issue3 final

7/30/2019 Issue3 Final

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Newsletter Date: 1st July 2012Volume 1, Issue 3

SLIMSSLIMSSLIMS NNNewsletterewsletterewsletter

Inside this issue:

CUTTING FOR THE STONE

VESICAL CALCULUS2

PREVALENCE OF SUBCLINI-CAL NOISE INDUCED SEN-

SORINEURAL HEARINGLOSS AMONG COLLEGESTUDENTS DUE TO USAGE

OF EAR PHONES

3

A STUDY ON KNOWLEDGE,

ATTITUDE, PRACTICE ANDEXPERIENCES REGARDINGVOLUNTARY BLOOD DONA-TION AMONG MEDICALSTUDENTS IN PUDUCHERRY

4

MANAGEMENT OF PREG-NANCY WITH CHRONICHEPATITIS.B

5

GENERAL ANAESTHESIAAND ENVIRONMENT

6

NOISE-STRESS INDUCEDOXIDATIVE STRESS AND

NEURO- IMMUNOLOGICALCHANGES IN ALBINO RATS

7

EDUCATION ITS PURPOSEAND VALUE

8

COMMUNITY PARTICIPA-

TION9

MEDICON-2012 11

SPORTS 12

SRI LAKSHMI NARAYANA INSTITUTE OF MEDICAL SCIENCES, PUDUCHERRY

Editorial Board:

Dr. R. ChidambaramChief Editor. Prof of Radiology &

Director BU-MRC

Dr. M. Balamurugan

Prof. of Pathology

Dr. P. RajaramEpidemiologist

Dr. Rathod, M.D.Prof. of Forensic Medicine

Dr. N. S. Pradeep Kumar

Prof. of Pathology

Dr. Vijaya. K, M.D.Assoc. Prof. (OG)

Dr. R.S. Bharatwaj, M.D.Asst. Prof. (P&SM)

Dr. Vinayak D. KanadeSRF, Bioinformatics

With all the encouragement and support given by you we are publishing the

Third issue of Newsletter with lot of happenings in our Institution. I would like to thankthe contributors for participating in the second issue. We are looking forward for more

contributions from the faculties and students in the forth coming issue.

- Dr. R. Chidambaram

FROM THE EDITORS DESK :

VESICAL

STONE

Page 3

MEDI-QUIZ

WIN

PRIZE

Page 6

WHY

THIS

KOLAVERI

Page 10

First Ph.D. from our College who has done the public defence Viva-Voce examination

from Biochemistry Department.

Title of the Thesis: Role of minerals in Type I & Type II Diabetes Mellitus: A casestudy with special emphasis to Iron, Copper, Chromium, Selenium, Molybdenum

and Vanadium

Research Scholar

Mr. L. Siva


2/12

Page 2 SLIMS NEWSLETTER

Abstract:"Cutting for the stone" is a phrasethat has been used since the time of

Hippocrates, Vesical stone also

called as cystolith. It is one of therare entities to see nowadays. Inci-

dence is lower due to improved

diet habits. And everything hasgone minimally invasive. At times

a large stone measuring 4X5 cm in

the bladder requires an open su-

prapubic cystolithotomy. Here is

such rare case operated in our hos-pital with excellent recovery.

CASE REPORT:

A 65 year old male patient cameto OPD with complaints of fever,

lower abdominal pain, frequency

of urination, burning micturition.

On examination revealed no sig-

nificant clinical findings.On urine routine pus cells were

detected, X-Ray KUB revealed a

bladder stone. Ultrasound pros-

trate normal, working diagnosis of

UTI1 made and on IVU a solitary

bladder stone confirmed. Patient

urine culture sensitivity sent andstarted him on antibiotics. Planned

for a suprapubic lithotomy due to

stone being large. Other modali-

ties are mechanical cysto-lithotripsy and extracorporeal

shock wave therapy2.

CUTTING FOR THE STONE VESICAL CALCULUSDr. G. D.Shivakumar1, Dr. Asayas Bosco Chandra Kumar2, Dr. Ajit Agarwal3, Dr. Maheswaran4. 1CRRI, 2,3Assistant Professor,4Professor & HOD, Department of Surgery, SLIMS, PONDICHERRY.

Through suprapubic incision

about 5 Cms, bladder opened andstone identified, solitary stone

measuring 4x5cms hard, unbreak-

able3 stone removed in Toto,

bladder closed with absorbable

sutures and care taken to not leave

any residual suture material4,5

which can cause a bladder stone

later and a suprapubic drained

was put removed post-op day

four. And post operative day 14

Foleys catheter removed and his

post operative stay was unevent-

ful and patient was discharged

and asked to review in surgery

OPD after a week.

Conclusion:Vesical stone used to be very common in olden days but its incidence is

lower due to food modifications like increased intake of protein and

fiber rich diet.

There are many condition causing inflammation of bladder, ureter andkidney, bladder diverticulum, Enlarged prostrate, Neurogenic bladder,

UTI, bladder catheter. The complications of theses stones are acute bi-

lateral obstructive uropathy, chronic bladder dysfunction, reflux neph-

ropathy6, recurrent UTI, rarely malignancy and hence required to be

removed.

