Nectar NET's For Private Circulation Only Vol-1 Issue-2 April-2011 QUARTERLY MAGAZINE FROM NAVODAYA GROUP OF INSTITUTIONS, RAICHUR '11 CHIEF PATRON Shri.S.R.Reddy Chairman, Navodaya Education Trust ®, Raichur ADVISORY BOARD EDITORIAL BOARD Dr.T.Srinivas Editor-in-Chief Dr.S.Ramabhimaiah Prof & Head, Dept. of Pharmacology Navodaya Medical College Registrar Navodaya Education Trust ® Dr.S.R.Hegde Medical Director Navodaya Medical College Dr.Khaja Naseerudin Principal Navodaya Medical College Dr.D.N.S.V.Ramesh Executive Editor Dr.P.Vijayakumar Director (IP&SA) Navodaya Education Trust ® Members Dr. S.B.Athanikar, Prof & Head, Dept of Dermatology, Navodaya Medical College Dr. Gururaj Arikeri Senior Lecturer, Dept of Oral & Maxillo Facial Surgery Navodaya Dental College Principal Navodaya Dental College & Hospital Mrs.Gayathri Anand Lecturer, Dept of Electronics & Communication Engg Navodaya Institute of Technology Dr.M.S.Shiva Reddy Dr.Prakash.V Asst.Prof, Dept of Neurological Rehabilitation Navodaya College of Physiotherapy Principal Navodaya Institute of Technology Dr.P.Vijaya Kumar Principal Navodaya College of Physiotherapy Dr.R.H.Udupi Prof & Head, Dept of Pharmaceutical Chemistry NET Pharmacy College Dr.Doddayya.H Mrs.Sreelekha. C Prof & Head, Dept of OBG Nursing Navodaya College of Nursing. Principal NET Pharmacy College Mr. Veeresh Tiluvalli Principal, Navodaya College of Education Mrs.Prema Mr. Pranesh Kulkarni Principal, Navodaya Teacher Training Institute Principal Navodaya School & College of Nursing Mrs. Nirmala Headmistress, Navodaya Public School Concept & Layout Dr.S.Doss Prakash Executive Officer - (Institutional Promotions) Navodaya Group of Institutions Scientific Article Screening for Gestational Diabetes Mellitus (GDM) – Present Scenario Diabetes mellitus (DM) is a common medical disorder encountered in pregnancy. It may be Gestational (90%) or Pregestational (10%)-when it antedates pregnancy. Dr. Sheela M Kodliwadmath MD, FICOG. Professor & HOD Dept. of OBG NMCH&RC, Raichur. Co-Author: Dr. M.V Kodliwadmath, MD, FACBI, FAMBI, Professor & HOD, Dept. of Biochemistry, NMCH&RC, Raichur Pregnancy is a diabetogenic state due to impaired insulin sensitivity. Pregnancy worsens diabetes, while poorly controlled diabetes results in maternal, fetal and neonatal complications. Fetal hyperinsulinemia occurring as a result of maternal hyperglycemia is responsible for all perinatal complications. 1) GDM : Is defined as any degree of glucose intolerance with onset or first identified during present pregnancy; which constitutes 90% of diabetes in pregnancy. It generally occurs in latter of half pregnancy, so it has no effect on organogenesis, and disappears after delivery. If it fails to disappear, it suggests that there may be overt diabetes which may have antedated or begun concomitantly with pregnancy. 2) Pregestational Diabetes: Pregnancy in known or overt diabetic. It may be Type I (IDDM) or Type II (NIDDM). Type I occurs in younger age group, hence end organ complication are more common, and are more prone for ketosis. There is increased maternal and obstetric risks. Type II is usually seen in obese or in > 35 years women. Prevalence of diabetes is variable throughout the world. In certain populations such as Asians particularly in Indians it is high. GDM In India prevalence of GDM is alarmingly increased from 2% (1980) to 17% (2002)¹ compared to other countries where it ranges from 3.5 - 4% (UK) to 7 – 9% (US). India is known as Diabetic capital of the world. The diabetic explosion is mainly due to obesity pandemic which is because of sedentary life style, dietary changes and virtual epidemic of childhood and adolescent obesity. Advanced maternal age is other risk factor. Indians have eleven fold risk of developing GDM2,3. Why Screening for GDM is necessary? GDM is asymptomatic but has maternal and perinatal risks, and hence need for screening. Adverse consequences of poorly controlled GDM is seen in mother, neonates and infants. I. Maternal Complications: are 2 to 4 fold higher in diabetic pregnancy. During pregnancy there is increased risk of preeclampsia, pyelonephritis, polyhydramnios, preterm delivery, & vaginal monilial infection. Fetal macrosomia leads to higher incidence of operative delivery, prolonged labour and shoulder dystocia. Late complications noted on a later date are development of type II Diabetes within fifteen years, Hypertension, & Cerebrovascular diseases. II . Fetal and Neonatal complications: are mainly due to macrosomia leading to shoulder dystocia thereby delivery complications. India is known UncontrolledGDMcanlead as Diabetic capital to sudden IUD. Respiratory of the world. The Distress Syndrome (RDS) diabetic explosion is is an important cause of mainly due to obesity neonatal death due to pandemic which is hyaline membrane disease, as surfactant production because of sedentary life is impaired because style, dietary changes of hyperinsulinemia, and virtual epidemic hyperglycemia and of childhood and prematurity. Other adolescent obesity. complications often seen after delivery are hypoglycemia, hypomagnesemia, hypocalcemia, hyperbilirubinemia, hypertrophic cardiomyopathy, hyperviscosity syndrome, transient tachypnoea, birth injuries, and asphyxia. Later date there is increased risk of childhood / adolescent obesity, and early onset of Type II diabetes. Methods of Screening : 1) Universal - all pregnant women. 2) Selective - high risk group. Nectar 1 Scientific Article 1) Universal: Diabetes In Pregnancy Study group India (DIPSI) recommended universal screening between 24 to 28 weeks of gestation.Universal screening not only detects more cases but also improves fetomaternal prognosis. Therefore it is recommended in areas where prevalence is more than 5%4. 2) Selective: In order to reduce the burden of screening the concept of selective screening was introduced. Selective screening is done for only high risk group Who comes under high risk group ? To assess high risk factors, historical factors and clinical factors in the present pregnancy are taken into account. I Historical factors: Family history of DM/ GDM, H/O fetal anomalies/ macrosomic infant, IUD in past pregnancy, Bad obstetric history, PCOS and advanced age > 35 years. II Clinical factors such as obesity > 90kgs, recurrent UTI/ monilial infection, preeclampsia, presence of hydramnios and congenital fetal anomalies5. When to do Screening? Screening for GDM was tried at various gestational age and the following conclusions were drawn. 1) Before 24 weeks – There is poor evidence to determine benefits. More number of false positive cases were detected leading to unnecessary further evaluation. 2) 3rd trimester – Not recommended, as it does not allow enough time for metabolic intervention. 3) Screening at 24 to 28 weeks is recommended in all pregnant women in India ( DIPSI – 2006) How to do Screening? Worldwide controversy exists with regard to the best method and criteria for GDM screening and diagnosis6,7. Oral Glucose Challenge Test (OGCT) is commonly used in screening for GDM. No special preparation is needed for this test. Review of International recommendations for GDM testing shows 2 ways of screening for GDM during pregnancy, 1) Two step method 2) One step method 1) Two step method: One hour 50gm Oral Glucose Challenge Test (OGCT) . This is performed at any time i.e irrespective of time of 2 Nectar day or last meal. Venous plasma level is measured one hour after 50gm glucose load. If value is more than 140mg /dL, GDM is suspected, then second step is performed for diagnosis i.e three hour 100gm OGTT. If values are ≥180mg/dl it suggests overt diabetes. This test is not suitable for crowded hospital. 2) One step test [2 hour 75gm Oral Glucose Tolerance Test ( OGTT )] 75gm of oral glucose is given between 24 – 28 weeks of gestation irrespective of time or meal and venous plasma glucose is estimated after two hours. A plasma value of ≥ 140mg /dL is considered as GDM. If values are ≥200mg/dl it suggests overt diabetes, between 120mg/ dl to 140mg/dl is suspicious of GDM and ≤120mg/dl is considered normal. This method is simple as it avoids the multiple samples. There is no role for urine glucose screening, because glycosuria is frequently seen as a result of lowered renal threshold during pregnancy. However persistent glycosuria should be considered as an indication to rule out diabetes. Diagnostic test: Oral Glucose Tolerance Test (OGTT) is performed for diagnosis of GDM. Two hour 75gm OGTT: this is recommended by World Health Organization (WHO). It is the most commonly used test all over the world, even though it is recognized that reproducibility of this test is poor during pregnancy. The women should follow the diet of 150gm carbohydrate in the preceding 3 days. She should also observe 8 hours fast before the test. Plasma glucose is measured at fasting and 3 hours after 75gm glucose. Diabetes is diagnosed at FPG>126mg/dl and 2 hours glucose >200mg/dl. Three hour 100gm OGTT: This is recommended by National Diabetes Data Group (NDDG) guidelines[recommended by American College of Obstetricians & Gynecologists (ACOG)/ American Diabetes Association (ADA)]. It is considered as superior over all other tests. The only disadvantage is that it requires 3 samples 1 hour - 180 mg/dl 2 hour - 155 mg/dl 3 hour – 140 mg/dl Any two values above these recommended levels are considered as GDM. In presence of risk factors if the OGTT comes normal ,or, in absence of risk factors if one value comes abnormal during initial test, then it is advised to repeat the test at 32 to 34 weeks. Scientific Article Selected International recommendations- GDM testing* Plasma glucose (mmol/l)** Oral Glucose tolerance test (OGTT) 50-g glucose screen Glucose Load (g) Fasting 1-hour 2-hour 3-hour CDA: 2-step8 7.8 75 5.3 10.6 8.9 - NDDG: 2 step9 7.8 100 5.8 10.6 9.2 8.1 ADA: 1 or 2 – step10 7.2 or 7.8 100 5.3 10.0 8.6 7.8 WHO: 1 –step11 None 75 5.8 None 7.8 - *ADA, American Diabetes Association; CDA, Canadian Diabetes Association; NDDG, National Diabetes Diagnosis Group, WHO, World Heath Organisation. ** Plasma glucose is considered to be normal if less than the value shown; to obtain mg/dL, multiply mmol/l by 18. ***Glucose screen criteria for GDM diagnosis:≥10.3 mmol/l for CDA;≥11.1 mmol/l for WHO. ****ADA recommends one-step approach with OGTT alone in clinics with a high prevalence of GDM. Where we stand at present There is no similarity in any guidelines in any countries. There are different standards for screening of GDM. ACOG and ADA do not recommend routine screening for low risk women whereas WHO and International Diabetes Centre suggests screening of all women at 24 to 28 weeks of gestation. Since India falls under high risk category universal screening between 24 to 28 weeks should be done. Diagnostic test very throughout the world, so also the cut off values. ACOG, ADA and IDC (International Diabetic Committee) recommend a two step screening including 50gm and 100gm three hour OGTT. Here also some recommend a cut off of 130mg /dL where as others consider 140mg/dL. At present we should follow HAPO and DIPSI guidelines for screening gestational diabetes mellitus ( GDM) i.e one step OGTT with 75gm glucose load, and determination plasma glucose level after 2 hours, with cut off value of 140mg/dL in all pregnant women. This method of test is simple, economical and feasible for Indian scenario. Unforgettable win. The World Cup is over, but still it remains fresh on everyone’s mind. The whole nation rejoiced at the world cup victory. We the Navodayans salute the spirit of Team India. Bravo team India !! Nectar 3 Scientific Article TRIGEMINAL NEURALGIA: A thorn in the flesh !! Trigeminal neuralgia (TN) is a chronic disorder characterised by paroxysm of lancinating attacks of severe facial pain. Neuralgia is a greek word (neuron- nerve + algos – pain). Ms. Tasneem U. Sheikh 3rd B.D.S Navodaya Dental College and Hospital Co Authors : Ms. Sheetal Kumari & Ms. Nirmala Huidrom, 3rd B.D.S, Navodaya Dental College and Hospital Introduction It is a condition that affects one of the large nerves in your head, called the trigeminal nerve. It is characterised by a sudden brief, severe, electric shock-like or stabbing pain typically felt on one side of your face, provoked by light touch, which may remit for varying periods. It is more common in women than in men and usually affects people aged 50 and older. It is a rare disease affecting around 0.7% of the population. History Aretaeus of Cappadocia gave the first clinical description of TN at the end of the first century describing a condition (heterocrania) where “spasm and distortion of the countenance take place. Jujani, 11th century suggested facial pain resulted from “the proximity of the artery to the nerve”. 1677 John locke correctly recognised that facial pain was not caused by dental pathology but rather by a neuralgia of trigeminal nerve. 1756, French physician Nicolaus Andre commented that TN was “exclusive and distinctive from all other diseases” and gave the name ticdouloureux to the condition. 1773 John Fothergill outlined the major clinical features of TN. And hence it is also known as Fothergill’s disease or syndrome. Classification: According to Internati onal Classification of Headache Disorders II TN subdivides as, Classical Tn Idiopathic Symptomatic Tn Associated another process(MS, CPA) disease No persistence of aching be- May/may be not persistence tween paroxysms. of aching between paroxysms. 4 Nectar The cause of TN pain attacks is not known. However, it is important to emphasize that TN pain attacks involve more than just an acute nerve injury, because cutting or compressing the trunk of a sensory nerve elicits, atmost, only a brief discharge in damaged axons. The pathophysiology of TN probably evolves over days to weeks following injury. During this interval, the damaged sensory neurons go through a cascade of changes as part of the repair process that undoubtedly contributes to the signs and symptoms observed in clinical neurogenic pain disorders, including TN. Various Theories to explain the TN pain Scientific Article Clinical Features And Presentation: Hallmark findings of White and Sweet made significant contribution for diagnosis of TN Sweet diagnostic criteria for TN 1. The pain is paroxysmal. 2. The pain may be provoked by light touch to the face (trigger zones). 3. The pain is confined to the trigeminal distribution. 4. The pain is unilateral. 5. The clinical sensory examination is normal According to International Classification of Headache Disorders II classic TN is defined as: A unilateral disorder characterized by brief electric shock-like pains, abrupt in onset and termination, limited to the distribution of one or more divisions of the trigeminal nerve. Pain is com- monly evoked by trivial stimuli including washing, shaving, smoking, talking and/or brushing the teeth (trigger factors) and frequently occurs spontaneously. Small areas in the nasolabial fold and/or chin may be particularly susceptible to the precipitation of pain (trigger areas). The pains usually remit for variable periods. According to International Classification of Headache Disorders II symptomatic TN is defined as: ��Pain indistinguishable from classic TN but caused by a demonstrable structural lesion other than vascular compression.’ Medical Management: TN is, unique because large majority of TN patients respond to treatment and many have total elimination of pain attacks lasting months / years. Pharmacological Therapy: Primary drug therapy: antiepileptic drugs to suppress pain attacks Bergouignan’s finding of anticonvulsant phenytoin effectively controlled pain attacks. Multiple drug therapy: combination of various membrane stabiliser drugs. Management Of Acute Tn Pain: Peripheral Local Anaesthetic: Trigger zones are anesthetized for immediate reduction in pain and fro the clinician to get a full history Intravenous Lidocaine: Standard loading dose of 100mg infused at 20 mg/min suppress pain attacks Intravenous AED (Anti-Epileptic Drugs): In emergency following drugs can be given IV Loading dose of AED ,Phenytoin, Fosphenytoin (cerebryx), Valporic acid (depacon) Analgesic Medication: Opiod and non-opiods given but largely ineffective. Surgical Options: Surgical treatments of TN are highly effective and well tolerated. Peripheral surgery: This surgery is done very close to where the trigger area is located: cryotherapy, alcohol block, laser, neurectomy. Most of them are done under a local anaesthetic and some will require the use of stitches inside the mouth. These give short term pain relief , around 10 months on average, and cause few complications. Many patients, however continue to need medication. They are now rarely used and are only suitable when other procedures are not possible. In order to relieve the pain nerve tissue is damaged using one of the following procedures: • Radiofrequency thermocoagulation – passing a current through the nerve which generates heat • Glycerol injection – bathing the nerve in a toxic substance which over a few days destroys the nerves transmitting pain • Balloon micro compression – the nerve is compressed by a small balloon which is blown up for a few seconds Micro vascular decompression : The only procedure that does not attempt to destroy the nerve but lifts of a blood vessel that is pressing on the nerve inside the brain (see diagram above). It leaves a scar in the hairline behind the ear. It gives the longest pain relief around 8 years for 50% of patients. It is associated with a 0.5% risk of death. Some short term side effects can occur and the most serious one although very rare is a stroke. Unilateral deafness can occur in up to 2% of patients. Numbness is very rare. There is good evidence to show that complications are less likely to occur if the procedure is done by neurosurgeons who specialise in this operation. Nectar 5 Scientific Article Gamma knife surgery : This is a very new procedure and as yet there are no long term results. This procedure aims to damage part of the trigeminal nerve inside the brain. Using the MRI and special equipment, a beam of radiation is directed at the nerve. No surgery is involved so it can be done as day case surgery. Pain relief often does not occur immediately and it may be three months before complete pain relief is obtained. Pain relief is probably in the order of years. There are a very limited number of centres who do this in the UK at present. All these techniques produce 80 – 90% reliefs in TN symptoms. Conclusion: During past several decades major advances have occurred in our understanding and treatment of TN, still a number of challenging clinical questions remain unresolved. Despite these gains, it is important to emphasize that many fundamental questions about the pathophysiology the disorder remain unanswered, and a number of clinical approaches remain uninvestigated or untested. Advances in basic research on neuronal response to injury combined with animal models of TN will strong facilitate the development of drugs specific for TN.The lack of any objective testing for TN also remain significant clinical problem that complicates Effect of Statins in the risk for Intracerebral Haemorrhage Statins are widely prescribed for primary and secondary prevention of ischemic cardiac and cerebrovascular diseases. However, results from a recent clinical trial suggested increased risk of intracerebral Hemorrhage (ICH) associated with statin use. Ms. V.L. Srividya Pharm.D (Post Baccalaureate) Dept of Pharmacy Practice N.E.T. Pharmacy College Co-authors: Mr. Binu K.M, Miss Nimmy N John, Miss Neenu Joseph, Dept. of Pharmacy Practice, N.E.T. Pharmacy College The goal of the present study was to determine whether its potential adverse effects outweighs the cardiovascular and cerbrovascular benefits in patients with higher baseline risk for ICH because of a previous history of ICH. Hydroxy-3-Methyl-Glutaryl Coenzyme A (HMG-Co A) Reductase inhibitors or statins have been associated with improved outcome after ischemic stroke and subarachnoid hemorrhage but an increase risk of incident of ICH. Hemorrhagic stroke was more frequent in those treated with Atorvastatin, in those with a hemorrhagic stroke as an entry event, in men and increase with age. In survivors of Lobar ICH without prior cardiovascular events, avoiding statins showed a life expectancy gain of 2.2 quality adjusted life years compared with statin use. The mechanism by which statins might increase risk for ICH is still unclear, although evidence suggests that statins 6 Nectar may have anti thrombotic and fibrinolytic effects and may enhance the activity of other fibrinolytic agents. Statins stabilize Nitric Oxide concentration in the endothelium and inhibit the thrombin platelet associated receptor(PAR-1), both of which my affect platelet function. There is an intense pressure to use higher doses of statins in order to achieve very low LDL Cholesterol levels. In doing so, we may be increasing the subsequent risk of ICH, particularly in the setting of thrombolysis, an accepted and increasingly used therapy for stroke. Thus avoiding statins should be considered for patients with a history of ICH particularly those cases with a lobar location. For survivors of deep ICH, avoiding statin therapy for both primary and secondary prevention also was associated with better outcomes, although by a smaller margin than in patients with lobar ICH. Scientific Article GREEN COMPUTING (GREEN IT) The study and practice of designing, manufacturing, using, and disposing of computers, servers, and associated subsystems—such as monitors, printers, storage devices, and networking and communications systems Green IT also strives to achieve economic viability and improved system performance and use, while lasting for a long time by our social and ethical responsibilities. Thus, green IT includes the economics of energy efficiency, the cost of disposal, sustainability and recycling. It is the study and practice of using computing resources efficiently. But in the recent past another focus has got immense importance and that is achievement of energy efficiency, minimization of power consumption of e-equipments. “Greening” your computing equipment is a low-risk way for your business to not only help the environment but also reduce costs. It’s also one of the largest growing trends in business today. “Making a proper decision to go green in the workplace such as offices, not only improves the net profit of your business, but “Greening” your computing also reduces your carbon equipment is a low-risk way footprint. Reducing for your business to not only energy usage, which also help the environment but also reduces carbon dioxide reduce costs. It’s also one of emissions and your the largest growing trends in energy bill, is the most business today. effective thing you can do. The average PC wastes about half the energy provided to it, according to the Climate Savers Computing Initiative, an industry group dedicated to reducing greenhouse-gas emissions. You should encourage employees to shut down their PCs or put them into sleep mode when not working on them. Nesbitt recommends implementing thin clients produced by Neoware to reduce the TCO of your company’s computing environment. Problems that are generally faced Performance-wise, computer design has progressed amazingly well and astonishingly fast but looking at it from a green perspective, the work is at its epoch. Conventionally, manufacturing computers includes the use of lead, cadmium, mercury, and other toxics in general. Usually, computers can contain 4 to 8 pounds of lead alone, according to green experts. It’s no wonder that computers and other electronics make up two-fifths of all lead in landfills which means Mr.Adarsh Kulkarni Lecturer, Dept of CSE Navodaya Institute of Technology. Raichur. a method of solid waste disposal. To stop this growing pollution threat all over the world due to the growing use of electronic device in general and computers in particular all over world there is a need to look for an eco-friendly computer. Some facts: To keep servers at the right temperature, companies mainly rely on air-conditioning equipments. The more powerful the machine, the more cool air needed to keep it from overheating.Faster processors use more power, because they use too much power and their waste heat increases temperature for which air conditioning is necessary, especially in server farms–between the computers and the HVAC. The waste heat also causes reliability problems, as CPU’s crash much more often at higher temperatures. Solutions to it are • Recycling, Reusing and reducing paper waste. Virtualization is one of the most effective tools for more cost-effective, greener-energy efficient computing where each server is divided into multiple virtual machines that run different applications and in this way companies can increase their server utilization rates. This approach is so energy friendly. Nectar 7 Scientific Article • For more advanced users remove unnecessary fans and Drives. • Refill Ink-jet cartridges and laser toner; it’s cheaper and doesn’t add to landfill • Switch off Cable Modems, Routers and Wi-Fi Access Points when not in use / overnight. • If you are going to build your own PC pick the parts carefully. Instead of getting two 1 GB chips, buy one 2 GB one. Even some awareness programs should be organized. • You can also buy other equipment that uses fewer toxic materials and more recycled components. Many new electronics that were sold in the United States already meet the European Restriction of Hazardous Substances Directive (RoHS), a standard for banning the general use of six hazardous substances which includes lead and mercury, and many manufacturers are help in reducing to further use of toxic substance. But in India, the principle of “Green Computing” is facing a dilemma due to many socio-economic matters.So far, consumers haven’t cared about ecological impact when buying computers, they’ve cared only about speed and price. Now time has come to think about your ecology, consumer should become pickier about being green, devices that use less and less power while renewable energy gets more and more portable and effective. The first issue of Nectar was released by Cheif Patron Shri.S.R.Reddy on the occasion of Intra collegiate Cultural Prize distribution function held during Net’s Regale 11. DIFFERENT TYPES OF PLEURAL EFFUSIONS PRESENTED IN THE DEPARTMENT OF PEDIATRICS Child presented with severe respiratory distress. Chest movements were decreased Bilaterally. On auscultation breath sounds were decreased on both sides.On percussion tympanic note on left side and stony dullness on right side were felt.Chest X-ray showing left sided pneumothorax and right sided loculated effusion . 1 year old boy presented with fever and respiratory distress. On examination breath sounds were decreased on right axillary and infraaxillary regions. Chest radiograph showed right sided thin lamellar effusion 2 year old male child presented with hurried breathing and fever. On examining breath sounds were found to be decreased on the axillary and infraaxillary and inframammary regions. Chest X-ray revealed well organized lamellar effusion on the left side 8 year old boy presented with one month history of fever, and 10 days history of difficulty in breathing .on auscultation breath sounds were decreased in right in framammary,axillary,infra axillary and infrascapular region with stony dullness on percussion in the same areas on percussion. Montoux test was strongly positive.Chest X-ray showed massive right pleural effusion. 8 Nectar Scientific Article SWOT in Nursing Where there is no struggle, there is no STRENGTH. Growth begins when we begin to accept our own WEAKNESS. Your big OPPORTUNITY may be right where you are now. Analyze the THREAT around you, you will overcome it! This is what we call SWOT. History of SWOT First, the SWOT concept originated in a research effort at Stanford University beginning in the 1960s, with a man named Albert Humphrey. The strengths & weaknesses are identified as internal factors, while the opportunities & threats are listed as external influences. What is SWOT? • A process generates information that is helpful in matching an organization or group’s goals, programs, and capacities to the social environment in which it operates. • SWOT stands for Strength, Weakness, Opportunity and Threat. SWOT is a simple framework for generating strategic alternatives from a situation analysis • STRENGTHS- A firm’s strength are its resources and capabilities that can be used as a basis for developing a competitive advantage. • WEAKNESS- The absence of certain strength may be viewed as a weakness. Ms. Feba Abraham II Year Msc Nursing Naviodaya College of Nursing • OPPORTUNITIES- The external environmental analysis may reveal certain new opportunities for profit and growth. • THREATS- Changes in the external environmental may present threats to the firm. SWOT Matrix STRENGTH WEAKNESS OPPORTUNITIES S- O Strategies W- O Strategies THREAT S- T Strategies W- T Strategies • S-O STRATEGIES pursue opportunities that are good fit to the organization strength. • W-O STRATEGIES overcome weakness to pursue opportunities • S-T STRATEGIES identify ways that the firm can use its strengths to reduce its vulnerability to external threats • W-T STRATEGIES establish a defensive plan to prevent the firm’s weakness from making it highly susceptible to external threats. Why SWOT? 1. Bringing new developments in practice and nursing management 2. SWOT Analysis facilitates the formulation of a shared vision or goals among nursing fraternity. 3. Desire to create a systematic and rigorous change process in an organization or situation. 4. To make the decision making process worthwhile lead us for a SWOT analysis. 5. To identify what hinders the implementation of efficient nursing care in practice and modify as per the settings. 6. To be clear and aware of varying perceptions of our SWOT. 7. Idea of Implementing Evidence based practice in the Nursing practice. Nectar 9 Scientific Article SWOT in Nursing Management Strength • A central body- the Indian Nursing Council governs the nursing education system in the country. This gives standardisation and uniformity within the system enabling nurses to move jobs within the country. • The uniformity of the education system also allows the Indian Nursing Council to monitor the education and training at all universities and Colleges in India. • There are several courses available to nurses. Nurses can always upgrade their qualifications and training by opting for higher education. • There is an intrinsic need for nursing care. People will always fall ill, and the changes in the disease profile in India and the ageing population is increasing this basic need. • The demand for nurses is not dependent of the state of the economy Weakness • Nursing is not a highly regarded profession as other medical professions, and thus does not draw respect and social standing • Nursing education, especially post-registration, has not received importance thereby leaving little scope for Indian nurses to excel, improve and climb up the career ladder. • The pay scales of nurses in India are considerably low as compared to many countries. • Government hospitals are not equipped and managed up to international standards, thus nurses working at these hospitals do not have exposure to state-of-the-art equipment and training. • The ratio of nurses per 1,000 beds in India is way behind the international WHO norms. This is putting additional pressure on nurses • The vast majority of the training and education of nurses is done in a budget-conscious public sector. This is restricting the training and continued nursing education process in the country Opportunities • The number of nurses qualifying every year in India is among the highest in the world. There exists a vast pool of qualified nursing personnel in the country. • The growing need for healthcare is increasing demand for nursing services. There is a tremendous demand for Indian nurses in the international markets. These encouraging nurses to look for opportunities for better pay and work conditions outside India. • Super specialty courses have been started by some nursing colleges in India to meet the growing demand of specialty nurses. There is an option for nurses to specialise in chosen fields. This has also been recognised by the 10 Nectar Indian Nursing Council, which has decided to commence 15 specialty diplomas from 2004 Threats • More and more nurses have been migrating to the Gulf and western countries in search for better salaries and work conditions. This is leading to a shortage of experienced nursing staff in Government hospitals in the country • Absence of a nursing management system in the country is making it difficult to monitor and access nursing information, posing a constant threat to the public sector. • Along with post-registration education and other up gradation, it has to be seen that the basic education of nurses must be the same in different regions of the country. There are some private colleges providing unrecognised courses to nurses. Summary • Strengths need to be maintained, built upon or leveraged. Weakness need to be remedied, changed or stopped. Opportunities need to be prioritized, captured, built on and optimized. Threats need to be countered or minimized and managed Hopeful Endurance From desire to dream From dream to hope From hope to life Drifting from darkness to light A wish nurtured in a young heart A dream embellishing the serene mind A hope steering life through wonderland Happy heart coruscating the eyes Singing melodies in sweet refrains... From dejection to tears From tears to fears From fears to doom Drifting from dawn to night An illusion? A hackneyed chimera? What bring forth an unsavoury ambience? Embittering and deterring a once merry man Trickling tears scintillating the eyes A pain transcending all nature’s joy... Survive the storm, brook the blow Like the good, this too shall pass. Dr. Roopa P. Kulkarni Post Graduate Dept of Biochemistry Navodaya Medical College Case Report Mandibular Incisor Extraction for treatment of a Class I Malocclusion with Bolton Discrepancy Dr Rakesh Kumar MDS, Faculty of Dentistry, Senior lecturer, Department of Orthodontics, Navodaya Dental College and Hospital, Raichur Co Author : Dr Ravindranath V. K, MDS, Prof and Head, Department of Orthodontics, Navodaya Dental College and Hospital, Raichur Abstract Many approaches for crowded anterior teeth are currently employed like distal movement of posterior teeth, lateral movement of canines, labial movement of incisors, interproximal enamel reduction(IPR), removal of premolars, removal of one or two incisors, and various combinations of the above. Selecting the best treatment is often difficult, and all guidelines do not apply to every case. Treatment by extraction of one single mandibular incisor is not popular in the orthodontic profession despite the apparent advantages of the extraction in the region of crowding. A case report is presented one mandibular incisor extraction treatment of a 20 year-old male with a Class I malocclusion that shows a significant mandibular arch length deficiency and mandibular tooth-size excess and high placed canine in maxillary arch with reverse bite. In this case, the degree of mandibular anterior dental crowding, existing mandibular tooth-size excess, and the dental midline discrepancy were indicated the extraction of one mandibular