouttreatment guidelines in Retinopathy of Prematurity.Resource persons Dr.Sunil. G, Dr. Siddarth Bengeri,Dr. ChandraKumar, Dr.AnandVinekar, Dr. NaveenNaik spoke about Diabetic macular edema,Treatment guidelines in ARMD, AntiVEGF inARMD, AntiVEGF in ROP, and Retinal vasculardiseases respectively.

Eye camps conducted from Department ofOphthalmology and DBCS, and no of free surgeriesdone

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06/04/2013-20/04/2013- Chigateri - 2111/05/2013-18/05/2013-01/06/2013-15/06/2013-

Devarabelakere - 29 surgeriessurgeries

Arasikere -11 surgeriesRamagondanahalli -24 surgeriesHuchchengidurga - 15 surgeriesBhanuvalli - 16 surgeries

AYoung man had lost his father. Losing his fatherat a young age was quiet bad enough. Unfortunately

he & his father shared same initials.

To his surprise he spotted his name in the obituariesinstead of his father. He phoned his friend.

“Did you see the report of my death in the paper”he asked, “Yes” his friend said “Good ya! you getyour cell phone signals even in the heaven. Pleasetell me which cell phone connection is that

Dr. Vidya M NadigerProfessor of Physiology.



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1.Dr. N. K. Kalappanavar,Medical Director, Prof &Headi.

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Participated as faculty during Suvarna JNMCScientific Society Annual CME 2013. held on 13th& 14thApril 2013. Delivered a talk on “approach tochildwith respiratory distress”Participated in National TOT on “Basic life

support” held on 4thMay 2013 at KhajnrahoMadyaPradesh.Attended National executive Board meeting of

central IAP on 5th & 6th May 2013 held atKhajnraho.Participated in National TOT on “Safe injection

practices” held atMumbai on 12thMay2013.Delivered talk on “Dengue fever what we need toknow” during CME of Haveri Dist IAP & IMA atRanebennur on 23-06-2013.Participated as faculty on “Rational antibitioc

therapy in respiratory infection” during NationalCME on Drug formalay at Kochi on 22th & 23rdJune 2013.. Attended Annual CME On “Paediatric

Nutrition” and “Dr.Nirmala Kesaree OrationLecture” at BCHI & RC, Davangere On 29-06-2013.Dr.B. S. Prasad

Attended National PALS Instructor certificatefinal course at St.John's Hospital Bangalore on 6th&7thApril,with successfulOutcome.Attended as Chairperson in the CME on “Anti

Viral Drugs” in the field of Dermatalogy on 24thJune 2013, in the Dept of Dermatology,SSIMS&RC.Chaired a session in CME programme

conducted by Dept of Ophthalmology on 25th May2013, on SSIMS&RC, on Retinopathy ofPrematurity.Attended Annual CME On “Paediatric

Nutrition” and “Dr. Nirmala Kesaree OrationLecture'” at BCHI & RC, Davangere On 29-06-2013, as chair person.

Vice Principal Prof of Paediatrics & Director ofNeonatology

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Dr.Ashoka.AAsso Prof Delivered a Guest lecture on “Zinc inHealth & Diseases” in Annual CME of“Dr.Nirmala Kesaree Oration Lecture” at BCHI &RC,Davangere on 29-06-2013Dr.Sanjay.D.Asso Prof Delivered a Guest lecture on“Megaloblastic anemia” in Annual CME of“Dr.Nirmala Kesaree Oration Lecture” at BCHI &RC,Davangere on 29-06-2013.Dr.MohamedHaseenBashaAssistant Prof Delivered a Guest lecture on “Irondeficiency anemia” inAnnual CME of “Dr.NirmalaKesaree Oration Lecture” at BCHI & RC,Davangere on 29-06-2013.

1) Dr. Prema Prabhudev, Professor and HOD wasattended OBG Society meeting at Library lecturerhall, Bapuji hospital on 19 April 2013.Topic - Chorio carcinoma & its surgicalmanagementGuest speaker Dr.RaghavendraBhat2) Short seminars were presented by OBG internsfollowedby interactive session.

The Department of Emergency Medicine, SSInstitute of Medical Sciences and Research Centreorganised a two day course on AIIMS UltrasoundTrauma Life Support on 18th and 19th may 2013 inassociation with All India Institute of MedicalSciences,NewDelhi and INDO-USEmergency andTraumaCollaborative.

About 40 participants from various medicalcolleges and corporate hospitals like St. Johnsmedical college, Vydehi Medical college, Manipalhospitals, BGSGlobal hospitals attended the courseto enhance their skills in use of ultrasound inEmergency andTraumDr. Sanjeev Bhoi, Program director, AssociateProfessor,Department ofEmergencyMedicine

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DEPARTMENT OF PAEDIATRICS

DEPARTMENT OFOBSTETRICS & GYNAECOLOGY

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From AIIMS, New Delhi conducted the coursesuccessfully and effectively to the best satisfactionof the participants and faculty with the assistance ofthe members of his team Dr. Sagar Galwankar, DrKapilDevSoni,Dr Jayaraj.Dr. P. Nagaraj, Principal of SSIMS & RC and Dr.Narendra S.S Professor and Head of the Dept. ofEmergency Medicine, SSIMS & RC extended theirassistance and guidance in the organisation of theacademic event.The 2nd Annual Regional Academic EmergencyMedicine Summit representing the states ofKarnataka andAndhra Pradesh (EM-KAP)was heldon May 18, 2013 to strengthen the academics in theDepartment of Emergency Medicine in associationwith INDO - US Emergency and TraumaCollaborativeDr. Sagar Galwankar, Board Certified EmergencyPhysician, University of South Florida, TampaU.S.A. on the occasion of EM-KAP, delivered aspeech on developing an academic department ofEmergency Medicine and Trauma Centre .Hisspeech dispelled several doubts and apprehensionsabout the Emergency Medicine in the existingscenario.