Bladder stone can be removed surgically without damaging the bladder.

It is simple and cost effective to patient when compared to the transurethral procedure. But disadvantage is

wound complications, post-operative pain and longer hospital stay. Hence for our rural population where ac-cesses to sophisticated gadgets are not there time tested open surgical methods are the solution.

Prevention: Drinking plenty of fluids and juices containing citrates, Prompt treatment of UTI and other urol-

ogy conditions prevent bladder calculus.References:

1. Schwartz BF, Stoller ML. The vesical calculus. Urol Clin North Am. May 2000;27(2):333-46.2. Bhatia V, Biyani CS. Vesical lithiasis: open surgery versus cystolithotripsy versus extracorporeal shock wave therapy. J Urol. Mar

1994;151(3):660-2. 3. Lau S, Zammit P, Bikhchandani J, Buchholz NP. The unbreakable bladder stone--Munchhausen's tale. Urol Int. 2006;77(3):284-5.4. Rub R, Madeb R, Morgenstern S, Ben-Chaim J, Avidor Y. Development of a large bladder calculus on sutures used for pubic bone

closure following extrophy repair. World J Urol. Aug 2001;19(4):261-2.5. Rafique M. Vesical calculus formation on permanent sutures.J Coll Physicians Surg Pak. Jun 2005;15(6):373-4.6. Russinko PJ, Agarwal S, Choi MJ, Kelty PJ. Obstructive nephropathy secondary to sulfasalazine calculi. Urology. Oct 2003; 62

(4):748.


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Page 3Volume 1, Issue 3

Regular use of iPod and MP3

players can lead to irreversiblehearing loss. In a study 28% of

young college students using

iPods were found to have irre-

versible subclinical sensorineural

hearing lossSensorineural hearing loss (SNHL)

is due to defects either in the sen-

sory end organ of the cochlea or in

neural transmission to the central

nervous system (CNS). A defect

exists either in the conversion of

acoustic energy by the sense organ

of the inner ear or in the transmis-

sion of neural impulses centrally.

Noise induced hearing loss is the

second most common cause of

SNHL after presbycusis. Both the

intensity and the duration of noise

exposure interact to influence po-

tential damage to the hair cells of

the inner ear. No currently known

medical or surgical treatments can

prevent or reverse noise induced

hearing loss.

The advancement in the technol-

ogy might also be hazardous to the

normal functions of the human

body. Extensive usage of ear

phones can cause irreversible sen-

sorineural hearing loss among peo-

ple within a decade. Usage of Per-

sonal Listening Devices (PLD) like

iPods, mp3 Players have increased

dramatically. Irrational use of ear

phones would have an effect onhearing thresholds.

Chronic noise exposure causes me-

chanic ultra structurally visible

damage at the level of the organ of

Corti, initially causing a loss of

PREVALENCE OF SUBCLINICAL NOISE INDUCED SENSORINEURAL

HEARING LOSS AMONG COLLEGE STUDENTS DUE TO USAGE OF EAR

PHONESAUTHORS: Dr. M. Prakash, Asst. Professor, Dept of ENT, Sree Balaji Medical College and Hospital (SBMC&H), Chennai.

Dr.R. Venkataramanan, Asso. Professor, Dept of ENT, Sri Lakshmi Narayana Institute of Medical Science (SLIMS), Puducherry.CO-AUTHORS: Gunavathy Krishnan, CRRI, SBMC&H, Pavithra Saikumar, CRRI , SBMC&H, M. Kaarthik Kumaar, CRRI, SLIMS.

outer hair cells, leading finally to

neuronal degeneration. Typically,

hearing loss initially occurs as a

sensorineural high frequency notch,

normally at 4kHz. The middle fre-quencies, e.g. the main speech fre-

quencies, are affected considerably

later. The extent and progress of the

hearing loss depend on the inten-

sity, duration of exposure and fre-quency composition of the sound

and the individual noise susceptibil-

ity.

We did a study involving 300 stu-

dents using ear phones to listen tomusic using iPods, mp3 players.

Questionnaire was designed to sur-

vey students about no. of years of

ear phone usage, no. of hours per

day, model of ear phone used, us-age during travel (train, bus). Any-

one with the following were ex-

cluded from the study. H/O of any

ear symptoms, H/O of any otologi-

cal surgeries, Family H/O of deaf-

ness, H/O of exposure to noisy en-

vironment, intake of Ototoxic

drugs, abnormal Otoscopic finding

or Tuning Fork Test (TFT). Out of

300 subjects, 51 were excluded

from our study after obtaining the

informed consent from the students

the participants were selected based

on the duration of ear phone usage,

number of hours/day, model of earphone, volume level etc. They were

subjected to otoscopic examination

to rule out the external ear pathol-

ogy, tuning fork tests is done to

assess the type of hearing loss and

pure tone audiometry test for find-

ing pure tone average. The data has

been analyzed statistically.