incisor. Introduction In Orthodontics one of the most critical decisions in treatment planning is whether to extract teeth or not. The orthodontic pendulum has swung from a predominantly non-extraction philosophy in the early 1900s, toward a more extractionoriented therapy in the middle of the century, and now back toward a non-extraction emphasis.1 Several approaches for crowded mandibular anterior teeth are currently employed: distal movement of posterior teeth, lateral movement of canines, labial movement of incisors, interproximal enamel reduction, removal of premolars, removal of one or two incisors, and various combinations of the above. Selecting the best treatment is often difficult, and all guidelines do not apply to every case.2 Treatment by extraction of one single mandibular incisor is not popular in the orthodontic profession despite the apparent advantages of the extraction in the region of crowding.3,4 Objections to this extraction option have been based on case reports or subjective clinical opinions after observing less desirable outcomes in treated Class I and Class II malocclusions.1,2,5,6 Unwanted side-effects have been increases of overbite and overjet beyond acceptable limits, space reopening, partly unsatisfactory posterior occlusion, recurrence of crowding in the remaining three incisors, and unaesthetic loss of the interdental papillae in the mandibular anterior region.1,2,5–8 Kokich and Shapiro5 stated that if lower incisor extraction is performed without careful planning, the resulting occlusal discrepancy often cannot be resolved satisfactorily. They argued that with careful case selection, single incisor extraction may allow the clinicians to use simple treatment mechanics and achieve good results. A careful and realistic diagnostic setup was considered to be an important aid in determining tooth size discrepancies, and whether or not the occlusal result would be acceptable and consistent with the treatment objectives. Several authors5,6,9–11 have emphasized that case where a tooth-size discrepancy (measurable mandibular Bolton excess) exists, for example with upper peg shaped laterals or missing upper lateral incisors may represent good indications for extraction of one mandibular incisor. Some authors have remarked that cases with Class III tendency could be another indication for incisor extraction, because some collapse of the lower arch may be acceptable or even desirable in such instances.8,12 Whenever single lower incisor extraction treatment is contemplated, a full diagnostic setup should be made. Toothsize formulas are not consistently accurate in predicting a final occlusion; a full setup is the best way to be sure the occlusal results, including overbite and overjet, will be acceptable.1 According to Owen,1 patients who are suitable for single lower incisor extractions usually fit the following diagnostic pattern: Class I molar relationship, moderately crowded lower incisors, mild or no crowding in the upper arch, acceptable soft-tissue profile, minimal to moderate overbite and overjet, no or minimal growth potential, and missing lateral incisors or peg shaped laterals. The aim of this case report was to assess the treatment outcome and changes in dentofacial structures especially mandibular incisor position after extraction of one single lower incisor and correction of reverse bite with convention anterior-posterio expansion screws with posterior block. Nectar 11 Case Report History and Diagnosis A 20-year-old Gujurati male came to the Department of Orthodontics with the chief complaint of upper and lower crowding with dished in face. He was in the permanent dentition and had an apparently symmetric face with a mild concave profile (Figure 1). He had no important dental and medical history, and no growth potential. Figure 1 Pretreatment facial photographs. (front and profile) Intraoral examination showed that there was severe crowding in the upper arch and moderate crowding in anterior region of the lower arch. In occlusion, he had a 4 mm reverse over-bite and a 2 mm reverse-jet. There was Class I molar relationship, his maxillary midline was shifted 1 mm to the right, and the mandibular midline was shifted 1.5 mm to the left. No mandibular shift was detected on closure. Upper incisors were placed in crossbite/reversebite to lower incisors. The arch length deficiencies were 7 mm in the maxillary arch and 5 mm in the mandibular arch. A Bolton analysis showed 8.5 mm mandibular excess in total and 5.7 mm mandibular anterior excess (Figure 2). Figure 2 Pretreatment intraoral photographs. Radiographic examination revealed that all the permanent teeth were present or developing. Cephalometric evaluation showed that he had a skeletal Class I relationship with high angle pattern and lower lip was slightly protrusive to the “E” line. The maxilla is retrognathic relative to the cranium and maxillary dentition are retroclined with obtuse nasiobail angle.(Figure 3) Figure 3 Pretreatment cephalometric and panoramic radiographs 12 Nectar Figure 4 Posterior bite block with jack screw to correct anterior crossbite. Treatment Objectives The goals of orthodontic treatment for the patient were to (1) To eliminate the dental crowding in the lower and upper arch; (2) correct the maxillary dental midline discrepancy; (3) establish a Class I canine relationship, (4) to correct the crossbite and establish the Ideal overjet and the overbite; (Figure 4) (5) provide for a more regular alignment of the maxillary and mandibular teeth for aesthetics, function and hygiene; (6) maintain the acceptable facial balance and muscle tone; and (7) compensate for the relative excess mandibular tooth mass with the removal of one mandibular incisor. Treatment Alternatives Considering all aspects of the case in detail, during the treatment-planning interview, two treatment options were presented to the patient. The first involved extraction of one single Mandibular central incisor. This would allow easy resolving of the lower crowding and improvement of the overbite. The second option involved extraction of the all first premolar. The patient chose the first option. Treatment Progress First of all, a diagnostic wax set-up was constructed with the extraction of the lower right central incisor for evaluation of the treatment outcomes (Figure 5). It showed that overjet, overbite and posterior occlusion would be acceptable. Figure 5 Diagnostic wax set-up models. Case Report The mandibular right central incisor was extracted, and treatment started with a fixed appliance in the lower and upper arches (Straight Wire 0.022”, Roth Setup).Posteriorbite block with the jackscrew are given to relive the anterior crossbite.(Figures 4.) Conventitonal jackscrew is activated in anterio-posterio direction periodically until cross bite is corrected. Initial levelling was accomplished with the use of nickel titanium archwires over 4 months. After initial levelling, multilooped archwire made of Australian 0.016 steel premium wires are placed and anteriors are moved forwardly.(3months).In the lower arch, segments of elastomeric chain were used at the onset of treatment to close the extraction space. Compensating bends were placed in the lower archwire to prevent excessive crown tipping at the extraction site. After 9 months (from the time of placing full appliances) all teeth were aligned and the extraction space was closed. For the remaining 7 months, .019x.025inch rectangular stainless steel wires were used for torque corrections, paralleling the roots, and detailing the occlusion. After satisfactory interdigitation was achieved, the fixed appliances were removed, and maxillary removable retainer and mandibular fixed lingual retainer were placed (Figures 6,and7). Figure 6 Extraoral photographs after treatment, (front and profile) Results And Discussion The Class I molar and canine relationship were established with satisfactory interdigitation of posterior teeth. The overjet and the overbite were established. The upper and lower arch length deficiencies was eliminated and the tooth-size discrepancy was managed successfully. The mandibular dental midline was compromised and upper midline was corrected. The dentition and the periodontal tissues remained healthy during treatment. Unaesthetic loss of the inter-dental papillae between the lower central incisors was occurred as an unwanted side-effect. Posttreatment radiographs showed that minimal root resorption had occurred during treatment and that root parallelism was satisfactory. Cephalometric evaluation revealed that no significant changes were occurred except the increasing of the overbite and overjet. The lower and the upper incisors were upright, and the interincisal angle was decreased. A class I malocclusion with a significant mandibular toothsize excess can frequently be treated by extracting one mandibular incisor in the literature.5,8,13 A mandibular tooth-size excess greater than 1.6 mm, as determined by the Bolton analysis14, is considered significant and can typically be handled in 1 of 3 ways: interproximal reduction, extraction, or restoration. Extraction of one mandibular incisor is generally done in patients with Bolton discrepancies greater than 2.0 mm. The decision to extract should be supported by initial records, diagnostic wax setup, and clinical experience. Additional information, such as Bolton analysis, shape of maxillary incisor crowns, and amount of interproximal enamel is also important. Reidel13 has suggested that in patients with severely crowded mandibular arches, the removal of one or more mandibular incisor(s) is the only logical alternative which may allow for increased stability of the mandibular anterior region without continuous retention.16 In this case, we believed that treatment results would be stable because of the fact that intercanine width was decreased, and the lower incisors were not protruded. Conclusions One single mandibular incisor extraction can be an effective treatment choice for the appropriate malocclusion with a Bolton discrepancy. However, several factors must be considered before making the final treatment decision. In addition, evaluation of a diagnostic wax set-up will allow the orthodontist to predict the success of the proposed treatment plan. Figure 7 Posttreatment intraoral photographs. Nectar 13 General Articles “WORLD TUBERCULOSIS DAY “ Dr.Arun B J, Faculty, Dept of Pulmonary Medicine “Awareness on tuberculosis for Faculty & Students of Navodaya group of institutions “ Tuberculosis is a disease of great antiquity , Tuberculosis lesions were found in the vertebrae of Neolithic man in Europe and on Egyptian mummies dating possibly from as early as 3700 BC. There is also definite evidence of mention about tuberculosis in Vedas. Tuberculosis is also known by many other names such as Rajayakshma ( Vedas), Pthisis(Hippocrates), Consumere (latin), Schachepheth (Bible), Tabes pulmonali, King’s evil, White plague, Koch’s disease, Ksayah. On 24 march 1882 Robert Koch announced the discovery of the tubercule bacillus during the monthly evening meeting of the Berlin physiological society, In memory of this event World TB day is celebrated on 24th March every year. In 1884 Koch published a more comprehensive paper on the topic and In 1905 he was awarded Nobel prize for his contribution in the field of TB research . During World TB Day in March 2006, the world showed a new resolve by announcing a ��Global Plan to Stop TB, 2006–2015.’’ World Health Organization ( WHO) is actively involved in control activities for tuberculosis world over. This year the slogan is : On The move against Tuberculosis “Innovate to accelerate action” On this occasion Department of Pulmonary Medicine , Navodaya Medical College Hospital and Research Center had arranged an awareness programme on tuberculosis for faculty of Navodaya group of institutions. 14 Nectar WI-FI Ms.Aeggie Anthrayose 2nd year BE Electronics & Communication Eng. Navodaya Institute of Technology Wi-Fi refers to the 802.11b wireless Ethernet standard that was designed to support wireless LANs. It has recently attracted a lot of attention as candidates for the dominant platform for providing broadband wireless access to the Internet. The most important phenomena impacting telecommunications over the past decade have been explosive growth for the internet services. The internet brought the benefits of data communications to the masses with email, the web, and ecommerce. The internet helped to accelerate the trend from voice-centric to datacentric networking. Data already exceeds voice traffic and the data share continues to grow. It offers the benefits of new interactive multimedia services coupled to the flexibility and mobility of wireless. To realize the full potential of this however, we need broadband access connections. Wi-Fi allows collections of PCs, terminals, and other distributed computing devices to share resources and peripherals such as printers, access servers etc. One of the most popular LAN technologies was Ethernet. Wi-Fi LANs operate using unlicensed spectrum in the 2.4 GHz band. The current generation of WLANs (Wireless Local Area Network) supports upto 11Mbps, data rates within 300 feet of the base station. Most typically, WLANs are deployed in a distributed way to offer last few hundred feet connectivity to a wire line backbone corperate or campus network. Typically, the WLANs are implemented as part of a private network. The base station equipment is owned and operated by the end-user community. Although each base station can support connections only over a range of few hundred feet, it is possible to provide contiguous coverage over a wider area by using multiple base stations. Still, the WLAN technology was not designed to support high-speed hand – off associated with users moving between base station coverage areas. There has been an emergence of a number of service providers that are offering Wi-Fi services for a fee in selected local areas. In addition, there is a growing movement of so – called “Free Nets” where individuals or organizations are providing open access to subsidized Wi-Fi networks. For Wi-Fi, the wireless link is a few hundred feet from the enduser device to the base station. The base station is then connected either into the wire line LAN or enterprise network infrastructure or to a wire line access line to a carrier’s backbone network and then eventually to the internet. Wireless services are part of an end-toend value chain. Wi-Fi support broadband data service, the data rate offered by Wi-Fi (11Mbps). It offers sufficient bandwidth to support a comparable array of services, including real – time voice, data, and streaming media. Wi-Fi comes out of the data communications industry (LANs) which is a bi-product of the computer industry. The basic business model is one of equipment makers who sell boxes to customers. Only recently have WLANs being targeted as a mass market offering to home users. General Article Pharma Vision 2020: A Rural Perspective By. Ajay Chandra 3rd yr Pharm D N.E.T. Pharmacy College Raichur A majority of the total Indian population live in numerous villages, scattered through out the country. According to 2011indian census there are about 638,365 villages in India and about 72.2% of Indian population lives in these villages. It is found that most of Indian villages have a population less than 1000. Compared with urban, rural residents have high poverty rates, a large % of geriatrics’ land to be poor health, few doctors, hospitals and other health resources, malnutrition, lack of awareness of std’s, they have their own belief and expectations. So, there is a need in bringing about the considerable changes in the health care system of india. And this should be our vision in 2020. A country is said to be successively developed it and only if there is a development in villages which are the real representatives of real India. Hospital closers and other market changes have adversely affected rural areas, leaving state and central policymakers and and other concerned about acces to health care in rural india. Pharmacy services are especially important in rural communities rural areas tend to have an older population. With more chronic illness with a greater need for advice from a pharmacist managing medications. Despite this demand for services, rural pharmacies face many challenges to stay open, including financial pressures and lack of pharmacists to provide services. Our vision towards challenges in Health statistics % of rural area - 94.86 Number of villages -638,588 Population in rural’s -72.2% in 2001 Area Health Expenditure % of GDP India 0.8 World 2.6 Developed countries 6.1 Number of district hospitals in india – 600 Number of patients visiting district hospitals – 1500 Number of patients needing consultancy – 36000 Source: Indian census. Indian academy of science. We belong to a country that spends less than 1% of its GDP on health care. Major improvements in this area, and protective steps in transferring the funds to the rural areas. health care and also that of patient safety are essential in order to reach vision 2020. In India about 20%of health care professionals live in urban areas while 80% of population lives in rural villages. This results in huge imbalance between healthcare available for people in cities and rural areas. People have to travel long distances for diagnosis and treatment of diseases. I m sure many of us remember old time movies where people had to walk for a number of miles to reach the hospital. Sadly enough this state of affair still continues in many parts of rural India immediate access to health care is needed and minimum transportation facilities should be arranged in these areas. *Community pharmacy needs to b encouraged in this areas. Mobile health care