CME Programme for post graduate students andconsultants was conducted on 24-6-2013. Speakerswere Dr. SankeerthV and Dr. Harshavardhana K.N.Topic:AntiviralDrugs (Acyclovir&Valacyclovir)

A guest lecture on “Personal Effectivenessfor health professionals” was arranged on

. Mr. Adarsh NDTV, India, and a LeadFaculty who has conducted FDPs, Talk Show withindustry giants like Karan Johar was the speaker. DrManjula A welcomed the gathering and Dr DeeptiPruthvi gave the vote of thanks.

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Meeting of all mentors was conducted on25.04.2013.Dr.YogeeshBabu,Associate Professor,Microbiology gave a talk on “An Introduction toMentorship programme”.

A guest lecture on “Positive mental attitude& stress Management” was organized for III and IVterm students on 18.05.2013. Dr. Sachin Parab,Psychiatrist from Mumbai, delivered the lecture.Representatives from Brahma Kumari Ashram,Arogyodhama, Davangere were also present.Students and Staff members actively interacted inthe programme

Dr. Vinod Kumar Associate Prof, Dept ofMicrobiology, Dr. Suneeta Kalsurmath AssistantProf, Dept of Physiology, Dr. Hemanth Raj,Assistant Prof, Dept of Forensic Medicine &Toxicology, Mr. Pradeep A.N. Assistant Prof, Deptof Pharmacology, attended the Basic workshop inMedical Education Technologies conducted atJNMCBelgaumbetween 15-17.05.2013.

Discussion on 'Content val idi ty/prevalidation of Questionaire' was done on thetopic on 08.06.2013. “Knowledge and practices ofhealth care workers & student towards universalprecautions at teaching hospital”. Dr Vinod KumarC.S. Associate Professor, Department ofMicrobiology, presented the topic.

Journal clubwas conducted on the topic “Weknow what they did wrong, but not why: the casefor 'frame based' feedback” from the journal “Theclinical Teacher - 2013” on 25.06.2013. Dr.Suneeta Kalasurmath, Associate ProfessorPhysiology, presented the topic.

Interactive session, discussion and lectures onadolescent health and awareness programme wasorganized by National Service Scheme BapujiPolytechnic in association with Youth Red CrossWing of SSIMS&RCon26.03.2013.Following resource persons participated in theprogramme.Dr. Shashikala PDr.Varadaraj,

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Prof&HOD,Dept of Pathology.Prof&HOD,Dept of PreventiveMedicine.

DEPARTMENT OFDERMATOLOGYVENEREOLOGY& LEPROSY

DEPARTMENT OF MEDICALEDUCATION (DOME)

YOUTH RED CROSSWING



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Dr.ManjulaA.Dr.RashmiRajDr.Namratha&MsDevikaWorkshop and inauguration of Youth Red Cross

Wing was held on 30.03.2013. A lecture on“Importance of Blood Donation” was delivered byDr. Deepti Pruthvi. Around 200 studentsparticipated in the programme.A public rally and awareness programme was

arranged in co-ordination with “PrajapeethaBrahma Kumari Ashram” on the occasion of“International day against drug abuse and illicittrafficking” at Bapuji Auditorium, Davangere on26.03.2013. Sri Sanjay Sahay IGP Eastern RangeInaugurated the programme and spoke on theoccasion.Dr. Shashikala PVice Principal, SSIMS&RSC highlighted the harmful effects of bad habits-its effect on health and family”. Dr. Shashidhar(Psychiatrist) and Dr. Vijayakumar B. Jatti, gave atalk and PowerPoint presentation to createawareness regarding drug abuse. Sri BrahmakumariLeela, Bharathi and leaders of social organizationstook part in the programme along with generalpublic and college students.An awareness programme for Pre University andDegree college student was organized at DRMScience College. Dr. Shashikala P, Dr. Shashidar &Dr. Vijaya Kumar Jatti spoke on the occasion tobring awareness amongyoung population regardingabuse drugs,ways to prevent and de-addict.

In view of compulsory yoga teaching programme inMedical colleges, one day workshop titled “BASICWORKSHOP ON YOGIC TECHNIQUES” washeld on 22-06-13 by the Department of Yoga &Integral Health Clinic, for MBBS Phase III Part Istudents(118 Batch). Dr. Mallikarjun, invitee, whoconducted the workshop, is a Consultant in Healthand Lifestyle management for LG software,Bangalore. The workshop was inaguarated by Dr. P.Nagaraj, chief guest in presence of about 100students and 50 staffmembers.Dr.Chandrashekhar

Asso. Prof,Dept of Pathology.Asst Prof,Dept ofOBG.

III PhaseMedical student.2.

3.