From PTA readings, average of

500 Hz, 1000 Hz & 4000 Hz was

considered to evaluate the sub-

jects hearing threshold. PTA val-

ues - 69 subject out of 249 studied

(i.e., 28%) showed minimal sub-

clinical sensorineural hearing loss

(SNHL). In subjects with usage of

ear phones 2 yrs significantSNHL was observed among 23%

of subjects. In subjects with > 2yrs

usage of ear phones the SNHL was

found to be 40%.It was noticed

that there is a marked increase in

SNHL among ear phone users in

noisy environment, since they in-

crease the volume of the ear

phones in noisy surroundings.

Sensorineural hearing loss (SNHL)is rare in younger age. Sound stress

caused by indiscriminate usage of

earphones is the most likely cause

of SNHL in this age group. This is

an irreversible but preventable dis-ability which can be avoided

through safety measures. Inform-

ing people about the effects of ear

phones on the hearing threshold

may encourage them to proactivelyprotect themselves.

To conclude prevalence of hearing

loss was found to be 28%. It was

higher among subjects with, pro-

longed duration of ear phones us-age and listening in noisy environ-

ment.


4/12


Background: Safe blood saves mil-

lions of lives. Role of youngsters in

Voluntary Blood Donation (VBD)is crucial to meet the demand of

safe blood. Therefore understand-

ing the various factors contributing

to knowledge, attitude and practice

of VBD among youngsters is im-portant.

Objectives: The present study aims

to assess the level of knowledge,

attitude, practice and experiences

regarding VBD among the medical

students.Methods: The study was conducted

among 371 medical students from

Sri Lakshmi Narayana Institute of

Medical Sciences and Research In-

A Study on Knowledge, Attitude, Practice and Experiences regarding Voluntary

Blood Donation among Medical Students in Puducherry, IndiaR.Vijayakumar1, R. Chidambaram2, R. Srikumar2, E. Prabhakar Reddy3, S. Latha1, V. Kowsalya1, Gayathri Fathima1.1Dept. of Physiology, 2Medical Research Centre, SLIMS, 3Dept. of Biochemistry, SLIMS, Puducherry.

stitute, Puducherry, India in the

year 2012.

Results: Result shown that overall

knowledge on blood donation

among respondents was 44.8% (1st

year 36.7%; 2nd year 42.8%; and

3rd year 54.9%). In this

study13.2% of students had do-

nated blood, in which 2.7% of

male students alone donating

blood on regular basis. Among the

voluntary blood donors male stu-

dents (40) are more likely to do-

nate blood than the female stu-dents (09). The majority of the

participants (86.7%) never do-

nated blood but showed positive

attitude (62.6%) by expressing

their willingness to donate blood

while few of the non-donors had

negative attitude (22.8%).

Conclusion: The present study rec-

ommends that even medical stu-

dents needs to be educated about the

importance and health benefits of

blood donation on regular basis.

Spreading the awareness and moti-

vation about the blood donation on

regular basis and addressing the

problems faced during blood dona-

tion will strengthen the recruitment

and retention of blood donors todonate blood on regular basis to

achieve 100% VBD in India.

ABSTRACT: Amniotic fluid em-bolism (AFE) was first reported by

Richardo Meyer 1926. Amniotic

fluid embolism (AFE) occurs in

1/8000 to 1/80,000 deliveries with a

maternal mortality ranging from

26% in a recent report to 86% in

earlier ones. Neonatal outcome is

generally poor with a mortality rate

of 20%25% and, of the survivors,

only 50% may be neurologically

intact. The presenting signs and

symptoms of AFE involve many

organ systems. Acute dyspnoea or

sudden agitation and anxiety are

common premonitory symptoms. It

is estimated that approximately 10

50% of patients with AFE present

BIUC Prevails When All Else Fail As A Successful Haemostatic Method In Uncon-

trollable PPH In A Case Of Amniotic Fluid Embolism- A Case Report1Dr. K.Vijaya, 2 Dr. R.S Bharatwaj1Associate Professor, Dept. of Obstetrics and Gynaecology,

2Associate Professor, Dept. of Community Medicine, SLIMS, Pondicherry

with seizures. Rapid decline inpulse oximetry values or sudden

absence or decrease in end-tidal

carbon dioxide may be apparent.

Hemodynamic compromise

quickly follows these prodromal

signs. We present here a case of

AFE with Disseminated Intravas-

cular Coagulation (DIC) in a terti-

ary care setting but with a situ-

ational resource limitation. The

ideal requirements for the case

management were not met due to

the patients rare blood group as

well as unavailability of fresh fro-

zen plasma or other sophisticated

tools. The baby could not be

saved, but with the simple and

effective technique of a persistentand sustained Bimanual Internal

Uterine Compression (BIUC) over

almost an hour the haemorrhage

was controlled and the patient could

be saved.


5/12


Infection with hepatitis B virus

(HBV) is a Global Public Health

Problem. In the pregnant lady perina-tal transmission of HBV is the main

cause of chronic hepatis, cirrhosis andHepatocellular carcinoma. The rate of

Perinatal transmission of hepatitis B

to the foetus is 35% To 45% overalland up to 80% in HBV DNA Positive

Mothers. Hence in a pregnant lady

suffering from chronic hepatitis B,the approach is two fold treatment of

mother and prevention of infection of

foetus.

Pregnancy in chronic hepatitis

In general, Pregnancy is well toler-ated by women who are chronic carri-ers of hepatitis B virus. Reactivation

of the virus and exacerbation of thedisease during or after gestation are

uncommon.

