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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
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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.
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Page 4 SLIMS NEWSLETTER
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.
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Page 5Volume 1, Issue 3
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.
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Page 6 SLIMS NEWSLETTER
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]. -
7/30/2019 Issue3 Final
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!
Page 7Volume 1, Issue 3
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]. -
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Page 8 SLIMS NEWSLETTER
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
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Page 9Volume 1, Issue 3
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
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Page 10 SLIMS NEWSLETTER
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).
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Page 11Volume 1, Issue 3
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.
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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]