Karpoor, organizing secretory for the workshopwelcomed the guests. The workshop was alsochaired by Dr. Bheemaya Badesaab, Professor,Department of community Medicine and Dr. D. V.Deshpande, Professor, Department of Physiology.Dr.Manjunath, consultant of Om Yoga andAvurveda centre, Vidyanagar, Davangere and YogaTeacher for SSIMS&RCwas also present.Dr. Mallikarjun is a dedicated Yogi who hascompleted his Msc in Yoga from prestigious S-VYASA university,Bangalore.He is currentlyrunning his own yoga centre under the name SriKrishnaYoga centre in Bangalore. He is working asa consultant for LG Software and Talisma,Bangalore. He has conducted many workshops anddemonstrations in India and abroad.Workshop included series of lectures anddemonstration practices on Breathing exercises,Pranayamas, SookshmaVyayama /Gentle exercisesand Suryanamaskar, Yoga poses withDemonstrationwithBenefits andLimitations.Dr. Manjunath has been appointed as Yoga teacherby the department for yoga practice sessions whichwill be started in themonth of July.As perMCI newcurriculum, out 1880 hours of academic teaching infirst two years of MBBS Course,78 hours should tobe allotted for teachingYoga and sportsNote: Students of SSIMS&RC, interested to attendYoga practise sessions from July are requested togive their names at earliest to Dr.ChandrashekharKarpoor, Co-Ordinator, Department of Yoga andIntegralHealth clinic (Mb: 9845475200).Department has planned tomake 1 hour compulsoryYoga teaching on Saturdays for MBBS PHASE Istudents beginning nextmonth.

DEPARTMENT OF YOGA ANDINTEGRAL HEALTH CLINIC

Dr. KavyashreePG, Physiology



8

PUBLICATIONS OF SSIMS - ites

Author/s Title Database Journal Department

Dr. Vijayakumar B JattiDr. Nagesh Kuppast

Fatal stab injuries;Amurder mysteryrevealed by exhumation

Accepted Medico-legalupdate Journal

Forensic Medicineand Toxicology

Dr. Vidya M NadigerDr. Vijayakumar B Jatti

Intraocular pressure changesin aphakia and pseudophakiacases after cataract surgery

V care for life journalAccepted Physiology


Dr. Hemanth Raj M N Comparison of clinical andautopsy diagnosis of cause ofdeath at Belgaum, Karnataka

Jan-June, 2013,Vol 7 (1). P.65-9

Indian Journal ofForensic Medicineand Toxicology


Dr. Nagesh Kuppast Reliability of foramen magnumlength & breadth &mastoidlength in identification of genderof north Chennai region’

July-Dec-2013.P. 211-4

IJFMT Forensic Medicineand Toxicology

Dr. Nagesh Kuppast Reliability of cranialmeasurements in identificationof sex of skull

Accepted Medico-LegalUpdate Journal


Dr. Dileep Kumar RDr. Nagesh Kuppast

Prediction of staturefrom percutaneousulna length

Accepted JSIMLAForensic Medicineand Toxicology

Dr. Nagarajappa KDr. Sushma BJagannatha

Study of altered liverfunction tests & electrolytedisturbances in patientswith dengue infections

IJUPBS/ vol 2Issue 3May-June 2013

International Journalof universal pharmacyand bio sciences

Biochemistry

Dr. Sushma B.JDr. Nagarajappa KDr. C. R Mallikarjun

Serum ferritin a novel riskfactor for diabetes?

Vol (2), Issue (5),May 2013

InternationalJournal ofInnovative Researchand Studies

BiochemistryReceivedcertificate ofexcellence

Dr. SuneetaKalasuramath

Effect of iron status on ironabsorption in differenthabitual meals in youngsouth Indian women.

2013 ;137(2):324-30.

Indian JournalMedical Research

Physiology

Dr. Suneeta KalasuramathDr. Shashikala P,Dr. Vinodkumar C.S

How to Write ResearchArticles in Medical andPublic Health Disciplines

2013; 1(1):1-8 J Pub HealthMed Res

PhysiologyPathologyMicrobiology

Dr. GourishankarGanga

Study of Mucin HistochemistryIn Developing Human GastricMucosa from 12 to 37WeeksOf Gestation

Vol.1(1) 2013Page No. 13-17

J Pub HealthMed Res

Anatomy



10

Author/s Title Database Journal Department

Dr. Shivakumar.A.HPrediction of Stature byRight Middle finger lengthof Males among SouthIndian Population

Vol.4(1)Page No. 7-9

Journal ofPharmaceutical &Scientific Innovation

Stature Estimation byRight upper limb lengthamong Males inKarnataka of SouthIndian Population

Dr. Shivakumar.A.H

Anatomy

AnatomyVol.6(3)Page No. 49-52

Anatomica Karnataka

STUDENT’S ACTIVITY&ACHIEVEMENTS

The Honorary Secretary BEA, Dr. Shamanur Shivashankarappa, Minister, the Chairman Shri. S.S.MallikarjunaMLA, the Principal Dr. P.Nagaraj and all the teaching staff of SSIMS&RCcongratulate all thestudents attended and Prizes won in 6 International Student Research Conference heldatUniversityCollege ofMedical SciencesNewDelhi onApril 11 to 14 2013.