Treatment of the motherThe approach to treatment of thepregnant lady suffering from chronic

hepatitis B is on the same lines as in a

non-pregnant patient with following

modifications.The safety of the Antiviral therapy for

hepatitis B during pregnancy and dur-

ing breast feeding is not well defined.

Interferon and Peg-interferon contra-

indicated during pregnancy largely

because of their known anti-

proliferative effects. In the event of

pregnancy peg-interferon to be dis-

continued.Currently lamivudine, telbivudine,emtricitabine and tenofovir are clas-

sified as category B, indicating that

they demonstrate no evidence of tera-

togenicity in animal studies but havenot been adequately evaluated in hu-

mans and ongoing registries include

to few instances of pregnancy during

thereby to provide reliable guidance.These agents could be used if the po-

tential benefit of treating during preg-

nancy is believed to out weigh poten-

tial risks to mother or foetus.

MANAGEMENT OF PREGNANCY WITH CHRONIC HEPATITIS.BDr. P. Rajaram, Epidemiologist , Department of Community Medicine, SLIMS, Puducherry

Entecavir and adefovir are classified

as category C and in the embryo and

foetal toxicities have been observedin animals, but there reproduction

studies are not always predictive of

human response.A central issue regarding safety of

therapy during pregnancy iswhether Nucleoside analog therapy

should be stopped in young women,

who are attempting pregnancy or

who become pregnant during treat-

ment.Currently lamivudine and zi-

dovudine are recommended for HIV

-1 infected women during preg-nancy. Thus in women who are be-ing treated for hepatitis B, that be-

come pregnant switching to lemi-

vudine during of pregnancy period

is a reasonable recommendation.

Preventive transmission.The placenta forms an excellent

barrier against the transmission of

this large virus (HBV) and intrauter-

ine infection with Hepatitis B is

rare. However transplacement trans-

mission due to leakage can occur

such as during a threatened abor-

tion.

The major problem of women who

are chromic carriers of hepatitis B is

the risk of maternal to infant

(vertical) transmission at delivery

due to exposure to maternal blood

in the birth canal. Perinatal trans-

mission of hepatitis B is a majorhealth problem in endemic areas.

Transmission at birth is more likely

if the mother is HBeAg positive or

has high circulating levels if hepati-tis B (HBV DNA)

Immuno Prophylaxis of the New-born with Hepatitis B with hyper

immune globulin. (HBIG)Passive immunization given at birth

to the infants has been shown a de-

crease in infection to 10 20% of

infants. (Against 35% - 80% if no

prophylaxis given)Another approach is the passive

method is to give HBIG to mothersevery 4th weekly starting at 28 weeks

of gestation. Results are comparable

to those immunization given at birth.Vaccination of the New Born with

Hepatitis B vaccine.

Hepatitis B vaccine is given to infants

at birth, 1 and 6 month has been

documented to end the transmission

of infection to only 10% of the new-borns. (Over 90% of Newborns are

interrupted) Most of the clinicians

area combination of HBIG as well as

Hepatitis B vaccine at birth to New-born. The Advantage of using thecombination has not been docu-

mented in literature.

Vaccination and passive immuno prophylaxis is usually effective in

preventing the transmission. (At least

in those with lower viral loads)Short course of Lamivudine therapy 8

weeks before delivery. Used inmother with high HBV DNV in se-

rum.There have been two small trials of

Lamivudine therapy during preg-

nancy in women with chronic hepati-

tis B and high levels of HBV DNA

that focused the prevention of trans-

mission of hepatitis B to the infant

HBV transmission was less in women

who were treated with Lamivudine,

but none of these studies were ade-

quately powered or controlled toprove the efficacy or advisability of

this approach. therapy appeared to be

safe, at least to the infant. Caesarian

section to prevent vertical transmis-sion.Caesarian section delivery has been

shown to end infection rate in a few

trials, but is not recommended due toproblems and complications of cae-

sarian section deliveries.


6/12


In 1972 Joseph Pristley discovered

Nitrous Oxide (N2O) subsequently

it gained entrance in the field ofanaesthesia. Nitrous oxide with

150 years of history is by far the

oldest anaesthetic still in routine

use but its continuous use is fre-quently subject of debate with lots

of studies and debates questioned.

Nitrous oxide is toxic with pro-

longed exposure, can damage the

environment, being green housegas is also leading to ozone layer

depletion and global warming.

Nitrous oxide increases the inci-dence of post operative nausea and

vomiting in the early and late post

operative period. It is really a prob-lem in patients where the side ef-

fect is increased. It can lead to

myocardial infarction in the late

postoperative period there by in-

creasing the morbidity and mortal-

ity. One of the reason for the con-

tinued use of nitrous oxide is it re-

duces the incidence of recall of

intra operative awareness. But thiscan be prevented by increasing the

MAC of volatile anaesthetic agent

by 0.25 and that is 0.25 x MAC.