units associated with hospitals in areas covering minimum 10 villages to improve access and also to install trust in patients about the efficacy of the system and government policies. As community pharmacist is a link between doctors and patients, the profession is suffering from this imbalance of therapeutic strategy available for people in cities and in villages as poor patient. Compliance for the drug therapy has been reported in patients living in villages. Community pharmacy in India is still at the state of confusion and the role of pharmacist is limited to drug store management and prescription filling. Although the Drugs & Cosmetics Act 1940 and the Pharmacy Act 1948 have provisions for establishing a strong pharmacy profession. Some how changes have not taken place as expected. The current ratio of community pharmacist &pharmacist is 1:235 which is an indicator of the work load on each pharmacist where as recommended pharmacist & patient ratio is 1:20. The constantly busy dispensary coupled with lack of privacy makes the counselling difficult. Many languages are spoken in India and then further complicate the communication with the patient. Due to high cost of the medicines, it is sometimes difficult to persuade patients to finish the course of antibiotics when they feel better. Patient beliefs and expectation are also challenging. Most of the rural people follow their own traditions and cultures. So it is the pharmacist’s prime duty to create awareness and educate the tribal. Nectar 15 General Article Effective Communication – A Vital Tool In The Patient Management. “If you talk to a person in a language he understands that goes to his head, If you talk to him in his language, that goes to his heart” - Nelson Mendela Effective communication between patients and the medical professionals involved is a key to the successful management of patient care. Most of the essential diagnostic information arises from the interview, and the clinician’s interpersonal skills also largely determine the patient’s satisfaction and compliance and positively influence health outcomes. Such skills, including active listening to patient’s concerns, are among the qualities of a clinician most desired by patients. Increasing public dissatisfaction with the medical profession is, in good part, related to deficiencies in clinical communication. Studies in many countries have confirmed that serious communication problems are common in clinical practice. Most complaints by the public about medical professionals deal not with clinical competency problems, but with communication problems, and the majority of malpractice allegations arise from communication errors. David Brodie, who has written a great deal about this subject, gives four reasons why It is a well known fact that communication with even for the persons, who patients has traditionally can fluently converse in more been less good than it than 2 languages, when it should have been. comes to expression of inner feelings and sufferings, one will mostly prefer the mother tongue. Therefore it is of utmost importance that medical professionals learn to speak the local language. firstly, it was widely held that many patients simply were not able to understand the complexities of diagnosis and the details of their treatment, however carefully the matter was explained. Secondly, it was considered that many patients had a psychological block which prevented them from seeking to know their own diagnosis - many preferring to leave the whole matter in the hands of the doctor. The third of Brodie’s reasons was that it would take too much time to explain everything to each patient, a reason that reflects badly, not on the patient but on the medical professional, or at the very least on the system within which he has to work. The fourth reason given is that to tell the patient the diagnosis, to explain the results of the investigations, and to discuss the likely effect of treatment and the prognosis, will serve only to increase his anxiety. This premise is certainly not supported by the evidence. Whenever it has been studied, it has been shown that anxiety is increased by indecision and the fear of the unknown, while careful, kindly, explanation of the facts-even if 16 Nectar Prakash.V MPT Assistant Professor Department of Neurological Rehabilitation Navodaya College of Physiotherapy they contain bad news - allays anxiety and sets the patient’s mind at rest. Besides these 4 reasons, the one major barrier to communication is that of language, particularly in our country. The services provided by the medical professional crosses the boundaries of the geography without any impediments, but not always, the barrier of language. It is a well known fact that even for the persons, who can fluently converse in more than 2 languages, when it comes to expression of inner feelings and sufferings, one will mostly prefer the mother tongue. Therefore it is of utmost importance that medical professionals learn to speak the local language. Research on the outcome of effective communication Many studies have documented the beneficial outcomes of effective clinical communication. Kaplan et al had found that the quality of clinical communication is related to positive health outcomes. Concordance between physician and patient in identifying the nature and seriousness of the clinical problem is related to improving or resolving the problem10. effective communication skills are identified by the patients as a characteristic of a good physiotherapists and also as a key determinant of patient adherence to treatment and perception of quality of care. Explaining and understanding patient concerns, even when they cannot be resolved, results in a significant fall in anxiety. Greater participation by the patient in the encounter improves satisfaction and compliance’ and outcome of treatment (for example, control of diabetes and hypertension) .The level of psychological distress in patients with serious illness is less when they perceive themselves to have received adequate information. Strategies to improve effective communication Many experts suggests that in order to improve the communication skill among the health care professionals, teaching of these communication skills to be incorporated into the curriculums and continued into postgraduate training and courses in continuing medical education. It has been repeatedly shown that the clinical skills needed to improve these problems can be taught and that the subsequent benefits to medical practice are demonstrable, feasible on a routine basis, and enduring. Health Exhibition Workshop on BLS, ACLS & Emergency Airway The school environment is considered an optimal place for health promotion/disease prevention activities to occur. School health promotions are an important aspect of education. These services have the goal of supporting educational success by enhancing health. Given the fact the department of Community Medicine, Navodaya Medical College took part in the scientific school exhibition organized by Vidya Bharathi Shikshana Kendra School. As part of the exhibition the st udents from Navodaya Medical College using different models, charts and specimens apprised the school students about the need for taking care of health and inculcating healthy habits. In this setting, large numbers of children from various schools are targeted in a cost-effective manner, and health awareness was given to the children to promote healthy society. Youth day Celebration National Youth Day was celebrated in India on 12 January on the birthday of Swami Vivekananda. The students from Navodaya Teacher Training Institute participated in Youth day observed in Veerasaiva College of Education which was organized by D.Ed college association and DIET, Yeramarus. Various competitions were held during the occasion. Navodaya Teacher Training Institute students received first prize in the competitions held during the occasion. The department of Anaesthology & critical care of Navodaya Medical College Hospital Research Centre conducts one day workshop on 17th Jan 2011. The workshop intends to train skill development programme in basic life support (BLS) advanced cardiac life support (ACLS) and emergency airway which is going to be useful for medical professionals in day to day emergency managements. The experts from Emergency Medical Research Institute (EMRI) Hyderabad are going to train participants with their mannequin and develop cardiac monitors. Kindly avail this opportunity to upgrade also to bridge the gap between theoretical knowledge and practical skills. Ophthalmology CME The Department of Ophthalmology in association with Raichur district ophthalmologists association conducted Ophthalmology CME on 23/1/2011. The guest speakers were Dr.Ravikumar Reddy , Dr.Ramakanth Reddy & Dr.Venkatratnam from Medivision, Hyderabad. The guest speakers delivered topics in recent advances in cataract &refractive surgery. The recent advances in management of glaucoma, recent advances in the management of hypertensive & diabetic reticulopathy topics were also discussed. dr galgali & dr kavitha patil moderated the session. Dr Hedge, Dr Khaja Naseeruddin, Dr Srinivas, Dr Biradar & Dr Anupama Taklikar were the guest of honour. Nectar 17 A window view on Intranatal Care The Deparment of gynecological nursing conducted a seminar on “ window view on intranatal care” on 31/1/11. The resource person for the seminar was Dr.V.G.Kulkarni leading obstetrician from N.M.C.H and R.C Raichur. He focused on the practical aspects of the care during labour. The other speakers were the P.G students of OBG specialty. The participants were the students of school and college of nursing from Raichur, Mahaboob nagar and students from Nandini college of nursing. Industrial Visit for convenience. The first group was led to the �Quality Control’. The highly sophisticated instruments like Particle size analyzer by laser diffraction, differential scanning colorimeter, X-ray crystallography, total organic carbon analyser, IR spectroscopy, UV spectroscopy, polarimeter, gas chromatography, HPLC are used for the qualitative and quantitative analysis of the samples (i.e. raw materials, intermediates or the products) and it was really fascinating to see those operations. The anticancer agents were handled in the separate wards. The Research and Development (R and D) block in the industry was excellent. The researches for new compounds are carried out here and the experiments are performed to optimize the reaction conditions, upgrading the procedure and the product in terms of quality, quantity, economy and time. Adjoining to R and D, was the pilot plant, where the drugs are synthesized in small scale with the arrangements analogous to the manufacturing unit. �Warehouse’ was the storehouse for the raw materials. The received raw materials are first kept in quarantine and then employed in the manufacturing only after the approval of Q.C. Separate cold rooms were managed for thermodegradable materials. Then we headed towards the manufacturing house which possessed reactors as large as 500 ltrs. Adequate temperature controls were provided to the reactors. Solvent recovery arrangements had made the processes economical. The safety of the operators had been paid the utmost priority. Finally it was the water purification unit, supplying water for all industrial purposes. Here the water is purified by sequentially treating under sand filters, ion precipitators, ultra filtration and reverse osmosis. With this our three-hour-long visit almost came to an end. But the things learnt were still reverberating in my mind. It had been a first experience of its kind to all of us. This visit, besides expanding the horizon of our knowledge has too enabled us to view our career through a new angle. Chandra K. Maharjan III B. Pharm. Newton’s Law Remix : �Learning by seeing’ is an undisputed fact. Especially, the technical courses like pharmacy demand sufficient industrial visits and exposures for the students. These augment their theoretical knowledge and at the same time help to understand how academics is employed in the industrial field. Shilpa Medicare Ltd., a renowned pharmaceutical company, is located at Shaktinagar near to the Raichur city. It is a bulk manufacturer of many drugs along with some anticancer agents and its products are recognized by more than 70 countries. 31st Jan. 2011 was a much awaited day. The students were divided into two groups 18 Nectar Every book continues to be in a state of rest or covered with dust, UNTIL & UNLESS exam appears and the speed of turning pages is directly proportional to the syllabus to be covered and tension in the minds remains constant. Dr.Kaushik.N.Patel B.D.S, Intern, Navodaya Dental College And Hospital, Raichur Quiz on Tuberculosis and Revised national tuberculosis program India is one of the 22 high burden countries in the world with respect to tuberculosis, accounting for one fifth of tuberculosis burden of the world. Research on treatment of tuberculosis in India was started as early as 1950 to 1960 in the two premier institutes like TRC Chennai and NTI Bangalore. In 1962 National tuberculosis programme was launched, after 30 years of NTP , the program was reviewed in 1992 and found to be a failure due to various reasons such as over reliance on X-ray for diagnosis, 30% cure of diagnosed patients and lack of commitment from administrative and political fields. In 1993 with the adaptation of World Health Organisation’s (WHO) direct observation treatment short course ( DOTS) strategy India devised a new approach to tackle tuberculosis menace and named it Revised National Tuberculosis Control Programme (RNTCP).The essential components of this program being Political & administrative commitment, Diagnosis by quality microscopy, Uninterrupted supply of good quality drugs, Directly observed treatment short course and systematic monitoring and reporting. RNTCP is actively practised and taught since 2005 in our Navodaya Medical college, it is included as a part of the curriculum for both undergraduate and postgraduate training programmes. On the occasion of Regale 2011, a QUIZ program on tuberculosis and RNTCP was arranged for all the postgraduates, interns and students of Navodaya Medical College, on 15th February 2011. It was jointly arranged by Department of Pulmonary Medicine, Navodaya Medical College and Research Center and District Tuberculosis Society. Initial screening test was done among twenty registered teams and six top scoring teams were selected for quiz proper. After four rounds of rigorous questionnaire, the interns team consisting of Dr.Sheetal, Dr.Vijayalaxmi, Dr.Konika and Dr.Shilpa emerged as winner and the team of postgraduates from Department of paediatrics were declared runners, third place went to team of postgraduates from community medicine & Pharmacology together. The certificates were issued for all participants and prize money of Rs.1000 for first place, Rs.500 for second place & Rs.250 for third place was subsequently issued. Following a working lunch, one hour lecture on orientation and newer updates in RNTCP was given for all the participants. The programme was chaired by Dr.Paramjyothi.G.K Head, Department of pulmonary medicine and Prof. Dr.S.S.Antin was the chief guest of the day. District tuberculosis society was represented by second medical officer Dr.Mallikarjuna Gowda. National Pulse Polio Programme The department of Community Medicine & NSS unit of Navodaya Medical College, took active part in the National Pulse Polio programme on 27th February 2011. 75 Under Graduate, 10 interns, 6 Post Graduates of community medicine department, MSW, faculty members of community medicine department along with NSS volunteers participated in the programme. The district administration and DHO allotted 30 booths in 6 clusters to our institution. At least two students were posted to each booth, and each cluster was supervised by the interns and PG students of the community medicine department. Transient booth was also established at the entry & exit of KSRTC bus stand. The activity of the day began at 6.00 am ably guided by Dr S G Hiremath, HOD of Community Medicine, Dr R.H.Takalikar, HOD of Physiology and other faculty & post graduates from dept of Community Medicine lead the group activity. All the students actively took part in the programme by mobilizing and sensitizing the community to bring in children below five years to have polio vaccination. Nectar 19 Excerpt from Chief Guest Address by Sri.T.Dileep Kumar, President, Indian Nursing council, New Delhi. “ Nurses are the ambassadors of the hospital. The dual role National Conference on Nursing Adminstration The National conference on nursing administration titled “confluences of nursing administration in practice” was organized by Navodaya School and College of Nursing, Raichur on 5th and 6th of March 2011 at NMC Auditorium. The Conference was inaugurated by Sri T.Dileep Kumar, President, Indian Nursing Council, New Delhi and presided by Sri.S.R.Reddy, Chairman, Navodaya Education Trust®, Raichur. Nurses are the heart of healthcare! Being the heart of healthcare, the nursing practice & administration plays a pivotal role in delivering quality health care all over the world. The conference was rightly arranged to congregate the practice of nursing administration to the nursing professionals. The resource persons were Dr. Sharada Ramesh from Chennai, Dr.K.Laleeta from Bengaluru, Dr.Vasundhara Tulasi from Hydrabad, Dr.Annice George from Manipal and Prof.Prema from Raichur who focused and enlightened on the skills in nursing administration. The conference was an opportunity to learn and interact with experts in the field of nursing administration research. The delegates gained skills in incorporating evidence into nursing practice and imbibe the managerial administration skills in nursing for proficient health care delivery. The two day conference has guest speaker sessions, oral paper presentations and poster presentations from the delegates. The National Conference was attended by 250 delegates from Karnataka, Andhra Pradesh, Tamil Nadu, Kerala and Maharashtra. 