MEDICON-2013, th

th th

Student Name

Shashi Shekar M

Namratha S

Jayanth S

Alekya S

Manjunath

Sevanth P

Varun DAllampalli

Hari Prasad

Vishwanath

Guide

Dr. Ravikiran Kisan

Dr. Yogesh Babu

Dr. Yogesh Babu

Dr. Swapnali

Dr. Ratnaprabha

Events AttendedOral Paper Presentation,Workshop, DebateOral Paper Presentation,Workshop, Debate

Oral Paper Presentation,WorkshopWorkshop

Workshop

Workshop, Quiz

Workshop

Prizes won

1 Prize in Debatest

Best Presentation,1 Prize in Debate,Session Winnerst

Special Prize for Presentation

Session Winner

MBBS term

6

6

6

6

4

66

6

6

Oral Paper Presentation,Workshop

Oral Paper Presentation,Workshop

Student's Union - No Tobacco Day

On account ofWorld No Tobacco day, on educative Programme was conducted at APMC hall on 5 June, byStudent's Union 2013 in association with Rotary Club, Mid town, Davangere. Dr. L. S. Patil, Surgeon,SSIMS&RC delivered a talk on “Ill effects of Tobacco” also added that strong determination along withknowledge of required to quit the use of Tobacco among addicts. It was followed by a small still by students ofSSIMS&RChighlighting the effects of chronic tobacco use on health and social status.

th



11

COVER STORY

to get a championship amongst the 600 differentcolleges under the RGUHS”.achievement for ayoung college completing 6 years to get achampionship amongst the 600 different collegesunder theRGUHS”.

The Honorary Secretary BEA, Dr.Shamanur Shivashankarappa, Minister, theChairman Shri. S.S. Mallikarjuna MLA, thePrincipal Dr. P. Nagaraj and all the teaching andNon-teaching staff of SSIMS&RC congratulate allthe sports players, Dr.Nagarajappa Chairman ofstudent union 2012, Chairman of Sports committeeDr. Manjunath. J, Co-Chairmans Harish andPradeep, student sport secretaries Jeevan, MelvinKumar, Gunashree. K. N & Physical director Mr.Vishnu. P.

Rajiv Gandhi University of HealthSciences, Bangalore has announced and awardedSSIMS&RC as the overall champions of sports forthe year 2012-13 for scoring the highest points ininter collegiate sports competitions among allMedical, Dental, Pharmacy and Nursing Collegesunder the university.35 students of SSIMS & RC had been selected torepresent theUniversity in different sports events.

In the grand prize distribution ceremonyheld at Bangalore, 17th May 2013 in the universityDhanvanthari Hall, the Vice-Chancellor of theUniversity, Dr. Sriprakash K S handed over thechampion's trophy and said, “It's a greatachievement for a young college completing 6 years

“RGUHS Overall Sports Champions 2012 & 13”

Sl. No.1234567

EVENTSCHESS (M)KHO-KHO(W)WEIGHT LIFTING & BEST PHYSIQUE(M)ATHLETICS TEAM CHAMPIONSHIP(M)VOLLEY BALL(W)CRICKET(M)TENNICOIT(W)

RESULTWINNERSWINNERSWINNERSWINNERSRUNNERS UPRUNNERS UPRUNNERS UP

POINTS555533329Total Points

Sl.No.1234

EventKabbaddiShuttle BadmintonShuttle BadmintonKabbaddi

Representation5 Times5 Times4 Times3 Times

5

NameJeevan SAbhishek HeranjalMayank DhirManjunath

Eshaanu Shastri Football 3 Times



12

List of events & points to fetch the Overall Champions Trophy 2012-13

RGUHS Inter-University Representatives

Sl.No. Event RepresentationName67891011121314151617181920212223242526272829303132333435

Bharath SharmaAnoop ShastryChandrakanthSantosh KrishnaMelvin KumarKalyanYamkumarSathishMadhuNikitha BanakarGouthamAnushreeRavikumarHrishikeshSachin K GKiran MattewNiteesh BharadwajSanthoshSharana GoudaAnil SNavinAditya UnniAnurag SAmulyaNalini BHamsaSwathiRevathi KLakshmi Devi PatilPrathiksha

FootballAthleticsKabbaddiAthleticsKabbaddiChessChessChessBasket BallKho KhoKho KhoKho KhoCricketCricketCricketCricketShuttle BadmintonVolley BallVolley BallVolley BallKho KhoBasket BallTable Tennis

Kho Kho, Volley BallVolley BallVolley BallVolley Ball

Kho Kho, Volley Ball

Volley BallBasket Ball

2 Times2 Times2 Times2 Times2 Times2 Times2 Times2 Times2 Times2 Times2 Times2 Times1 Time1 Time1 Time1 Time1 Time1 Time1 Time1 Time1 Time1 Time1 Time

1 Time each1 Time1 Time1 Time1 Time

1 Time each

1 Time



13

“Journal of Public health & Medical research”, i.eJPHMR, the scientific official journal of SSIMS &RC

This is a peer reviewed journal published inelectronic& print version. The ISSN Number is2320- 4680.Issues are published biannually(April,September). The types of article accepted includereview articles , original articles, case reports, andletters to the editor with all the medical specialties.To name a few, research conducted in Anatomy,Physiology, Pathology, Forensic medicine,Microbiology, Community Medicine, GeneralSurgery, Pediatrics, Infectious Diseases, Medicaleducation,Hematology,Medical Statistics etc.

Dr Suneeta Kalasuramath, ,Physiology,

.The advisory board of JPHMR comprises of Dr. P.Nagaraj, Principal, Dr. N.K.Kalappanavar,MedicalDirector,Dr. Srikaramallya,Manipal University, Dr.Niranjan, Director, Dr. Pranesh Gudur, DeputyRegistrar, Research & Development, Rajiv GandhiUniversity ofHealth Sciences,Dr. Shankar, andmany more renowned scientist from India andabroad .Anypublication in this journal is possible

, BEA, Davangere was inaugurated on 25 April2013 .