Nowadays it is possible to carry air

inhalational anesthesia without

N2O. Mixing analgesic effect can

GENERAL ANAESTHESIA AND ENVIRONMENTDr. Vishwanath R1. Hiremath, Dr. Mahesh N2, Dr. Nagalingam N, Department of Anaesthesiology, SLIMS, Puducherry - 605 5021 Professor, 2Assistant Professor.

be achieved with moderate in-

crease in the dose of opiods, anx-

iloysis by benzodiazepines andhypnosis by 0.2 to 0.25 MAC of

volatile anesthetic agents. In order

to achieve the anesthetic effect,

expired concentration of 1.2% ofisoflurane is required, in case of

sevoflurane 2.2% and with desflu-

rane 5% is the one required.

But the advantage of avoiding N2O

is one can use low flow anaesthetictechniques. Patient will inhale only

O2 and air with anaesthetic agents,

hence total gas intake is reducedconsiderably. Techniques will no

longer require washing out of ni-

trogen. Hence initial phase of lowflow anaesthesia requiring high

fresh gas flow can be kept as short

as possible (initial 15-20 minutes)

which is determined by wash-in of

volatile anaesthesia.

As there is no uptake of N2O a

greater percentage of gas is circu-

lating within the breathing system

minimizing the occurrence of acci-dental gas volume deficiency. The

carrier gas flow required will be

just that amount of oxygen taken

up by the patient which can be cal-

culated by applying the brody's

formula. Using fresh gas flow as

low as 0.25 l/min will result in a

significant decrease of the input of

conventional vaporizer outside thecircuit.

But it becomes nearly not possible

to maintain expired isofluorane

concentration of 1.2%, but newer

low soluble volatile agents like

sevoflurane and desfluorane are

ideal agents for use with flows

corresponding to the basal oxygen

uptake. Overall cost of nitrous ox-

ide free inhalational anaesthesia

will be negligible when we con-sider the benefits provided to the

patient. Teratogenicity and infer-

tility and fetal loss (female mem-

bers), in the persons working inoperation theatre atmosphere is a

threat with traces of N2O inhaled

by the members in the operation

theatre for a prolonged period of

time. Hence conclusion is consid-ering the various benefits of alter-

nate techniques ecofriendly anaes-

thesia, oxygen-air-volatile anaes-thetic agent with low fresh gas

flow should be consider as idealtechnique avoiding routine use of

N2O.

Attention UG students!!! Identify and get a prize! First

come, first served!34 year lady with recurrent bleeding per rectum. No constipation,

no loss of weight , on examination per abdomen soft non tenderno mass. Local examination no fissure or hemorrhoids. Colonoc-

sopic picture at slims. What is the diagnosis?

Send your answers to [email protected].

Last time Quiz Winners: Mr. Praveen Kumar & Mr. Vigneshwaran

sivaguru,.Answer: Kala azar (Leishmania donovani) diagnosed with a

Wright's stain on a bone marrow aspirate

MEDI-QUIZ!!! WIN PRIZE!
mailto:[email protected].


7/12

Attention UG students!!! Identify and get a prize! First

come, first served!

34 year lady with recurrent bleeding per rectum. No constipa-

tion, no loss of weight , on examination per abdomen soft non

tender no mass. Local examination no fissure or haemarroids.

Colonocsopic picture at slims. What is the diagnosis?

Send your answers to [email protected].

MEDI-QUIZ!!! WIN PRIZE!


Stress is one of the basic factors in

the etiology of number of diseases.

Sound has an ever-increasing im-

pact on human daily life and stress-

related illnesses are more fre-

quently observed. The present

study was aimed to investigate the

effects of noise-stress on antioxi-

dant status and immunomodulation

in Wistar strain albino rats. Noise-

stress employed in this study was

100 dBA for 4h/d/15 days. Fourdifferent groups of rats namely,

non-immunized control, noise-

stress and corresponding immu-

nized groups were used. Sheep red

blood cells (5 X 109cells/ml) were

used to immunize the animals. Bio-

NOISE-STRESS INDUCED OXIDATIVE STRESS AND NEURO- IMMU-

NOLOGICAL CHANGES IN ALBINO RATSR. Sheeladevi1, R. Srikumar2 and R.Vijayakumar21Department of Physiology, Immunology Laboratory, Dr. ALM. PG. Institute of Basic Medical Sciences, University of Madras,Taramani Campus, Chennai. 2Department of Physiology, SLIMS, Puducherry - 605 502

chemical estimation of oxidative

stress namely superoxide dismu-

tase, catalase, glutathione peroxi-

dase, ascorbic acid and lipid per-

oxidation in tissues (hypothalamus,

thymus and spleen) were analyzed.

Stress hormone corticosterone

level was estimated in plasma. Non

-specific immune defense was as-

sessed by testing the neutrophil

functions, which includes adher-

ence, phagocytosis (phagocyticindex and avidity index) and kill-

ing ability. Specific immune re-

sponse was performed by testing

the antibody titer of humoral and

foot pad thickness and leukocyte

migration inhibition test of cell-

mediated immune responses. Re-

sult showed noise-stress signifi-

cantly increases the lipid peroxida-

tion and corticosterone level with

concomitant depletion of antioxi-

dants in the studied tissues. Non-

specific neutrophil functions and

specific cell-mediated immune

defense were significantly sup-

pressed with abnormal humoral

antibody titer against SRBC was

observed. The present study con-cludes that noise-stress disrupt the

homeostasis balance by acceler-

ates the generation of free radicals

with impaired immune function

may leads to allostatic load.