20 20 Nectar Nectar carried out by the Nurse should be valued and appreciated. The nurse delivers her both the roles with great dedication and commitment with a solitary goal of serving others and living for others. ” Sri.T.Dileep Kumar, President, Indian Nursing Council in his address in the recently held National Conference on nursing administration appreciated for the topics like Nursing informatics are identified which were truly beneficial in this era of the advent of explosion of internet, which has made nursing fraternity close to many issues. His commitment to the nursing profession is exemplary. His famous line “Nurses are the ambassadors of the hospital” was truly befitting to the profession. It was acclaimed by the fellow delegates in an International Nursing Conference held at Geneva. The Nurses play a vital role in delivering health care to the patients. National Rural Health Mission (NHRM), a flagship program by Govt of India revitalizes rural health care in India. He added that Nurses play a crucial role in achieving the mission of NHRM. The dual role carried out by the Nurse should be valued and appreciated. The nurse delivers her both the roles with great dedication and commitment with a solitary goal of serving others and living for others. NEONATAL ICU Dept of Pediatrics, NMCH&RC The most advanced neonatal unit in this region is inaugurated in Navodaya Medical College Hospital & Research Centre on 12th March 2011. It ushers in a new era of neonatal medicine with state-of-the-art facilities. The 12 bedded Neonatal ICU is equipped with the latest facilities for the newborn. It includes modern adequate ventilators, 12 warmers, 3 units of phototherapy (Double & single surface), multi para monitors, facilities for exchange transfusion, microprocessors for relevant investigations like transcutaneous estimation of biochemical values, ABG, auto inflating blood drawing equipments etc. The initiation of newer therapeutic modalities, artificial lifesupport techniques, dedicated professional team working round the clock and infection control mechanism will decrease the mortality in newborn. The ICU team is highly qualified with experience abroad and is capable of dealing with complicated surgical cases. The department of pediatrics also provides other services like parent & family counseling to explain the short and long term outcome of the condition and the treatment, parent education, child development centre, immunization clinic, child guidance clinic, asthma clinic, obesity clinic etc. International Women’s Day 2011 marks the 100th anniversary of International Women’s Day. The day was commemorated for the first time on 19 March 1911 in Austria, Denmark, Germany and Switzerland. Navodaya College of Education celebrated International Women’s Day on 08th March 2011 by observing the Theme Equal access to education, training and science and technology: Pathway to decent work for women. The Chief Guest of this function is Smt. Jyothi Patil, She spoke about brief history of women’s day celebration. The president of this programme Sri. Veeresh Tiluvalli, he gave presidential address. Smt Suvarna Kulkarni, Smt Ayesha Shabana and Sri Shiv Kumar Patil were present. The observance of Women’s Day cited two reasons: to recognize the fact that securing peace and social progress and the full enjoyment of human rights and fundamental freedoms require the active participation, equality and development of women. Navodaya Teacher Training institute celebrated international womens day along with SSRG women’s college. Senior Lecturer Smt Jayalakshmi Mangalmurthi stressed on the need to educate women in rural areas and education can empower them. She emphasized the govt initiatives and steps to enrich women power in the society. Nectar 21 Science Day Students Union 2010-11 The Students Union of Navodaya College of Education was inaugurated on 23.03.2011. The Chief Guest of the function who garlanded of the photo of maharaja chhatrapathi Shivaji”s done their Pooja . Mr. Murlidhar Puranik, Senior Teacher, Jawahar Nagar Primary School, Raichur inaugurated the students union. He said this forum gives the students a platform to voice their concern and bring forth their suggestions. Mr.Raja Shankar, In charge Principal, Navodaya College of Education emphasized the importance of youth in shaping the future of the nation and the world. This union will be learning experience for the students to be the future leaders. The office bearers of the students union took the oath and they were inducted into the service National Science Day is celebrated by Navodaya College of Education Raichur on 28th February 2011. National Science day (NSD) aims to popularize the benefits of scientific knowledge and practical appropriation in our society. February 28 marks the invention of the “Raman Effect” by the great Indian scientist Sir C.V. Raman on this very day in 1928. The Chief Guest Smt. Suvarna Kulkarni briefed that science has literally redefined the way we live. National Science Day provides a wonderful opportunity to remind us of importance and contribution of science to our society. Scientific innovations have definitely contributed a lot towards welfare of the society. The Vice Principal Mr. Rajshankar in his presidential address explained the advancements in technology is brought out by the pace developments in science. The occasion also gave an opportunity to the future teachers to motivate the students to compete in the field of science. World TB Day- 24th March 2011 On the occasion of World TB Day – 24th march, Department of Community Medicine, Navodaya Medical College, Raichur organized various awareness activities. The highlight was a STREET PLAY held at 3 important locations targeting the patients, relatives & general public. The play was held at OPD Navodaya Hospital, Railway Station Raichur and Bus Station Raichur. The play highlighted the symptoms of TB, sputum examination, diagnosis and DOTS for treatment of TB. Public was made aware of the free facilities for diagnosis & treatment of TB patients. The message for audience was- TB IS CURABLE WITH DOTS. The innovative approach to reach masses was the interaction at the end of play randomly with audience and asking if TB is curable and other questions. On answering the participant was awarded with STOP TB scarf to carry the message in community in the long run. The scarfs were distributed at all the places with a message of STOP TB. The event was organised with support from STOP TB partnership. The global partnership of Navodaya Medical College, Raichur was accepted by STOP TB. The play is an indication of Navodaya Medical College for its commitment to fight TB in Raichur. The video of the play will be forwarded to State Task Force of RNTCP and Central TB division for wide circulation. 22 Nectar Accolades Miss.Pinky.John from final year B.Sc(N) (2006-2010) was awarded gold medal for scoring highest marks in Community Health Nursing in Sept-2010 final examination. She received gold medal at the 13th Annual Convocation of RGUHS held on 30th March 2011. Mr.Pratap Chandra Poudel Reg.No 3NA10EC021 from Navodaya Institute of Technology secured 92.13% in I semester examinationation conducted by Visvesveraya Technological University, Belgaum. Dr. M. Madhumitha, Post Graduate student from Department of Community Medicine, Navodaya Medical College was awarded the best poster award for the topic EATING DISORDER, PERCEIVED BODY IMAGE AND ANTHROPOMETRIC MEASUREMENTS AMONG FEMALE MEDICAL STUDENTS in 55th Annual National Conference of IPHA held on 28th – 30th Jan 2011 at JNMC, KLE University, Belgaum. Mr. Chandramouli, Asst. Prof. Department of Pharmaceutical Chemistry, N E T Pharmacy College, Raichur has been awarded Doctor of Philosophy in the faculty of Pharmaceutical Sciences by the Jawaharlal Nehru Technological University, Hyderabad, Andhra Pradesh for his thesis entitled “Synthesis and Evaluation of Bioactivity of certain Novel Heterocyclic Compounds of Medicinal Interest. He carried out his research work under the supervision and guidance of Dr. R H Udupi, Prof. & HOD, Department of Pharmaceutical Chemistry, N E T Pharmacy College, Raichur. Rajiv Gandhi University of Health Sciences (RGUHS) had selected two students Mr.Pavan Singhal and Ms.Sapna Kabade of Navodaya College of Physiotherapy to represent RGUHS from the Karnataka region in the National Youth Convention & Suvichar in National Youth festival, 2011 organized at Udaipur (Rajasthan) from 12-16 January, 2011. Nectar 23 The making of Regale The ecstasy creaks open, Dreams & reality converge, The world ablaze, An unnerving craze, Heart beats rise, The mundane dies, A colorful diaspora, A musical capella, Four nights commanding the glory of day, Its adrenalin pumping all the way !!! We smile, we rejuvenate, we rejoice. Its Net’s Regale 2011! 26th January 26 2011. With the Republic day celebrations coming to an end, the students were anxious to know of the Net’s Regale dates as they were eager to witness the battle for glory and glamour. (For those with sinister designs, it was a strong reason to bunk the classes?!!) No official declaration of dates left some worried as they were thinking of having unofficial vacations in February! 02nd February 2011 The first meeting for fourth edition of Net’s Regale was held on 02nd Feb 2011. The celebration dates for Net’s Regale (23rd to 26th Feb 2011) were officially announced, earmarked in the calendars, 14 committees were formed, Chief Guests were confirmed, schedule for the next 20 days drawn and the final four days of program were underway. The fire swept through all Navodaya and the spirit of Regale were seen in all the corners. This Net’s Regale was geared up by 14 committees which included 189 of members of the faculty from all the institutions run by Navodaya Education Trust and 278 student volunteers. They played a commendable role and they shouldering their responsibilities bravely, truly drove this edition of Net’s regale to a grand success. Each day in the month of February was astounding, as the committee members and volunteers literally battled with all 24 Nectar brains to bring out their best in this season. Meeting the assigned tasks before the deadlines with perfection was a mandate to all committees. The student volunteers and members from all the colleges of Navodaya Education Trust ® spearheaded the show and rendered their selfless service. The sports & cultural committee had a very tough time to chart their events and complete their programs within 20 days. The students of NET were busy in running between the grounds, LGs* a nd audi *for sporting and cultural competitions. The inter collegiate cultural dates were announced after intra college competitions leading to an adrenalin rush in each Navodian. The audi was jam packed for each competition and the Dis.Co* had a tough time during the inter collegiate competitions to cool the hotttt crowd. Each competition was charged as the contestants on stage and their fellow students behind the scenes vied for the Smt.Yasodhara Reddy Trophy, the overall championship trophy for the culturals. Besides this, the sports committee rushed into action on 22nd Feb 2011 at the UAS grounds for the athletic meet. Each college practiced their parade drill well in advance to steal the show. As though by default, Nursing students got the best March title with their elegant uniform and synchronized march. To everyone’s surprise, Physiotherapy College and Dental College students were seen in their uniform team dress this year. This season witnessed some unusual turnouts with the day dawning by 06.00 AM for sports practice as most of our boys see the sunrise only in February. All rushed to their respective colleges for cultural practice by 09.00 AM, with the LGs being given off for the lectures and on for cultural activities & practice and discussions about the cultural till evening. The high level committee headed by our Chief Patron oversaw the intricate details of all the committees and about 29 meetings were conducted at various levels for accomplishing excellence. The photo session adventure of all committees and outgoing batches made the open air theater a festive atmosphere and it was an emotional get together for all committees. Rehearsals in Regale are inevitable. Every formal ceremony was rehearsed well in advance to avoid any form of catastrophe on stage. The lamp lighting ceremony, graduation, formal and informal anchors , invocation, medal & prize winners on stage, ramp shows and many more were rehearsed in the shimmering sun to attain pure perfection. The celebration days approached nearby and Navodaya girls became a daily sight at Raichur’s beauty parlors. The parlors justified their services and we witnessed some pretty faces in February. A press meet was called on the 20th of February by the Reception committee to brief the Net’s Regale events and the flames that engulfed Navodaya spread to Raichur too. The same day, the first issue of Nectar was released by our Chief Patron Shri.S.R.Reddy during the intra collegiate prize distribution program. The Regale banners sprouted in and around the campus. The Regale Rockets were launched at the entrance of Navodaya Medical College. The entire campus was bathed in light, marking the beginning of the celebrations and a sense of jive started flowing through the blood vessels of each member of the Navodaya family, heralding the celestial performances that were to come. And finally, the D Day arrived……. The volunteers of all committees were on their heels from decorating the reception counter, running up and down to confirm the cultural schedules and get their audio tracks, Chief Guest arrivals, supervising the dining section, stage management, Venue arrangements, seating provisions and many more. The podium, pounding speakers, focus lights took their respective places and the stage was set for four days of non-stop entertainment….. LGs* - Lecture Gallery, Audi * - auditorium, Dis. Co* - Disciplinary Committee Thanks to Dr.Vineeth Mathew John, CRHS, Navodaya Medical College for his contribution in compiling this article. Nectar 25 Inaguration & Lamp Lighting Ceremony The flamboyant curtain raiser of Net’s Regale was in a fully charged evening with few drops of dew providing a soothener. The melodious music in the air, fragrance from reception roses, students in the best of their attires, young Florescence Nightingales in their uniforms, guests and parents in front rows, the Chief Guests in the campus, students for invocation practicing their ragas in the back stage and all hearts waiting eagerly with the countdown having started in their souls. Although one of the MCs arrived late, the organizers managed to go on with the formal inauguration without a glitch. The fourth edition of Net’s Regale was inaugurated by Dr.S.Ramananda Shetty, Hon’ble Vice Chancellor of the RGUHS, Bangalore. The hydrogen filled white balloons going up in the air and fire shots illuminating the evening sky with splendid colors providing the perfect back drop for a grand inauguration of Net’s Regale’11. Although students found it difficult to keep themselves down on their chairs, eagerly waiting for the cultural programs to begin, Dr.Shetty & Dr.Aruna, the Chief Guests addressed the gathering. Excerpts from Dr.S.Ramananda Shetty Speech. Life is a learning experience. Learning is just doing better than yesterday. Success is reachable when we learn everyday in our life. The Present generation of students are wellinformed but raw-informed. Their exposure to present day information of an enormous magnitude make it all, raw data. The raw information is transformed into knowledge, only by the eminent faculty. Today we are in the era of science. The Knowledge of science has to be directed towards humanity, and then the society will accept us as a health profession and professionals. 26 Nectar Excerpts from Dr.A.R.Aruna Speech. Knowledge is power. Institutions imparting education and knowledge are temples. The institutions should achieve the goal of imparting high quality of education to build resourceful human resources. Dr.A.R.Aruna, Director of Medical Education, Govt of Karnataka also released the Net’s Regale’11 souvenir on this very day. She was also the Chief Guest for the lamp lighting ceremony of I year Nursing students. The Chief Guests distributed the medals to the academic toppers and inter collegiate sports winners. The Sri.S.Rajeswara Reddy Trophy for over all championship Trophy in Sports was bagged by NET Pharmacy College with 604 points. The students and faculty from NET Pharmacy College received the trophy to the tune of thunderous applause from the crowd. The cultural event of dhol, dance, drums, dhamaka, zeal and fervor, took centre stage after the formal inauguration. Every individual talent bloomed, mind replenished, and soul encored with serenity. This day was one which carried with it a real lot of punch. An eclectic mix, its showcased a Cheraw, the bamboo folk dance from the Mizoram, North East India, Bharatanatyam from the South and other forms of performing art. Although all performers were at their charming best, one show which was a niche above the rest was a play “Once upon a time in Mumbai” by Mr.Rakshit & group from Navodaya Medical College captured the audience. The multilingual play took the audience to Pakistan, Hyderabad, Raichur & Kallur. The play was a huge hit for its sensible theme, conveying a message through its dose of hilarious comedy. The first day of fun & frolic came to an end on a very high note. Graduation Day Ceremony The fourth graduation day ceremony of Navodaya Group of Institutions was celebrated on 24th Feb 2011.The colorful graduation ceremony was a day etched in gold for the graduates from seven Institutions of Navodaya Education Trust ® Raichur. Dr.Anil Kohli, President, Dental council of India was the Chief Guest and the executive members of Dental council of India were present during this momentous occasion. The graduation ceremony was presided by Shri.S.R.Reddy, Chairman, Navodaya Education Trust ® Raichur. The graduation procession started from central library with the ceremonial music band leading them from front. The welcome address & academic report was delivered by Dr.S.R.Hegde, Medical Director, Navodaya Medical College. The Chairman of Navodaya Education Trust Shri.S.R.Reddy formally opened the graduation ceremony. Dr.T.Srinivas, Registrar, Navodaya Education Trust requested each of the Principals to admit their graduates to receive degrees from the Chief Guest. 