This journal runs under the stewardship of Dr PShashikala, Prof & Head, Pathology as the Editor,Dr VinodKumar C S ,Assoc. Prof, Microbiology asDeputy editor, and Mr. Sampanna Mutalik ,Coordinator SSIMRC, Dr Gayatri Patil, Professor,OBG, Assoc. Prof

Dr Vijay Chandrappa, Asst Prof,Anaesthesia in the editorial team

th

.

Only by the critical evaluation . The esteemedreviewers are the staff of SSIMSRC, Dr Angadi,Dr. Mallikarjun, Dr. Deshpande, Dr. Chandreshkar, Dr. Basavarajappa KG, Dr Jayasimha VL, DrYogeesha babu, Dr. Kavita, Dr Deepthi, Dr.Umakant Patil, Dr. Vardaraj, Dr. Vijay Jatti, DrJaganth Kumar, Dr. Shivakumar AM, Dr. ArunKumar, Dr S.S. Bhat, Dr. P J Prabhakar, Dr.Narendra, Dr Shanthala, Dr. Prasad B.S, DrKalapannavar, Dr Prema Prabhudev, Mr. Charanandmanymore subject experts fromvarious fields.The inaugural function was compeered by Dr.Suneeta Kalasuramath. It started with the briefintroduction about the journal. Shruti, Sneha,Srigowri, Dhanya, II MBBS students sang toinvoke the blessings of Lord Ganesha.

scientific talk on “Writing grant proposals forFunding of research projects” was presented byDr.Bharathi Sriram, Vice President R & D GangagenBiotechnologies Pvt. Ltd, Bangalore, India. Lateron, Dr.P Nagaraj, Principal officially inauguratedthe journal website www. Dr. Metgud,Senior Prof., JJMMC unveiled the plaque and Dr.Gurupadappa, Director, JJMMC released thejournal. Dr PShashikala conferred the editor's note&

Dr. Vinodkumar C S welcomed the gathering. All thedignitaries,Vice principal, administrator& heads ofthe various department of SSIMSRC lit the lamp.A

Dr.PNagaraj presented the presidential address.

.jphmr.com

CASE REPORTSESSENTIALTHROMBOCYTHEMIA IN 3 YEAR OLD CHILDDr. Jagannath Kumar V. (PROF & HOD), Dr. Krati Mehrotra (PG), Dept of Dermatology

INTRODUCTION• Essential thrombocythemia(ET) is a clonaldisorder of unknown etiology involving amultipotent haematopoietic progenitor cell. It is amyeloproliferative disorder with platelets morethan or equal to 5 lakh/µL in absence of a knowncause of reactive thrombocytosis

Essential thrombocythemia is morecommon at younger ages and in women•

• Clinically, ET is most often identifiedincidentally when a platelet count is obtainedduring routine evaluation

Cutaneous manifestations can complicateET or even lead to the diagnosis. Hemorrhage andthrombosis are the main clinical manifestations.Usually, cutaneous complication of essentialthrombocythemia are associated with pain. Variouspresentations are urticaria, livedo reticularis,

•

COVER STORY

JPHMR JOURNAL INAUGURATION 2013



14

petechiae, ecchymoses, haematomas,erythromelalgia, Raynaud's phenomenon, recurrentsuperficial thrombophlebitis, necrotizing vasculitis,leg ulceration and gangrene

A 3yr old male patient, lean built presentedwith asymptomatic non palpable skin lesionsaround the eyes, nasolabial folds, shoulder, upperchest, abdomen and thigh since 12days

History of similar episodes twice in 3yrsNo significant family history-siblings-7yrand 5yr old sistersHe is full term normal delivery at homeDevelopmental and immunization historynormalOn Systemic examination- mild

splenomegaly present

CASEREPORT•

••

••

•

INVESTIGATION

CONCLUSION

•••••••

•

•

•

Anaemia -10.4g/dlThrombocytosis -5.45 lakhs/cummLeucocytosis -14730 cells/cummESR- 18mm/hrProthrombin time- 13.6 sec(normal)INR ratio- 1.2Activated Partial Thromboplastin Time-37.2 sec (increased)Urine routine and microscopy examinationwas normal

ET is uncommon disorder with anincidence of 1 per million children

Additional skin lesions are tendererythematous facial plaques and palmar violetmacules and papules were reported asmanifestations of platelet plugging in a patient withatypical chronicmyeloproliferative disease

An insight to VEGF and ANTI VEGF(Department of Ophthalmology)

VEGF(VascularEndothelialGrowthFactors)

Production ofVEGF

Is a single proteins produced by cells thatstimulate vasculagenesis&angiogenesis.