Date:12th JUNE, 2011.

Venue: KS Hegde Medical Academy, Deralakatte,Mangalore.

Winners (1st PRIZE):

M.Kaarthik Kumaar

&

M.Mohamed Abubaker Siddick

from SRI LAKSHMI NARAYANA INSTITUTE OF

MEDICAL COLLEGE, PUDUCHERRY.

Total number of Teams Participated: 28 Teams, from

various Colleges of South India like Mysore MedicalCollege, Amrita Institute of Medical Science etc,.

KSHEMA SOUTH ZONE ENT UG QUIZ- 2011

"You can avoid reality, but you cannot avoid the

consequences of avoiding reality" - Ayn Rand
mailto:[email protected].


8/12


form the roles society has designed

for itself, then what is the purposeof feeding all the excess informa-

tion that the individual will hardly

ever use in his life time.

But if education is about nurturing

the inherent talent in each individ-

ual & make it flower in a natural

way, then we have to re-think the

way the educational system is

structured & delivered.

The latter, seems to be a more re-

alistic & genuine way to look at

education & re-think how to pre-

pare the ground for the potential

seeds of inherent talent to flower,

as well as inculcate a value systemtoo, that will serve towards the

building up of a healthy, flourish-

ing & happy society.

Education, what does this word

imply? Right from the age of prekg, continuing for another three

decades as a rigorous process of

information being pumped into

individuals through a variety of

institutions; the travails of getting

into these so-called fortresses of

knowledge, all the tutorials; such a

lot of information fed into the indi-

vidual brains that is reinforced by

repetition, aided by the award &

punishment psychological disci-

plining mechanism. The processseems to be just endless.

Personally looking back, a large

store of the mass of informationgathered in the past is lying some-

where hidden in the network of

memory. The individual hope is,

that one fine day when it is re-

quired , it would crop up & reveal

itself to consciousness & be of helpin handling the situation appropri-

ately. But whether it happens or not

is anybodys guess !

We are inclined to think, at least the

ones who explore life beyond its

superficialities, what is the need for

so much of overloading of informa-

tion. The pressure that is imposed

in the training process causes so

much of strain on the students that

many a times, we question whether

we are going in the right direction

in the educational process. What is

the purpose of education then?

If the purpose of educating is to,only feed appropriate information &

give a certain skill training, so as to

make the children grow into adults

who will fit into the slots and per-

EDUCATION ITS PURPOSE AND VALUEDr. R.S Bharatwaj, Assistant Professor,Department of Community Medicine, SLIMS, Puducherry

BEWARE CRRIs: THIS WAS FOUND WRITTEN

IN THE CASE SHEET OF PATIENTS.1. While in ER, she was examined, x-rated and sent

home.

2. The skin was moist and dry.

3. Occasional, constant infrequent headaches.

4. Patient was alert and unresponsive.

5. Rectal examination revealed a normal size thyroid.

6. She stated that she had been constipated for most of

her life, until she got a divorce.

7. I saw your patient today, who is still under our car

for physical therapy.

8. Both breasts are equal and reactive to light and ac-

commodation.9. The patient refused autopsy.10. The lab test indicated abnormal lover function.

11. Skin: somewhat pale but present.

12. Large brown stool ambulating in the hall.

13. Patient has two teenage children, but no other abnor-

malities

MEDICAL HUMOR SECTION


9/12


The word community has been de-

rived from the French word

COMMUNE means people, i.e.

group of people in different age-groups and sub-groups living in a

defined area sharing certain charac-

teristics common in such as colour,

Traditional habits and cultural prac-

tices through life inherited with a

Local leadership towards their ful-

fillment of daily and regular needs.

Health-care of the community is no

longer the responsibility of an or-

ganization such as the government

(Panchayat, Taluk, Dist, & Medical

College) or private voluntary Agen-cies. (NGOs etc.)When Health-carebecomes the Health fulfillment

based on the actual demands with

warm unity towards the Health

needs then the subject becomes as

Community Responsibility.The community is merely looked

upon as the source of pathology by

most of the medical faculties. Hence

the Community becomes the TAR-

GET for most of the organizations

including government and privatehealth Agencies. Even the District

Authorities including the district

Medical colleges/ private voluntary

Health agencies view the commu-nity as the source of diseases. As a

result of this these organizations fail

to understand the Heath needs As-

sessment by them and their Aim do

not reflect the felt need (Real need)

and finally the whole issues be-

comes fully Medicalised, because of

this attitude of the organizations,the community itself is not at all

consulted. Due to the non-

consultation of the community the

Agencies always feel the Resistance

from the community.

COMMUNITY PARTICIPATIONDr. P. Rajaram, Epidemiologist , Department of Community Medicine, SLIMS, Puducherry

What is the Basic Reasons for

this community Resistance?(I) The community often thinks

that the approaches by any Health/Medical Agencies in the Midst of

the community is going to benefit

only the Agencies and not the

community.

(II) Since salary/ wages are to be

earned by the staff of Agencies/

organization the community starts

feeling that the objectives of the

organization is the job priority and

not the community.