245 graduates received their degrees in person from the Chief Guest. They include 21 graduates (I batch students) from Navodaya Dental College & Hospital, 77 graduates from Navodaya Medical College, 06 graduates from Navodaya College of Bio-Sciences, 35 graduates from Navodaya College of Education, 75 graduates from Navodaya College of Nursing, 17 graduates from NET Pharmacy College, & 14 graduates from Navodaya College of Physiotherapy. Excerpts from Graduation Day address by Dr.Anil Kohli, President, Dental council of India, New Delhi. Each human life is studded with landmarks. This day is a landmark in the lives of graduates, where an educational qualification is marked with success of their hard work and support from parents. The graduates who received their degrees today have a bound duty to serve the people and humanity who are in need. Excerpts from Presidential address by Shri S.R.Reddy, Chairman, NET “We must remember that intelligence is not enough. Intelligence plus character -- that is the goal of true education.” The knowledge imparted in Navodaya should be blended with their character to make a difference in the lives of their selves and of others. Given the current global environment, our institution of higher education prepares the graduates to face a host of moral, ethical, intellectual and cultural challenges in the new realities of our world. The eldest is respected in his house The Headman in his village A king is respected in his country But the learned everywhere! These 245 graduates, the ambassadors of Navodaya will surely keep the flag of Navodaya flying at full mast. Nectar 27 in Symphony Nite This season of symphony nite was charged and it electrified the crowd with high octane performances by Beat Gurus. As the name, they are the perfect gurus in their beats. Their show was a scintillating hit among the crowd, driving them mad. It was a first ever experience in Navodaya which took all to an ethereal world. The band started with slow and steady beats, Green Rhythm which had the crowd reacting less. Then it was the Highway to Madagascar, dedicated to the Beautiful Girls of Navodaya, which had the feminine half of the crowd screaming more than the boys. (Attention Dis.co! Navodaya boys are disciplined; depute more girl volunteers for next season) Exhilaration & excitement was at feverish pitch and every hearts raced to the beats of Madagascar. The next one was the ultimate treat, the Djembe beats. The Djembe drum is a West - African hand drum, shaped like a large goblet and meant to be played with bare hands. Djembe comes directly from the saying “Anke dje, anke be” which literally translates to “everyone gather together” and defines the drum’s purpose In the Bamanakan language. The beats of the drums 28 Nectar were lost in rapturous enjoyment as the crowd went banging the benches and shouting to cheer the performers on stage. When all this was happening, the management was concerned for the benches. A sudden influx of the dis.co pacified the crowd. Afrindo was the next performance in which the African instruments played Indian grove folk Dabbangutth. It was a perfect blend which left the whole of Navodaya screaming, blaring with ear spitting sounds & dancing on the floor. The crowd was floored completely. The band went to bid adieu after Afrindo and the “once more!” demands from the audience went piercing the sky. The Beat Gurus obliged and played Highway to Madagascar once again. The performance by Beat Gurus was a perfect hit and the spectators were spell bound. We pity on the guys who missed this show in Regale as it was an experience to be cherished and relished. Will Beat Gurus rock Navodaya in 2012?!!!!! Euphoria Emotions galored.... Enlightenment channelized to the floor! We broke the horizons and unleashed the creativity! The much awaited event in Net’s Regale is Euphoria, which unfolded on 25th Day of Feb 2011. Every soul in Navodaya eagerly waits for this day, as it culminates the best of talents from the students of Navodaya. Dr.B.V.Patil Hon’ble Vice Chancellor of University of Agricultural Sciences, Raichur was Chief Guest for this occasion. The Chief Guest in his address accentuated the importance of such functions. He added such events rejoice & refresh everyone to the core in the campus. He related agriculture & health, which drives the nation to its prosperity. The Chief Guest distributed the medals to the cultural winners. The students and faculty from Navodaya Medical College received the Smt.Yasodhara Reddy Trophy , overall championship trophy for the culturals for the second time. The audience were waiting for the formal function to be completed and waiting for the real action packed entertainment. It was EUPHORIA…. The cultural extravaganza of Euphoria took centre stage with soul stirring melody from Mr.Abhijeeth from Navodaya Medical College & Ms.Niharika from Navodaya Dental College. Each performances was unique traversed from North to South, east to west and across the globe bringing the cultural showcase of Navodaya. Bharathanatyam from South, Bihu from Assam, North East India & Manipuri Dance was feast to the eyes. Among those performances, the skit “Where are we Safe” by Mr.Trambak & Group from Navodaya College of Physiotherapy was show stealing. All faces were smiling in the start, particularly watching Mr.Pawan’s Performances and in the climax it was Mr.Trambok’s turn, which made some eyes to weep. The third day of Net’s Regale witnessed the best spectacular performances. Nectar 29 Sangama Sangama exhibited an exemplary sense of integration and harmony in Navodaya. Navodaya & Sangama, the cluster of talents and classical Enthusiasts, celebrated the fortitude of Navodaya and classical performances on the 26th day of February 2011. The thunderous atmosphere and the surge of adrenalin continued as Shri.Pravin Godkhindi performed with his Krishna Fusion band in this sangama. This fusion band is focused around the magnificent instrument called the �bansuri’ or the bamboo flute. Pravin picked up a raga in the traditional aalaap with the wonderful ambient backing of the keyboards and the guitars. Gradually he moved onto a rhythmic aalaap wherein the strumming of the rhythm guitar, the bass guitar and the subtle accompaniment of the western drums, adding colour to the rhythmic expressions of Pravin’s flute. And when they concluded the improvisations in a crescendo, the audience was spellbound and ecstatic. The next performance was by Nirupama & Rajendra from Abhinava Dance Company. The dance duo performance in 2009 season was still in our eyes and hearts. 30 Nectar Smt. Nirupama rightly said “Dance is a joyous experience as it unleashes a vibrant energy source from within, revitalizing the body and enriching the mind and spirit.” The dance couple along with their troupe performed a spectacular Dance celebration, Sambhrama in this season. The sambhrama was based on the Indian dance tradition of Kathak and Bharathanatyam. The composition of Raslila, an ideal classic of Abhimanyu in the Chakrayuha retold through dance, celestials, colors, The show evolved its own distinct style of presentation by fusing ethnic and modern genres of dancing. The musical compositions are a confluence of traditional Indian classical music with a wide range of global music that includes Jazz, Spanish and World Music. Each dance composition was carefully crafted with intricate detailing in synchronization, choreography patterns, thematic costumes and suitable light & stage effects. All this marked a spectacular ending to a season of ecstacy and merry making. Paper Presentation DIABETES AND DEPRESSION: IMPACT OF DEPRESSION ON SELF-CARE AMONG TYPE 2 DIABETICS Dr. Ayesha S. Nawaz* Dr. Abhay Mane, Dr. S.G. Hiremath, Dr. Niranjan Paul Department of Community Medicine Navodaya Medical College, Raichur 55th National Conference of IPHA held on 28th – 30th Jan 2011 at JNMC, KLE University, Belgaum OBJECTIVE: To study the prevalence of depression and its impact on self care among type 2 diabetic (T2DM) patients. BACKGROUND: Diabetes is among many chronic medical conditions that appear to be adversely affected by co-morbid depression. The available literature suggests that clinically significant levels of depression are associated with a range of poorer self care behaviours like non adherence to diet, exercise and prescribed medications. MATERIALS & METHOD: Study population patients with established Type 2 Diabetes Study Area: UHTC. Sample Size: 166. Study Design: Hospital based cross sectional study. Study tool: A predesigned questionnaire based on Summary of Diabetes Self-Care Activities (SDSCA) & Patient Health Questionnaire to assess depression. RESULTS: Mean age of study subjects was 54.8 years and mean duration of diabetes was 7.5 years. Majority of them (81.9 %) had checked the blood glucose levels within last 3 months. Only 18.7 % of diabetics had done HbA1c test. 77.7% of diabetics were on oral hypoglycemic agents. Depression was found in 28.3 % of participants. Non adherence to treatment, smoking, decreased physical activity was significantly associated to having depression (P< 0.05). CONCLUSION: This study showed high prevalence of depression in patients with T2DM. Physicians caring diabetes patients must recognize and manage co-morbid depression. EVALUATION OF NOOTROPIC ACTIVITY OF PUNICA GRANATUM FRUIT JUICE IN MICE Mr. Satveer Jagwani* Mr.Shivraj Kulkarni Mr. Shivkumar & Dr. Bheemachari Department of Pharmacology, N.E.T.Pharmacy College, Raichur 3rd Indian Pharmaceutical Association Convention -2011 at Indore, Madhya Pradesh on 20/02/2011 Punica granatum, commonly known as pomegranate, belongs to family Punicaceae. The Punica granatum fruit juice is reported to possess anti-oxidant, neuroprotective, anti-cancer, anti-inflammatory, anxiolytic and antinociceptive activity. The present study deals with nootropic activity of Punica granatum fruit juice in mice. For the assessment of learning and memory, the following three models like Passive avoidance response, Elevated plus maze and diazepam induced amnesia were selected. The test and standard groups of mice (n=6) were treated with juice (100 mg/kg and 400 mg/kg p.o) and Piracetam (250 mg/kg p.o) respectively. Phenytoin (25 mg/kg p.o) was used to produce amnesia in Passive avoidance response model, in which a protection was observed with all the parameters tested like latency to reach shock free zone and step down error in 15 minutes with juice treated mice. In elevated plus maze model, the animals showed significant decrease in transfer latency that is increase in inflexion ratio as compared with the control group, which is an indication of the enhanced cognitive effect. In diazepam (2 mg/kg p.o) induced amnesia, mice showed prolonged transfer latency from the open arm to the closed arm. Hence, the present study concludes that, Punica granatum fruit juice possesses significant nootropic activity in validated animal models of amnesia. This could be due to the presence of various phytoconstituents like flavonoids, saponins and tannins. Perceived stress, sources of stress and coping strategies among medical paramedical and non medical undergraduate students A cross sectional study Dr. Krishnakumar M.K * Dr. Abhay Mane Dr. S.G. Hiremath Dr. Niranjan Paul Department of Community Medicine, Navodaya Medical College, Raichur 55th National Conference of IPHA held on 28th – 30th Jan 2011 at JNMC, KLE University, Belgaum OBJECTIVE: To examine perceived stress and explore the sources of stress and the coping strategies adopted by students studying different courses. BACKGROUND: Medical education is perceived as being stressful with negative effects on students’ mental health. Pre-vious studies showed relatively high levels of distress among medical students such as symptoms of depression1 and suicidal thoughts.2 Few studies have tried to explore the stress among medical students and compared with non medical students. MATERIALS & METHOD: Using Stratified random sampling method, data was collected from 283 students studying different courses in Navodaya campus through an anonymous self-administered questionnaire covering sociodemographic data, stressors and perceived stress scale. Nectar 31 Paper Presentation RESULTS: The prevalence of perceived stress by using PSS scale was 53.9 % in study subjects. No statistical difference was noted in perceived stress between male and female students (P> 0.05). Mean PSS score was highest in dental (29.51) and lowest in pharmacy (23.20) students. The difference in the mean PSS scores among students of different courses was statistically significant (P- 0.021). The main sources of stress were found to be related to physical and academic factors. The main coping strategies adopted were talking to family member/friend (41.1%), sleeping (16%), watching TV/ movie (12.6%) and listening to music. 47.2% students felt a need for professional help during stress. CONCLUSION: High levels of psychosocial stress were found in students. PATIENT RELATED DETERMINANTS FOR NON-ADHERANCE TO ANTI-RETROVIRAL THERAPY AMONG HIV INFECTED PATIENTS. Dr. Leyanna S George* Dr. Abhay Mane Miss. Aji Michael Dr. S.G. Hiremath Dr. Niranjan Paul Department of Community Medicine Navodaya Medical College, Raichur, Karnataka 55th National Conference of IPHA held on 28th – 30th Jan 2011 at JNMC, KLE University, Belgaum OBJECTIVES: 1. To identify the patient related determinants for non adherence to ART 2. To study the awareness of consequences of optimal adherence and non adherence. BACKGROUND: It is estimated that about 4.2 million people live with HIV infection in India. Adherence to ART is an essential component of individual and programmatic treatment success. Adherence rates exceeding 95 % are desirable in order to maximise the benefits of ART. There are limited studies on levels of adherence and determinants of suboptimal adherence to treatment. MATERIALS & METHOD: STUDY DESIGN: Cross sectional descriptive. Information was collected from 50 HIV infected adults attending the Community Care Centre who were on antiretroviral therapy for more than 6 months. Information was collected on predesigned schedule by the counsellor who interviewed the attendees under strict confidentiality. Information on their socio-demographic profile, ART and reasons for nonadherence to ART were obtained. 32 Nectar RESULTS: The mean age of ART users was 36.8 years. Mean duration of ART use was 23.8 months (SD-15.8). 90 % of them had missed doses on two or more times since start of ART. Adherence of > 95 % was noted in only 82 % of users. Reasons for defaulting were health problems (47.5%), financial (22%), side effects of drugs (13.6%). Most of them (92%) received support from family member for ART adherence. CONCLUSION: A significant proportion of patients defaulted from ART treatment. STUDY ON DENTAL FLUOROSIS AMONG PRIMARY SCHOOL CHILDREN IN FIELD PRACTICE AREA OF RHTC, NAVODAYA MEDICAL COLLEGE,RAICHUR Dr. S Revathi * Dr. Abhay Mane, Dr. S.G. Hiremath Dr. Niranjan Paul Department of Community Medicine Navodaya Medical College, Raichur, Karnataka 55th National Conference of IPHA held on 28th – 30th Jan 2011 at JNMC, KLE University, Belgaum OBJECTIVE: 1. To assess the prevalence and severity of dental fluorosis using Dean’s index. 