VEGF is a subfamily of growth factors to bespecific, the platelet derived growth factor family ofcystine knot growth factor

Cells that are not receiving enough 0

Production of HIF (Hypoxia inducible factor)

Release of VEGF

2

Functions:

Clinical Significance

Angiogenesis, Increased migration ofendothelial cells, Increased mitosis of endothelialcells, Increased methane manooxygenase activity,Creation of blood vessel lumens, Createsfenestration, Chemotacte for macrophages andgranulocyte,Vasodilatation

VEGF is implicated with poor prognosis in breastcancer, rheumatoid arthritis, angiosarcoma, predictsearly onset of preeclampsia andmay be an early stepin the process ofmetastasis.VEGF is also increased in many of the ophthalmicconditions includingARMD, diabetic retinopathy.………….so, here comes the role ofANTIVEGF

INFORMATIVE ARTICLE



15

ANTIVEGF

Mechanismof action

Anti VEGF includes:

Ocular indications

There has been a lot of excitement in themanagement of retinal disease ever since the newerantiVEGF have become available. These agents arebeing used for many eye diseases. These retinadiseases which were earlier considered incurable orhad very poor prognosis, are now tackled with antiVEGFwith good results

Anti VEGF

Block VEGF molecules

Decrease formation of harmful blood vessels

Decrease the leakage and swelling of retina

Stabilization and improvement in visionMonoclonal antibodies like

Bevacizumab(Avastin), Antibody derivative likeRanibizumab(Lucentis) and others like Lapatinib,sunitinib, sorafenib.

Age relatedmacular edemaChoroid/ subretinal neovascularmembranesSevere diabeticmacular edemaSevere proliferative diabetic retinopathyMacular edema due to branch retinal veinocclusion/central retinal vein occlusionVitreous hemorrhage in diabetic retinopathyBefore vitrectomy in these patients

Neovascular glaucoma/neovascularisation of iris.

1.2.3.4.5.

6.7.

Complications

BEVACIZUMAB

We seek kind encouragement fromfaculty of all the departments in mobilizingpatients of diabetes, hypertension and any othersystemic illness who need ophthalmicexamination to our department, so that we canselect patients for intravitrealAntiVEGF.

1)2)3)4)5)6)

Vitreous hemorrhageAccidental injury to lens capsuleRaised IOPRetinal detachmentCentral retinal artery occlusionEndophthalmitis

(Trade name-Avastin)It is licensed to treat various cancers

including colorectal, lung, breast, kidney, ovariancancers and glioblastoma

It has recently been used by ophthalmologistin an off label use as an intravitreal agent.Main side effects are hypertension andheitened risk of bleeding but these arelargely avoided in ophthalmolgical use sincethe drug is introduced directly into eyes.Intravitreal steroids can also be used tryingantiVEGF but includes the risk of raisedintraocular pressure.

NOTE:

Dr. SURYAKANTHAA.H.

Introduction :Professor of Community Medicine

People living in remote rural areasstruggle to get timely and good quality specialitymedical care. Because of this the health status ofrural Indians is still a cause for grave concern. Oneof the objectives of the National Rural HealthMission (NRHM)

Is to provide the rural population speciality healthcare services. Telemedicine has the potential tobridge this gap to provide speciality care to the ruralareas.Telemedicine is the use of electronic information tocommunicate technologies to provide and supporthealth carewhen distance separates the participants.“Tele”



16

TELE MEDICINE IN PUBLIC HEALTH

(Greek) means “distance” and “mederi” (Latin)means “to heal”.Telemedicine has been in use overfour decades. It was all stared with NASA's effortsin 1960 (National Aeronautics and SpaceAdministration).

WHO (2002) defined telemedicine as “The deliveryof health care services, where distance is a criticalfactor, by all health care professionals usinginformation and communication technologies forthe exchange of valid information, for diagnosis,treatment and prevention of disease and injuries,research and evaluation and for the continuingeducation of healthcare providers, all in the interestof advancing the health of individuals and theircommunities”.

The primary aim is to reach the unreached throughInformat ion management : Pat ient

information, Medical data (signs, symptoms,investigation reports etc.),Appointment scheduling,Archival and retrieval of patient records.

Low cost solution: Using ordinarytelephone line, satellite etc.Service to large population: Through publichealthcare delivery systemsDevelopment of knowledge based system:For decision support, For training andeducation.

Telemedicine Consultation Center (TCC)consisting of the patient, immediate health careprovider, telemedicine technician and equipmentfor communicating the patient's medicalinformation.

Telemedicine Speciality Center (TSC)consisting of specialist, telemedicine technician and

Definition :

Aimof telemedicine :

A successful telemedicine set will have thefollowing

The equipment to communicate with TCC. Thespecialist can interact with the patient present in theremote site.The telemedicine system consists of an interfacebetween hardware, software and a communicationchannel to connect the TCC and TSC to enableconsultancy. The modern telemedicine system isshown in the Fig.1.

Easy access to remote areasSignificantly reduces the time &costs of patient

transportationMonitoring homecare&ambulatorymonitoring.Improves communications between health

providers separated by distance.Critical care monitoring where it is not possible totransfer the patient.Continuingmedical education&clinical research.Atool for public awareness.Atool for disastermanagement.Second opinion and complex interpretations.bring expertise to medical practice once

established.Telementored procedures surgery using handrobots.

Utility ofTelemedicine :



17

Disease surveillance and program tracking.Provides opportunities for standardization andequity in provision of health care.Improves rehabilitation services in remote areas.Thus telemedicine is not a substitute but asupplement for current health care system in a hugeway. The hardware configuration is shown in thefigure. (Fig.2).

The term often used in the network oftelecommunication is “Bandwidth”. Bandwidth isthe size of the electronic “pipeline” through whichinformation is carried over communication lines,measured in bits per second (bps). It determineshow quickly the bits may be sent down the channelsin a telecommunication medium. Bandwidth isproportional to the complexity of the data for agiven level for systemperformance.