(III) The community often com-

plains that the identity of theMembers of the community is notrecognized properly by the ap-

proaching agencies.

As an example the Distribution of

Iron and folic Acid (IFA Tablets)

Satisfies, the Agency to achieveits target, but the overall objective

of the a Distribution programme is

to correct Anemia either by pro-

phylaxis or Treatment which is not

achieved since the community is

not consulted before such distribu-tions.

(IV) As a result of the above situa-

tion the community becomes nei-

ther responsive nor reactive to-wards the steps taken by these or-

ganizations.

Issues concerning the commu-

nity participation(a) What is the relationship be-

tween the service recipients and

service providers.

(b) Do the Members of the com-munity and the implementing or-

ganizations interact before the

launching of such a community

oriented projects.

(c) What is working time of the

Implementing organization (Health

Post).

(d) Is the working pattern of the

agency convenient to the commu-nity for the due to them.

(e) Is there any committee/council

formed on either side before starting

the project so that obstacles could

be viewed and are cleared.

(f) Are there different groups in the

community with different ideas,

deviating form the common interest

of the community.

Elements of community participa-

tion

1.Community needs assessment2.Formation of local committeessuch as Village healths commit-

tee, sub-centre health committee &

health committee at primary health

centre level. (people welfare com-

mittee)3.Local professionals (informal and

formal leaders) should be included

in the committees to be formed.

4.Preliminary meeting to discuss

about the mission/prefect to be car-

ried out at all committee levels.5. Field survey, inter-personal inter-

view, small groups meeting (SWG

OR SHGS) (Self working group

self help group)6.Identification of the priority.

7.Community diagnosis.

8.Decentralized participation in

planning & formulation of a project.

9. Action plan & motivation.

10. Blue-print approved by the com-

mittees. 11. Specific activities, Like

screening, field test medical coun-cilling & Assessment

12. Sustaining the relationship be-

tween the members of the organiza-

tion with the members of the com-

munity.

"Never interrupt your enemy when he is making a mistake." - Napoleon Bonaparte


10/12


In this globalised world, anything

from the west, be it their culture,

lifestyle, political power, economyor defence equipments, we Indians

look up to them. While being at-

tracted to the rich or western

world, we tend to forget our in-

digenous healthy habits and cul-

ture. The concept that West is the

Best, as propagated by the Euro-peans and Americans is widely

accepted by us.

Today our Mother India, the sec-

ond most populated country and

the largest democracy in the worldis, also the diabetic capital of the

world. Of late, obesity and related

problems are also on the rise.

These twin problem of diabetes

and obesity have huge potential to

rope in other diseases too. Though

it is well known and established by

different studies that healthy eating

habits is essential for a quality life,most of us are obsessed with pro-

modern lifestyle, where these are

compromised at times.Telecommunications have largely

contributed to this. Television and

WHY THIS KOLAVERIDr. L. Ravivarman, Jr. Resident, Paediatrics, Department of Physiology, SLIMS, Puducherry - 605 502

high speed internet services have

made the entire world,a global

village. While there are so manybenefits because of these, there are

ill effects too.

This innocent south asian country,

which is just developing, is not

able to filter the unwanted contents

and therefore falls victim to it.

Tinned foods, artificial drinks,

food with preservatives and fast

food are suited for the western

temperate climate with large fro-

zen winter and snowfall. We the

tropical people with moderate cli-mate all through the year, blessed

with good monsoon and a large

agricultural population why are

we obsessed with these products?

Is it because our cine-stars and

sports heros advertise for them or

is there any stigma attached with

consuming our indigenous prod-

ucts? With due respects to the ex-ceptional few, why not these popu-

lar ones use their charisma for be-

ing goodwill ambassadors for pro-grammes on TB, HIV prevention,

child and maternal health and

school education.

While there are many etiological

factors for these emerging dis-eases, a simple step, ie, life stylemodification can create a huge

change to the better. As doctors,

we are supposed to educate people

on healthy life style patterns. We

very well know the ill effects of

junk foods, carbonated drinks andsedentary life style. Still we have a

positive inclination towards them.

When we preach others to avoid

these, let us practice them too.

Lets say NO to junk foods andcarbonated drinks. Support indige-

nous products viz fresh fruits,

vegetables, milk products and

healthy drinks like barley, ragi

drink, etc..

Lets excuse our gustatory recep-tors a little and think beyond them

too.

Have a healthy life

[This author had never taken a

single 200ml coke/pepsi,etc.. in

his 25 years of life]

PAPER PUBLISHED (2012)

Osteoporosis: Pathogenesis, Prevention and therapy.1Vaithilingam, 2E. Prabhakar Reddy, 2G. Suryaprakash, 3T. Mohanalaxmi.1Associate Professor of Orthopedics, 2Associate Professor of Biochemistry, 2Professor of Biochemistry,

3Assistant Professor of Microbiology, SLIMS, Puducherry.

Published in Journal of global pharma technology, 2012;4(04):1-6.

Evaluation of trace elements in Hepatitis B1Nayakanti Raghu,

2Animireddy Kishore,

3A. Franklin,

4E. Prabhakar Reddy.