2. To compute community fluorosis index(CFI) BACKGROUND: Fluoride plays an important role in preventive dentistry due to its cariostatic potential. However, excessive intake of fluoride leads to dental and skeletal fluorosis. Fluorosis continues to remain a challenging national dental health problem as it is endemic in 15 states of India including Karnataka2, 3. Dental fluorosis is the most sensitive sign of prolonged high fluoride exposure4. MATERIALS & METHOD: A total of 322 children who were residents of the study area since birth were examined to identify presence of dental fluorosis and grade it using Dean’s index.CFI was computed by summing the individual grades and dividing by the total sample size. RESULTS: The prevalence of dental fluorosis was 30.4% in study population. The prevalence varied between schools. The calculated community fluorosis index was1.70. The prevalence was higher in children who consumed ground water. Dental fluorosis increased with age upto 9 years. No gender difference was found (P>0.05).63% of children with dental fluorosis had no caries. CONCLUSION: Necessary steps to be taken by authorities to provide partially defluoridated water for drinking purpose. Paper Presentation OBESITY AND ITS CORRELATES AMONG ADOLESCENT SCHOOL GOING CHILDREN IN URBAN AREA. In Memory Dr. Abhay Mane* Dr. S.G. Hiremath Dr. Niranjan Paul Department of Community Medicine Navodaya Medical College, Raichur, Karnataka 55th National Conference of IPHA held on 28th – 30th Jan 2011 at JNMC, KLE University, Belgaum OBJECTIVE: To study the prevalence of obesity and its correlates among adolescent school children. INTRODUCTION: Obesity is associated with increased risk for cardiovascular disease, diabetes, cancer, depression, discrimination and weight-related bias. Studies on urban Indian schoolchildren from selected regions report a high prevalence of obese and overweight children. In addition, studies on Indian school children have also demonstrated that the prevalence of hypertension in overweight children is significantly higher than that among normal children. MATERIALS & METHOD: A cross-sectional study was carried out that included 600 school children in the age group of 12–18 years. Informed consent was obtained from school authorities to make anthropometric measurements from the children. Height and weight were measured using standard procedure and BMI (kg/m2) was calculated. Overweight and obesity was assessed by BMI for age. The questionnaire assessed life style, physical activity, sleep, dietary habits. RESULTS: Age-adjusted prevalence of overweight was found to be 7.7% whereas the prevalence of obesity was 3.3%.Hypertension was found in 10.9% of overweight and 75% of obese children. Weight showed positive correlation with both systolic and diastolic blood pressure. Obesity showed significant association with family history of obesity, physical inactivity, fast food intake. CONCLUSION: Early interventions in school settings will reduce overweight and obesity which might affect multiple objectives. “NEETHU” IN ALPHABETS AMBITION was your strong intention BLOWING knowledge was your only desire CURIOSITY of knowledge was your attitude DYNAMIC personality was your destiny ELEGANT smile was your only weapon FORTUNATE we became to have you as dear friend GENEOUS by nature made you special among us IDEAL you were to your family & friends JOYFUL always was how you lived KIND hearted was your heavenly gift LOYALTY was another feather of your nature MODESTY that made you more beautiful NEETHU you were christened Oh! My friend life without you is so meaningless; You are so precious, unforgettable Perhaps that’s why “our heavenly father” Took you in his arm to make us know how uncomparable you are Here we are To accomplish a dream A ambition of being an asset of our institution In all our hearts you’ll always live and continue to inspire Nectar 33 Out Reach Activity: Making the difference in Health Care The huge gap between access to quality to health care and under privileged population exists everywhere. Navodaya Education Trust (R) always bridges the gap between the quality health care and poor ever since its inception shouldering the social responsibility. Reaching the unreached is a boon for the under privileged and went tend to change the lives of the poorer sections of people at their door step. This is being facilitated through regular conduct of free health camps, awareness program & health campaigns. Date Total Persons Attended Referrals School Health Check up Maliyabad 30/03/11 442 142 189 Tuntapur 24/03/11 277 131 127 Mamadapur 16/03/11 383 153 149 Kurubadoddi 08/03/11 441 164 85 Garaladinni 18/02/11 501 170 172 Midagaladinni 08/02/11 409 232 169 Mallapur 28/01/11 394 130 1 08 Marchatahal 18/01/11 348 133 172 Mirzapur 12/01/11 Place of Camp Total 34 Nectar 434 181 108 3629 1436 1279 Sri Rajeshwara Reddy Sports Trophy A fit body with a healthy heart & a sound mind is what everyone aspires for, in this tech-frenzy world of today. Sports and athletics play a vital role along with education to ensure this. The feeling of comradeship, a sense of belonging, mental discipline, physical rigor, and the journey to glory is something a champion knows by heart…knows its worth. Without a doubt, the qualities developed in the process will help make a better and able person out of our past �selves’. Keeping this in mind, Navodaya group of institutions (NET), like every year organized the grand ceremony “Net’s REGALE’11 which besides projecting the academic and cultural talents of its students, also appreciates the talents and abilities in various sports and athletic events. Various sports like volleyball, cricket, table tennis, badminton, throw ball etc. including track and field events like 100m, 200m, 400m, 800m, long jump & shot-put were included in this grand sports meet where students from the respective institutions of NET participated and competed to bring home the glory and shine among others. Under the captaincy of ever zealous Hitesh & some great shots by Kabin, NET Pharmacy College had broken the deadlock of not having won the volleyball tournament against Navodaya Nursing College boys since past 3-4 years, by winning in straight sets 2-0. In the girls’ volleyball, Nursing College bagged the gold showing good dominance. By winning both men’s and women’s Table Tennis and women’s Badminton, NET Pharmacy College consolidated their position at the top. Navodaya Medical College girls bagged the gold in women’s throw ball. With some eye catching performance by capt. Sabir , Srikanth, Sandeep, Kreethi & the never give-up attitude of the rest of the team, NET Pharmacy College won ’11 Cricket tournament against Navodaya Medical College in the finals. A tough match played and Pharmacy Boys once again made it clear that when it comes to taking wickets and scoring runs, they are the ones to beat. Track and field events where every second counts, where the athlete needs that bit of extra speed, alertness, power & technique, with a cool mind to complement it all…to emerge as the winner ; to be the victor. This was where Salman & Tasneem from Navodaya Dental College showed the heart and came out on the top to bag some gold. With all the events concluded, NET Pharmacy College won the overall Championship Trophy in both Boys’ and Girls’ category and stood proud. The victory never tasted this sweet. So heads up, BOYS and GIRLS!!! ( You all know who I’m talking to, right?) Be proud, you earned it. NET has its own share of hidden talents, raw diamonds not yet seasoned and vast pool of sportsmen with lots of potential. Bringing in more quality sports facilities and including varieties of sports in annual sports meet would definitely inject freshness and dynamism to this exciting and adrenaline-filled event. We, the students of NET Pharmacy College wish our fellow students from other institutions, the Best of Luck and urge them to bring in their best because in our next face-off, we will be all the more eager to take the challenge to the next level and prove our worth. Till then, Adios…amigos!! Bigyan Gurung, Bishal Marasini, Kabin Maleku III B. Pharm Nectar 35 Smt. Yasodhara Reddy Cultural Trophy If there was to be an assumption that doctors were wed to their books, the Regale-10 witnessed a rebellion from budding doctors to this common notion. The Navodaya Medical College was crowned Champion for the first time in the history of the Navodaya family. History decided to repeat itself this year too!! The Medical College family overcame a spirited attack from its sister institutions to bag the top honours this year, yet again. The run up to the intra-college and inter-college competitions; and the participants’ performances in both the competitions was one that reminded us all, of the close knit ties that we share. All of us in the college played our own roles to make it a point that the overall cultural trophy comes to us alone and the flag of NMC flies higher than the others. The supportive group of faculty co-ordinators and bubbly student representatives laid out a well chalked out plan. As the life of a medical student is bound to be tiring and action-packed day in and out, the first thing that the cultural committee did was to reassure all that the programmes were to be a break from their hectic schedule and not interfere with their academics. With this, the talented lot volunteered to put in their best to make a difference to this ultimate goal. Within a short span, medicos turned themselves into dancers, singers and the like. The ones who did not have the guts to go on stage, cheered the teams off-stage. All in the family realized that they had a role to play and the camaraderie and bonhomie which is part of the Regale was best exemplified in the conduct of the Navodaya Medical College Family, a part of the extended and larger Navodaya Family. In the wings of the competitions, all of the cultural committee held regular and short parleys comprising of the entire team at the helm or smaller friends’ circles to evaluate of 36 Nectar how we were doing in the competitions. This gave the participant-medicos a frank opinion of their strengths and weaknesses and also edged them on to give their best. There were hectic calculations as to where we could make a lead if we fell short in another event. This kind of planning, co-ordination and a support base at the top and its fine execution at the grass roots led to the final cheer coming our way, the Cultural Trophy falling in our kitty!! What could be better than this feeling of being a part of this group of winners? Well, looking at our faculty and student representatives lift the trophy on that day of joy and festivities was indeed confetti raining down into our lives one more time!! Cheers, NMC!! Rock on! Dr.Vineeth Mathew John, CRHS, Navodaya Medical College Students Contribution SPELL BOUND BEAUTY – KERALA Our corridor of NET girls hostel was fluttering as never before with loads of excitement with frequent yelling of the word �tour’. We were eagerly waiting for the clock to struck 4 in the morning and by no time the corridor stepped down into the lawn to start the most awaited journey of �tour’. We were wrapped in our overcoats for the morning chills and amidst the fog we could recognize the bus approaching us, which sparked out every eye. Within a spurt of moment we were in Udyan Express. The compartment was filled with flashes of cameras, singing, playing and hours were passing as minutes and at coimbatore we shifted ourselves into the bus and by next morning we were in Kerala. SPLENDID MUNNAR I was forcefully woken up from my tiredness by the hair pin bends of the roads and I saw my friends turned out to the window starring at those picturesque live green carpets of tea valleys which left us unvoiced. We found ourselves in the heart of Munnar, a hill station in Kerala. Our stay was arranged in SN tourist house where we quickly refreshed up and set out for site seeing. Initially, we were taken to the flower garden which bloomed our hearts and we, being pharmacy students; were more interested in getting acknowledged with the botanical background of the plants. Later, we whizzed through a scenic way towards and a weir and echo point and found our way back home. Our dusk was meant for shopping where the stores were enriched with traditional fragrances of tea, spices, ayurvedic oils. WILD LIFE EXPERIENCE On day two, we were destined to �Periyar Tiger Reserve’ located in thekkedy. On our way, the aesthetic valleys made us feel that we were almost in the stratosphere with low clouds surpassing the botanical valleys. In Periyar, we had two options to explore it – one was by trekking and the other was boating through the forest. Time factor led us to choose the latter option. We were life jacketed and it was an adventurous trip of 2 hours guided by forest experts. Each eye as curiously striving hard to find the wild animals in those dense woods where we saw bisons, elephants, dears, wild pigs, seasonal birds……. It was a little embarrassing that tigers were not seen. The guards informed us that the tigers were not seen from past two weeks which consoled us a bit. MESMERIZING ALLEPPEY It was a natural beauty of back water and house boats. The andhra students were especially looking forward for this place as Alleppey was very popularized for its scenic beauty in a telugu movie �Em Maya Chesave’. Our stay was arranged in hotel Raiban. We set out for boating in back water which is most attention dragging completely filled with house boats. We had a great experience of 3 hours in the Arabian Sea, where we were also taken to an island for our call of appetite. By the dusk of the day we relaxed our souls by sea shore of Alleppey beach and enjoyed the beach festival by which we could come to know the tradition and culture of Malayalis. This was how the day ended floating in Malayali tradition with boats and festivals. INDUSTRIAL VISIT Being an industrial tour we were taken to �Kerala drugs and pharmaceuticals’ in Alappuzha. After gaining entry we were guided by Mr. Santosh, an in work pharmacist along with our lectures, Mr. Shivanandand Mr. Jafar. We were pleased by the decorum of Mr. Santosh. Here in, we could gain practical knowledge on various pharmaceutical operations of paracetamol, cetrizine and amoxicillins and various parentrals. ULTRAMARINE KOVA LAM Kovalam - one of the famous beaches in Kerala and an exotic tourist spot. Journey to Kovalam was euphoric and most memorable. Everyone tuned their feet to the rocking music in the bus. None could resist themselves from being a part of it. The bus reached Kovalam and we were very excited to get into it. Though we were ravenous we had a quick incomplete lunch to get the beach. On the shore each wave that touched our feet made us involuntary get into it. SPINE-TINGLING VEEGA LAND We were taken to Veega land – one of the biggest amusement parks in Kerala and the day was completely ours. There were a lot of events to entertain us and none were ready to waste a single in vain. One could never forget those trembly moments in the rides which made us upside down. The water park was too exciting with lidos and astonishing water glides which turned us childish. In the evening each one of us were defaced but were cherished with contentment. COCHIN We had another boating experience in Cochin too where we visited 7 islands and a sea port. We were passing by huge cargo ships and liners which made our boat even tiny. At one of the islands, we visited a Portugal museum and came to know the historical background of the city. The weak passed out just in a glance and it was time for us to depart from Kerala with our sun kissed faces & unforgettable memories and also came to know more about the Malayali Culture. Sruthi Sayyapa Raju B.Pharm 4th Year Net Pharmacy College Nectar 37 Poster Presentation EATING DISORDER, PERCEIVED BODY IMAGE AND ANTHROPOMETRIC MEASUREMENTS AMONG FEMALE MEDICAL STUDENTS. Dr. M. Madhumitha Dr. Abhay Mane, Dr.S.G.Hiremath, Dr.Niranjan Paul, Mr.R.S.Patil. Department of Community Medicine, Navodaya Medical College, Raichur, Karnataka-584103(INDIA). 55th National Conference of IPHA held on 28th – 30th Jan 2011 at JNMC, KLE University, Belgaum BACKGROUND: Eating disorders are among the most common psychiatric disorders in young women and are associated with serious medical illness affecting cardiovascular, endocrine and gastro intestinal systems. Westernization and urbanization has increased the prevalence of eating disorders in developing countries also .The fact that media portrays celebrities and models as being stick-thin makes situation even worse leading to unhealthy eating behavior. AIMS AND OBJECTIVES: 1. To find the prevalence of eating disorder in female medical students using SCOFF scale. 2. To know what are the perceptions of body image among them. 3. To study the role of anthropometric measurements with body image and eating disorder. MATERIALS AND METHODS: A cross sectional survey was undertaken from 176 Female undergraduate medical students who were willing to participate in the study and data was collected from them using a pre-designed questionnaire and SCOFF questionnaire. The SCOFF Questionnaire is a valid and reliable screening tool for detecting the existence of an eating disorder The question focus on some key symptoms of anorexia and bulimia .BMI was calculated as the ratio of weight (kg) to height square(m2). RESULTS: Out of the 176 students who had participated in this study, prevalence of Eating disorder was found to be 44.9% using SCOFF scale. Among people with eating disorder 75.9% were having normal BMI,21.5% were overweight and 2.5% were under weight.70.5%were satisfied with their body image.29.5% were dissatisfied with their body image. Among the dissatisfied, 71.5% had normal BMI,26.92% were over-weight and1.92% were underweight. CONCLUSION: Prevalence of eating disorder was found to be high among female medicos and screening may identify the females at risk. Early intervention could prevent the complications of dissordered eating. 