Applications of telemedicine in PublicHealth. (Fig.3)

Doctors are licensed to practice anywhere in India

TelecommunicationTechnology :

Advantages ofTelemedicine in India :

Maximumutilization of limited resources.Saves travel, time andmoney.MakesGeographyHistory !DistancemeaninglessEnormous Continued Medical Education (CME)potential for General practitioners, urban traineeand teleconsultants.International grand rounds, Web casting

conferences.Motivation for computer literacy amongdoctors.Avoids unnecessary referrals to specialists.Useful in designing credits for re-certification of

doctors.

Telemedicine programs are actively supported byDepartment of InformationTechnology (DIT).IndianSpaceResearchOrganization (ISRO).NEC Telemedicine Program for North Eastern

statesApolloHospitalsAsiaHeart Foundation Corporate hospitalsStateGovernment.

In Karnataka, in the past two years, the pilot projecton telemedicine has provided more than 10,000teleconsultations. This would serve as a model forthe launching of “HEALTHSAT” in future.

The responsibility must lie upon health careprofessionalsIntelligent systems must continue to be

developed.All health care informationmust be digital.The flow of medical information must be user

friendly.Itmust bemobile.The right medical information must be made

available to the right decisionmaker at the right timein the right place.

Current efforts in India :

10 Commandments forSuccess of Telemedicine

OOO

1.

2.

3.4.

5.6.



18

7.

8.

9.10.

Patient integrity must be preserved withoutjeopardizing the access to information.We must take advantage of information

technology as a tool for educating our patient.And as a tool for continuingmedical education.Wemust think globally aswework locally.

YesIt is a newvehicle for the delivery of health care.It makes the national health care services moreaccessible, available and equitable.It may turnout to be the cheapest as well as thefastest,way to bridge rural-urban health divide.

Doctors are not fully convinced and familiar withe-medicine.Lack of confidence among the patients about the

outcomeof e-medicine.Initial investment is too high.

CanTelemedicinebridge the gap?

Challenges :

In India, nearly 40% of population livebelowPoverty line and the basic amenities liketransportation, electricity, safe drinking water,primary health care services are lacking.Only 65.38%of India's population is literatewith

only 2%beingwell-versed inEnglish.For correct diagnosis and pacing of data, it

requires advanced biological sensors and morebandwidth support.There is no proper governing body to form

guidelines.There is no initiation taken byGovernment.Technophobia by the handlers.Poor data communication infrastructure.Needs training of staff.Involvesmedico-legal concerns.Malpractices can occur in telemedicine.Information may be lost due to a software glitch

or hardwaremeltdown.

HEALTHDOCTORS, DON'T GETWORKED UP….take a deep breath & slow down for a healthy heart

Dr. Suneeta Kalasuramath, Department of Physiology

When life is at stake, the responsibility isenormous. Ensuring a positive treatment outcome,meeting the demands of patients & bystanders,rushing tomultiple centres of work……

. They arebeing the victims and it's needless to say, it's now aworrisome trend. There are cases reported thatdoctors have had had heart attacks at an early age of40- 45 yrs. Doctors are those clan of population whoare constantly stressed out and are at an increasedrisk of heart disease even if they do not have a familyhistory. Studies prove that the life of a doctor is 6-8yrs shorter than that of average population.

Stress is a major risk factor for heart relateddiseases. The existing BP and cholesterol couldshoot up with stress. Chronic stress exposes you tohigh levels of unhealthy stress hormones.

Illness, financial concerns, work overload,retirement, perfectionism, financial problems,insecurity, relationship problems, death/ill health ofloved ones, timelines atwork place, etc.

STRESS isnow taking a toll on all the DOCTORS

Causes:

Signs&symptoms:

Biology of Stress onheart:

How toDealwith stress:

Sleeplessness, dizziness, sweaty palms ,exhaustion, body pain, grinding teeth, indigestion,sudden weight or loss, forgetfulness, inability toconcentrate, crying, irritability, difficulty makingdecisions, nervousness, etc

Stress elevates BP over an extended period, andreleases high levels of clot- forming platelet,triggering heart attack.Stress in form of grief, increases the adrenalinlevels thereby increasing heart rate & BP, lack ofsleep, poor appetite and change in hormonal levelsthat can affectCVS.

Set aside a small time during the day for a smallnap, and establish a regular sleep scheduleAvoid caffeine, over eating, alcohol, smoking(nicotine is a stress stimulant)Exercise ( running / brisk walking / swimming /

cycling) for at least 30min/ day



19

Laughter and a cup of green tea or black teaeveryday( tea contains antioxidants which fightagainst the blood vessel constriction after a fattymeal)Go vegetarian (vegetarians have a lower risk ofdeath (32%) from CV diseases, AJCN, 2012) as itlowers BP, cholesterol & BMI levels.

Words of advice:

Whenwe adviceothers on stress free life, we should try and followthedictumourselves.

Earning money is not a sin. But going forquick bucks can be disastrous. Be honest. Werequire more patience and need to stay composed &deliver our best in every situation.

CONGRATULATION !!!

For his victory in theAssemblyElections. and having become theCabinetMinister.

For his victory in theAssemblyElections

Dr. ShamanurShivashankarappa

Sri S. S.Mallikarjuna,

MLA,Honorary SecretaryBEA,

MLA,Chairman SSIMS&RC

Dr. A.H. Suryakantha,Senior Professor ofCommunityMedicine,for the successful release of his third edition of the text book, “CommunityMedicinewithRecentAdvances” published by Jaypee Brothers,NewDelhi.This book ranks 'Second' at the National level and got International recognition. Ithas been displayed asReferenceBook in International Libraries ofU.KandU.S.Latest feather added to his added to his cap is that he has been nominated as Guide toPh.D. students byK.L.EUniversity, Belgaum.