1Assistant Professor of Microbiology, 2Associate Professor of Microbiology, 3Professor of Microbiology,4Associate Professor of Biochemistry,SLIMS, Puducherry.

Published in Journal of Pharmaceutical and Biomedical Sciences (JPBMS), 2012;15(11).


11/12


IInd MBBS students of Sri Lak-

shmi Narayana Institute of Medical

Sciences (SLIMS), attended the

MEDICON-2012 at Mahathma

Gandhi Institute of Medical Sci-

ence (MGIMS), Wardha, Seva-

gram, Maharashtra in the month of

July. I on behalf of them would

like to share some of our experi-

ences.

MGIMS is Indias Ist rural medical

college, nestled in the Karmaboomi

of Mahatma Gandhi (Bapus kuti)managed by Kasthurba health soci-

ety. It seeks to provide accessible

and affordable healthcare primarily

to the underprivileged rural com-

munities. We reached MGIMS on

10th of July12 at 3pm. The campus

with its greenery, pleasant weather

and the organizing students with

warm smiles made us feel comfort-

able. Our delegate ID contained

our name, the full schedule of

MEDICON-12 with different tim-

MEDICON-2012: 5th International Annual Students' Research Conference,MGIMS, Sevagram, Wardha, Maharashtra.

ings. There was a barcode at the

back which was used as a food

pass and it contained photographs

of the speakers in columns for

autograph. We attended our

respective preconference work-

shops Evidence based medicine,

Life saving methods, How to pub-

lish a paper and Laboratory medi-

cine which was very absorbing and

educative.

In the Plenary session Dr.Abay

Bang (Director, Research) shared

his experiences in research. The

famous pediatrician & activist Dr.

Binayak Sen, yes the same Doctor

whose detention created such a

furore among the public, gave a

talk on Hunger, equity & Justice

in Health care. Dr.Roli Mathur

(Scientist, ICMR) gave a lecture

on STS-The journey to successes.Praveen, Kalaimani and Ilayaperu-

mal put up their posters and was

examined by Judges.

On 13th Dr.Sudhir Bhave, a Psy-

chiatrist discussed the issue of

Managing post-MBBS stress.

Then the star of event Dr.Vinay

Kumar, editor of the famous Pa-

thology book we all follow

Robbins Pathological basis ofdiseases talked on Molecular

biology of cancer and personalized

medicine. After these talks we

had ample time to interact with

Dr.Vinay Kumar and Dr.AbayBang. Arun and Aravindraj put

up their posters. Evening we vis-

ited Bapus kuti ashram and in

the night exciting cultural pro-

grams were on. Sumedha pre-sented her poster and a group oral

presentation was done by

Subhashini, Sooryodhaya, Srivi-

malkumar, Dineshkrishnaraj and

Sukumar. Then there was simplevaledictory function and we got

our certificates. We reached Chen-

nai on 16th and took a bus to

Pondy. Home sweet home!

This conference was an eye-opener to us for self realization.

Meeting giants like Dr.Vinay

Kumar gave us real thrill. It is al-

most impossible to describe the

feeling of attending a conference

in words. I sincerely feel each and

every Medico should attend a stu-

dent conference at least once dur-

ing their tenure as a UG student.

My sincere thanks to the teachers

who inspired us, guides who

guided us and the Research teamwho supported us.

By

Savithri,

IInd MBBS,

SLIMS, Pondicherry.


12/12

Page 12 SLIMSNEWSLETTER

LIST OF EVENTS

BHARATH UNIVERSITY - MEDICALRESEARCH CENTRE, SLIMS CAMPUSOsudu, Agaram Village, Kudapakkam Post,Villianur Commune, Puducherry - 605 502.

SRI LAKSHMI NARAYANA INSTITUTE OF

MEDICAL SCIENCES

Phone: 0413 2661328 Email: [email protected]: http://www.bharathuniversity-medicalresearchcentre.org

1. XSTATICA 2012 - Cultural festival was held in SLIMS Campus.

2. Intra-University Sports meet was held among all the constituent col-leges of Bharath University at Chennai and SLIMS Campus,

Puducherry.

3. CME by Department of General Surgery: Topics-1) Carcinoma Stom-ach, 2) All about Thyroid, held at Lecturer Hall-IV, SLIMS Campus,

Puducherry.

SLIMS XSTATICA 2012 - SPORTS

Girls Kho-Kho MatchBoys Kho-Kho Match

UPCOMING EVENTS

1. Medsicon 2012 - is being held on 10th to 12th August, 2012, atVardhman Mahavir Medical College & Safdarjung Hospital, New

Delhi Supported by Indian Medical Students

Association.2. SLIMS MEDI-QUIZ 2012 - date is to be announced.

3. Clinico-Pathological Correlation (CPCs) - date is to be announced.

4. National Workshop-cum-Seminar on Research Methodology andPublications(Sponsored by Indian Council of Medical Research)

August 23rd to 25th, 2012, held at JIPMER, Puducherry.

"Victory goes to the player whomakes the next-to-last mistake"

- Grigorievitch Tartakower

"Don't be so humble - you arenot that great." - Golda Meir
http://www.bharathuniversity-/mailto:[email protected]

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