38 Nectar STUDY OF PSEUDOMONAS AERUGINOSA ISOLATED FROM URINE AND ITS ANTIBIOGRAM PATTERN Dr. Amar C Sajjan Dr.Achut Rao, Dr(Mrs)V.V.Mahalakshmi Dr. Vinay Hajare Dr.Jagadeesh.V.S. Department of Microblology,Navodaya Medical College. Raichur. “XV Annual Conference Indian Association of Medical Microbiology Karnataka Chapter”, which was held in Feb. Pseudomonas aeruginosa is one of the commonest and most serious cause of nosocomial urinary tract infection. It is the third leading case of hospital acquired urinary tract infection. It leads to grave therapeutic problems due to resistance to several antibiotics. The aim of present study is to know the antibiogram pattern of Pseudomonas aeruginosa causing nosocomial urinary tract infection and to apprise the clinicians for the use of appropriate antibiotic in the treatment of such patients. A total of 32 isolates of Pseudomonas aeruginosa identified by standard methods from cases of urinary tract infection over a period of six months were analyzed for antimicrobial susceptibility by Kirby-Bauer’s disk diffusion method according to CLSI guidelines. Among the antimicrobial agents tested,only Imipenem (93.75%), Pipercillin + Tazobactum (78.5%) and Amikacin (75%) were effective against the isolates. Ceftriaxone (53%), Ciprofloxacin(46.9%), Nalidixic acid (43.75%), Nitrofurantoin (37.5%), Norfloxacin (12.5%) and Cotrimoxazole (6.25%) were found least effective. As many of isolates showing multiple antibiotic resistance this study of antibiogram helps in prevent indiscriminate exposure of patients to various antibiotics, their side effects and cost of treatment. COMPARATIVE EVALUATION OF PERIPHERAL BLOOD SMEARS STUDY AND QUANTITATIVE BUFFY COAT IN DIAGNOSIS OF MALARIA IN TERTERIAY CARE CENTER IN RAICHUR. Dr. Ashish J* Dr. Gale K, Dr. Vinay H & Dr. Achut Rao Department of Pathology, Navodaya Medical College, Raichur “XV Annual Conference Indian Association of Medical Microbiology Karnataka Chapter”, which was held on Feb 26 & 27. BACKGROUND: The present study was conducted to evaluate efficiency, Poster Presentation advantages and drawbacks of QBC in comparison with peripheral smear examination for diagnosis of malaria. Material and Methods: Blood sample of 150 clinically suspected cases of malaria were collected and studied for malarial parasites by examination of peripheral thick and thin smears stained by Leishman stain and QBC method. RESULTS: Out of 150 samples studied, 80 were positive by QBC, 69 by peripheral thick smear and thin smear. Conclusions: QBC was found to be 1. Relatively more sensitive than thick and thin peripheral smear examination. 2. Less time consuming 3. Requires moderately skilled personnel when compared to peripheral smear examination Drawbacks of QBC 1. Accurate species identification not possible 2. Artifacts may give false positive results DETECTION OF MALIGNANCIES THROUGH CAMP APPROACH AT NAVODAYA MEDICAL COLLEGE, RAICHUR. Dr. Anju Ade, Mr. R. S. Patil, Dr.Achut Rao, Dr(Mrs) V.V.Mahalakshmi Dr. Vinay Hajare, Dr.Jagadeesh.V.S. Department of Microblology, Navodaya Medical College. Raichur. “XV Annual Conference Indian Association of Medical Microbiology Karnataka Chapter”, which was held in Feb. Pseudomonas aeruginosa is one of the commonest and most serious cause of nosocomial urinary tract infection. It is the third leading case of hospital acquired urinary tract infection. It leads to grave therapeutic problems due to resistance to several antibiotics. The aim of present study is to know the antibiogram pattern of Pseudomonas aeruginosa causing nosocomial urinary tract infection and to apprise the clinicians for the use of appropriate antibiotic in the treatment of such patients. A total of 32 isolates of Pseudomonas aeruginosa identified by standard methods from cases of urinary tract infection over a period of six months were analyzed for antimicrobial susceptibility by Kirby-Bauer’s disk diffusion method according to CLSI guidelines .Among the antimicrobial agents tested,only Imipenem (93.75%), Pipercillin + Tazobactum (78.5%) and Amikacin (75%) were effective against the isolates. Ceftriaxone (53%), Ciprofloxacin(46.9%), Nalidixic acid (43.75%), Nitrofurantoin (37.5%), Norfloxacin (12.5%) and Cotrimoxazole (6.25%) were found least effective. As many of isolates showing multiple antibiotic resistance this study of antibiogram helps in prevent indiscriminate exposure of patients to various antibiotics, their side effects and cost of treatment. OXIDATIVE STRESS AND DYSLIPIDEMIA IN DIABETIC RETINOPATHY Dr. Roopa P. Kulkarni Dr. M. V. Kodliwadmath Dr. S. S. Bangar Navodaya Medical College and Research Centre, Raichur. Poster Presented in AMBICON Association of Medical Biochemist of India held at Hyderabad November2010 INTRODUCTION: The worldwide prevalence of diabetes mellitus has risen dramatically over the last two decades. It is expected to rise more rapidly especially in the Indian subcontinent due to lifestyle changes. Diabetic retinopathy is one of the most devastating micro vascular complications. It is the most common cause of blindness in actively working population. Oxidative stress plays an important role in pathogenesis of diabetes mellitus and diabetic retinopathy. Hyperglycemia and dyslipidemia generally co-exist in diabetic patients with poor glycemic control. Dyslipidemia is one of the important causes in the pathogenesis of diabetic retinopathy. OBJECTIVES: The purpose of the study was to assess oxidative stress and dyslipidemia in diabetics with and without retinopathy. Material and Methods: The study comprised of 50 clinically diagnosed diabetics, 50 with diabetic retinopathy and 50 healthy controls. Serum MDA was estimated by Thiobarbituric acid method. Serum Vitamin C was measured by 2, 4 dinitrophenyl hydrazine method. Serum Vitamin E was measured by Baker and Frank method. Serum total cholesterol and HDL-C was measured by CHOD-PAP method. Serum LDL-C and VLDL-C were calculated by Friedewald’s equation. Serum TAG estimated by GPO Trinder method. RESULTS: In our study, serum MDA level was significantly increased in diabetics as compared to controls (diabetics-7.1±1.2; controls5.08±0.64). This increase was highly significant in those with retinopathy (10.3±0.9). A significant fall in serum vitamin C and vitamin E levels were noticed in diabetics than controls (p<0.001 and p<0.05 respectively). This was more pronounced in those with retinopathy (p<0.001). A significant increase Nectar 39 Poster Presentation was seen in all lipid parameters except in HDL-C in cases compared to controls (p<0.001 for Total Cholesterol and LDL-C; p<0.01 for TAG). Serum HDL-C showed a significant fall in diabetics than in controls (p<0.001). CONCLUSION: Our study clearly indicates that oxidative stress and dyslipidemia play a key role in the pathogenesis of diabetic retinopathy. DIURNAL VARIATION IN INTRA OCULAR PRESSURE Roopa Mathapathi* Dr.R.H.Taklikar Dr.R.D.Desai & Dr.Vijayanath.Patil. Department of Physiology, Navodaya Medical College, Raichur. National conference of basic medical Sciences at Vinayaka Mission Medical College Salem. This study was done to evaluate the Diurnal variation of IOP in 20 to 35yrs healthy male subjects from 6.00AM to 6.00PM every 2hrs and also to evaluate the Diurnal variation of systolic blood pressure, diastolic blood pressure, pulse pressure, mean arterial pressure from 6.00AM to 6.00PM every 2hrs.The results showed that the diurnal variation of IOP was high in morning 6.00AM with average 20mm of Hg and least in afternoon and evening about average 16.4mm of Hg, which is with in physiological limits. This may be due to autonomic function at sympathetic level. There is no difference between right and left eye. The magnitude of diurnal variation is about 2 to 3mm of Hg and the Diurnal variation of systolic blood pressure, diastolic blood pressure, pulse pressure, mean arterial pressure showed least at 6.00AM and high at 4.00PM.It may be due to combined effect of autonomic nervous system and glucocorticoids. *Corresponding author and post graduate student. SERUM ADENOSINE DEAMINASE AND CERULOPLASMIN LEVELS IN PULMONARY TUBERCULOSIS Dr. M. M Kavitha* Dr. M.V Kodliwadmath Navodaya Medical College & Research center, Raichur. Poster Presented in AMBICON Association of Medical Biochemist of India held at Hyderabad November2010 Tuberculosis remains a world-wide public health problem. The incidence in India is highest and accounts nearly 1/5th (20%) of global burden. According to the WHO-2009, 9 million new TB cases with 15% HIV positivity have been reported. 40 Nectar Adenosine deaminase (ADA) is a purine-degrading enzyme has the highest activity in T-lymphocyte involved in proliferation and differentiation. Many studies have shown increased levels of serum ADA and ceruloplasmin in pulmonary tuberculosis. OBJECTIVE: The purpose of the study was to estimate serum ADA activity and ceruloplasmin in pulmonary tuberculosis and compare with that of the healthy controls. Material and Methods: The present study comprised of 50 pulmonary tuberculosis and 50 healthy controls. Serum ADA estimated by Giusti and Galanti method and ceruloplasmin by P-phenylene diamine oxidase method. Results: In our study serum ADA level in pulmonary TB was 48.96 12.60 IU/L and ceruloplasmin was 64.10 9.61 mg/ dl while in controls 24.21 5.93 IU/L and 28.02 4.17 mg/dl respectively. There was significant increase in serum ADA (P < 0.001) and ceruloplasmin (P < 0.01) in patients as compared to the controls. CONCLUSION: A significant increase in serum ADA activity and ceruloplasmin were observed in patients as compared to controls. Measurement of serum ADA and ceruloplasmin may be sensitive biochemical marker in early detection of pulmonary tuberculosis. Scientific Appointments Participations Dr. Venkatesh M Patil, Associate Professor of Pharmacology, Navodaya Medical College, Raichur, attended the 2nd International Conference on Medical Negligence & Litigation in Medical practice, Recent Advances in Forensic Sciences, Medicine & Toxicology., on 20th & 21st February 2011, at Goa. He also participated in the Workshop on “Integrated Teaching Methodology” from 3rd to 4th March 2011 at Jawaharlal Nehru Medical College, Belgaum. Dr. Ayesha Siddiquea & Dr. Mohd. Mohsin, Post graduate Students, Department of Pharmacology, Navodaya Medical college, participated in the Workshop “PHARMATECH 2011”, Drug Development: Opportunities & Challenges (Pre-clinical drug development, Clinical drug development & Specialty Domains in Drug development), from 22nd to 31st March 2011, at Seth G.S. Medical College & K E M Hospital, Mumbai Dr. H. Doddayya Principal and Dr.Bheemachri Professor of NET Pharmacy college Raichur attended and presented papers in International Conference on “ Imbibing Pharmaceutical knowledge to the Professionals” organized by Lalitha college of Pharmacy, Hyderbad from 28th to 31st January 2011. Dr H Doddayya had the honor to chair the scientific sessions. Welcome Aboard We are delighted to have excellent group of faculty who joined our campus in various faculties. Their knowledge and experience will enrich the student’s knowledge and sustain our excellence in teaching and learning. Here’s an overview of NET’s new faculty who joined us recently in the last quarter (Jan-Mar2011). Staff Appointment List for Month of January -2011 to March-2011 Navodaya Medical College: Staff Name Dr.Khaja Naseeruddin Designation Department Principal Navodaya Medical College. Dr.Hiremath Mallinath Professor NMCH-Dept of Orthopedics. Dr.K.J Mariswamy Professor NMCH-Dept of Anesthesia. Dr.Prabhakar R Gaikwad Professor NMC-Dept of Anatomy. Dr. Bala Bhaskar Rao Sr.Resident NMCH-Dept of Pulmonary Medicine. Dr.V.Shivaprasad Professor NMC-Dept of Physiology. Dr.Basavaraj P Bommanahalli Assoc.Professor NMC-Dept of Pathology. Dr.Rudramma Professor NMC-Dept of Comm.Medicne. Dr.Mulla Basher Ahmed Medical Officer NMC-Dept of Primary Health Care. Dr.Manjunath Hemberal Asst.Professor NMC-Dept of Physiology. Dr.Mohamed Khizar RMO NMCH&RC. Promotions Dr.Balram Singh Thakur Dr.Prabhakar R Patil Dr.Sanjeev Kumar Prof, Dept of Pathology Assoc Prof, Dept of Pharmacology Assoc Prof, Dept of Anesthesia Navodaya Dental College: Staff Name Designation Department Dr.Arun Kumar Professor & HOD NDC-Dept .of Community Medicine. Dr.Elluru Venkatesh Reader NDC-Dept of Oral Medicine & Radiology. Dr.Vadiraj.S Reader NDC- Dept of Periodontics. NET Pharmacy College: Staff Name Miss. Neenu Joseph Designation Lecturer Department NET Pharmacy College. Navodaya Institute of Technology: Staff Name Designation Department Miss. Sumeera Lecturer Dept of Electronics & Communication Engineering Mr.Md. Aftab Khizar Lecturer Dept of Electronics & Communication Engineering Navodaya College of Nursing: Staff Name Mr.Pravin Prakash.P Designation Lecturer Department Navodaya College of Nursing. Nectar 41 Scientific Papers Published In Journals Scientific Appointments Participations Role of serum electrolytes in pregnancy induced hypertension. Journal of clinical & diagnostic research Feb-2011, Vol 5(1) page 66-69 Dr. M.V. Kodliwadmath.Professor & Head, Dept of Biochemistry, Navodaya Medical College, Raichur. Utility of Gamma glutamyl transferase and AST/ALT ratio in alcoholic liver diseases International Journal of Medical Sciences and Technology- 2011 Vol 4(1) page 1-5 Dr. M.V. Kodliwadmath.Professor & Head, Dept of Biochemistry, Navodaya Medical College, Raichur. Dr. M.V. Kodliwadmath. Professor & Head, Dept of Biochemistry, Navodaya Medical College, Raichur chaired Dr. T.N. Pattabiraman Oration Lecture and Dr. G.P. Talwar Oration Lecture in National conference of Association of Medical Biochemist of India held at Hyderabad. He also attended National Conference of Association of clinical Biochemist of India held in Mumbai. He also attended editorial board meeting of Indian Journal Clinical biochemistry as a National Advisor in National Conference of Association of clinical Biochemist of India. Anti-inflammatory activity of wheatgrass juice in albino rats” Biomedical & Pharmacology Journal, 04 (01), 2011. Dr. S.Ramabhimaiah, Professor & Head, Dr. Venkatesh M Patil, Associate Professor & Dr. Prabhakar R Patil, Associate Professor. Department of Pharmacology, Navodaya Medical college, Raichur. “Irrational Drug Utilization in Urology Unit” Indian Journal of Forensic Medicine and Toxicology Dr Venkatesh M Patil , Associate Professor Dr Rajeshwari R Surpur Associate Professor Departments of Pharmacology and Microbiology Navodaya Medical College, Raichur Oxidative stress and anti oxidant status in alcoholic liver disease. The Antiseptics Journal. Dr.Vishal Kalsakar, Dept of Biochemistry, Navodaya Medical College. Lipid Peroxidation and Non enzymatic anti oxidants in alcohol induced chronic hepatitis. Biomedicine- An International Journal for Biomedical sciences. Dr.Vishal Kalsakar, Dept of Biochemistry, Navodaya Medical College. Dr.Mrs.S.M.Kodliwadmath Prof & Head of Obstetrics and Gynecology department delivered guest lecture on “How elderly is elderly prime” 54th All India Congress of Obstetrics & Gynecology AICOG 5th to 9th January 2011 held at International convention centre, Hyderabad. She also judged the paper presentation sessions in the above mentioned AICOG conference. Dr.Afzal Hussain & Dr.Prem Raj V, Post Graduate students, Dept of Dermatology attended the Dermacon 39th National Conference of Indian Association of Dermatologists,Venereologists and Leprologists at Gurgaon, Haryana from 3rd - 6th February, 2011 Biodegradation of phenol by free and immobilized cells of Pseudomonas aeruginosa. Biomedicine- An International Journal for Biomedical sciences. Vol 30, No: 04, Oct- Dec 2010 Dr.H.Anand Kumar, Dr.T.Srinivas, Dr.O.Deepa, Mr.K.Srinivas Rao, Mr.K.Harish Bhat, Dept of Microbiology & Dept of Biochemistry, Navodaya Medical College. A comparative study and evaluation of serum adenosine deaminase activity in the diagnosis of pulmonary tuberculosis. Mr.K.Srinivas Rao, Dr.H.Anand Kumar, Dr.B.M.Rudresh, Dr.T.Srinivas, Mr.K.Harish Bhat Dept of Microbiology & Dept of Biochemistry, Navodaya Medical College. Povidone-iodine: an anti-oedematous agent? Int J Oral Maxillofac Surg. 2011 Feb;40(2):173-6. Epub 2010 Oct 30. Arakeri Gururaj, Brennan PA. Navodaya Dental College, Peter Brennan’s Indian Academy of Craniofacial Research, Shahapur, Karnataka, India. 42 Nectar Have your say? Nectar is your magazine; so we would like to hear from you. Comments! Contributions! Questions! Opinions! Feedbacks! We welcome all, so that we can metamorphose ourselves to look better! Contact us at nectar@navodaya.edu.in Regale in Prints! NAVODAYA MEDICAL COLLEGE NAVODAYA DENTAL COLLEGE Approved by the Government of India, New Delhi. Recognised by the Medical Council of India, New Delhi & Affiliated by Rajiv Gandhi University of Health Sciences, Bengaluru M.B.B.S. - 4 1/2 yrs MD / MS - 3 yrs PG Diploma - 2 yrs Approved by the Government of India, New Delhi. Recognised by the Dental Council of India, New Delhi & Affiliated by Rajiv Gandhi University of Health Sciences, Bengaluru B.D.S. -5 yrs M.D.S. - 3 yrs NAVODAYA INSTITUTE OF TECHNOLOGY Affiliated by Visvesvaraya Technological University, Belgaum & Approved by AICTE, New Delhi. Bachelor of Engineering (B.E) - 4 yrs Civil Engineering Mechanical Engineering Electrical & Electronic Engineering Electronics and Communication Engineering Computer Science & Engineering Information Science & Engineering NAVODAYA COLLEGE OF PHYSIOTHERAPY Affiliated by Rajiv Gandhi University of Health Sciences, Bengaluru & Recognised by Indian Association of Physiotherapists (IAP) Master of Physiotherapy (M.P.T.) - 2 yrs Bachelor of Physiotherapy (B.P.T.) - 4 1/2 yrs NET PHARMACY COLLEGE Recognised by Pharmacy Council of India, New Delhi & Affiliated by All India Council for Technical Education, New Delhi Affiliated by Rajiv Gandhi University of Health Sciences, Bengaluru Master of Pharmacy (M.Pharm) - 2 yrs Bachelor of Pharmacy (B.Pharm) - 4 yrs Doctor of Pharmacy (Pharma. D) - 6 years Diploma in Pharmacy (D.Pharm) - 2 yrs NAVODAYA COLLEGE OF NURSING Affiliated by Rajiv Gandhi University of Health Sciences, Bengaluru Recognised by Indian Nrsing Council - New Delhi & Karnataka State Nursing Council, Bengaluru Master of Science in Nursing (M.Sc. Nursing) - 2 yrs Bachelor of Science in Nursing (B.Sc. Nursing) - 4 yrs Diploma in General Nursing & Midwifery (GNM) - 3 1/2 yrs P.C.B.Sc. (Nursing ) - 2 yrs NAVODAYA TEACHERS TRAINING INSTITUTE NAVODAYA COLLEGE OF EDUCATION Affiliated to D.S.E.R.T., Bengaluru Recognised by NCTE, New Delhi, D.Ed. - 2 yrs Affiliated to Gulbarga University, Gulbarga Approved by NCTE, New Delhi. B.Ed. - 1 yr For Further Details Contact NAVODAYA EDUCATION TRUST Post Box No.: 26, Navodaya Nagar, Raichur - 584 103, Karnataka Tel: +91-8532-223361, 223448, 223449 Fax: +91-8532-223070 e-mail: nectar@navodaya.edu.in website: www.navodaya.edu.in
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