The Principal and all the staff congratulates

Dr Ravikiran Kisan.For successfully completing his Ph.D. from NIMHANS Bangalore.His work was on effect of Yoga on Migraine A Clinical Electrophysiological andImmunological Study

Dr.Raghavendra Khanpur,II year Radio-Diagnosis PG for securing II place for poster presentation for the

held on 8 and 9 at Tumkur,Karnataka, under the guidance of Dr.Ramesh. S. Desai, Dr.Akhil M Kulkarni, Dr. Niranjan.T.GDr.KishanABhagwat andDr.Akhila.D

“ALKAPTONURIA -ACASE REPORT' in IRIA RESIDENT EDUCTION PROGRAM-2013, th th

Source: WEEK, HEALTH, 2013



20

SSIMS-ites Congratulates the following staff for their New PostStaffDr. Bheemaya BuddesabDr. S. G. JayarajDr. Shivakumar. A. HDr. Vinod Kumar C.S.Dr. K. B. Shivakumar

DepartmentCommunity MedicineGeneral MedicineAnatomyMicrobiologyAnesthesia

Promoted asProfessorProfessorProfessorAsso. ProfessorAsso. Professor

SSIMS-ites Welcome the following newly joined staff to its family

StaffDr. Shashidhara. H. N.Dr. Renuka. B. C.Dr. Arif. N. K.Dr. Yashwanth. GDr. Raghu Prasad. M. S.Dr. Sharankumar HolyachiDr. Sachin BongaleDr. Manohar Shetty

DepartmentPsychiatryOphthalmologyOBGGeneral MedicinePharmacologyCommunity MedicineGeneral MedicinePediatrics

DesignationAsst. ProfessorAsst. ProfessorAsst. ProfessorAsst. ProfessorAsst. ProfessorAsst. ProfessorAsst. ProfessorSenior Resident

We are glad to inform you that the following LungFunction Tests are available for the patients inspecial clinic OPDNo.1, SSIMS&RCDavangere(Smart PFT Lab unit). We request all faculties tomake use of the available services for better care(diagnostic) and management (prognosis) ofpatients.TestsSpirometry:

Body Plethysmography:

CO diffusion Capacity:

(SVC, ERV, IRV, IC, TV, FVC, FEV , PEF,MEF , MEF MVV)

(Airway resistance-expiratory resistance,inspiratory resistance, TLC, TGV, RV, IC)+ Spirometry

(TLCO,FRC,RV,TLC)+ Spirometry + Body PlethysmographysFor more details please contact:Dr. Ravikiran Kisan - 9945447207Asst. Professor, Dept. of Physiology, SSIMS &RC. Davangere.

1

25 25-75



21

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1) By the time he was admitted, his rapid heart had stopped and he was feeling better.2) Patient has chest pain if she lies on her left side for over a year3) On the second day the knee was better and on the third day it had completely disappeared.4) The patient has been depressed ever since she began seeing me in 19835) I have suggested that he loosen his pants before standing, and then when he stands with the helpof his wife, they should fall to the floor.

6) Discharge status: Alive but without permission.7) The patient refused an autopsy.8) The patient has no past history of suicides.9) The patient expired on the floor uneventfully.10) Patient has left his white blood cells at another hospital.11) She slipped on the ice & apparently her legs went in separate directions in early December.12) Between you & me, we ought to be able to get this lady pregnant.13)Occasional, constant, infrequent headaches.14) She is numb from her toes down.15)When she fainted, her eyes rolled around the room.16) The lab test indicated abnormal lover function.17) The baby was delivered, cord clamped & cut, and handed to the paediatrician, who breathed &cried immediately.

18) Examination of genitalia was completely negative except for the right foot.19) Examination reveals a well developed male lying in bed with his family in no distress.20) The skin was moist & dry.21) Patient alert & nonresponsive.22) Since she cannot get pregnant with her husband, I thought you would like to work her up.23) The patient was in his usual state of good health until his airplane ran out of gas & crashed.24) She stated that she had been constipated for most of her life until 1989 when she got a divorce.

MEDICALRECORD BLOOMERS

Dr. Jyothi S KaregoudarAssociate Professor, Dept of General Surgery



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ObituaryPrincipal & staff of SSIMS&RC,Condole the untimely death of

Dr. Praveen Kumar,ex-staff, Dept. of Anesthesia (2008-2010)We Pray God to rest his soul in Peace.

Cancer cervix awareness programme

Diabetes and HypertensionScreening camp, PHC, Lokikere

Distribution of nutrionsupplement under Mathoshree

Receiving Championship trophy from theVice-Chancellor Dr. Sriprakash K Sand Registrar Dr. Prem kumar D

RGUHS Overall Sports Champions2012 & 13 –SSIMS & RC

with Dr. Vasantha Shetty Deputy Registrar RGUHS

AVoluntary blood donation camp“Blood donor's day” felicitation to Dr. V. L. Jayasimhaby District Commissioner Sri. Pattana Shetty



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International day against drug abuse and illicit trafficking

International day against drugabuse and illicit trafficking

SSIMS Times Vol 8, Apr-Jun 2013

Documents