Sai jan mar 2013 vol 3 issue 1

Vol.3

Issue – 1

January - March 2013

SAIGENESIS

SSSMC & RI

Contents 1.Editorial Pg.

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2.Science sense Pg.

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3.Do You Know Pg.

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4.Campus Events Pg.

11 5.Popcorn Pg.

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6.Editorial Board Pg.

18 Disclaimer: The views expressed by the Authors in the Articles published in “Saigenesis” are their Own. The Editorial Board is in no way responsible for any liability arising out of the contents/Text of this Publication.

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Editorial ACCEPT !

Cripples the affected because of the deficit of the Dopamine neurotransmitter in the Brain – PARKINSONISM. Mask like Face, Resting tremors, rigidity, akinesia, short stepping gait, Micrographia are the salient features of the disorder. Short term memory loss, Mood fluctuations and sleep disturbances are associated manifestations.

Plenty of drugs in combination therapy for this disorder simulate a monthly provisions list. Life long therapy with no permanent cure and adverse effects of these drugs are endless like the Tail of Hanuman! Live with the disease and its inconvenience and irritation is the bitter reality. At this outset, THE TRUE CARE TAKERS of these elderly patients deserve tones of accolades and applause in the form of prostration at their feet and utmost Sympathy and Compassion for their tireless efforts towards the sufferers of this dreadful nagging ailment.

Even the Atheists universally agree and vote, it is because of the Sin or Karma of THE TRUE CARE TAKERS in the previous Birth. There are no apt adjectives in English Dictionary to describe the physical and mental turmoil of the care takers of the Parkinsonism patients. Of course, what these CARE TAKERS are going to sow by their deeds towards these chronically ill, are not going to reap the same throughout their life. Despite this, their service with overwhelming spirit continues…………….

Compromises and Sacrifices of the CARE TAKERS life are: relaxing through magazines and TV; weekend outings with relatives and friends; a pilgrimage or jolly trip for 4-5 days that keep them away from home; devotion towards their profession; visit to the movies, malls etc., and eventually the CARETAKERS lose their interests and involvement in their personal and professional lives. They land up in living a programmed mechanical life faking a smile and a happy go lucky attitude!! They are transformed as stalwarts in professional acting in the stage of life's drama!

However much the dedicated service the CARETAKERS provide inspite of all the odds, the patients fail (unable) to recognize their care towards them. “Have no expectations and Have no disappointments” – holds true for the CARETAKERS OF THE PAKINSONISM patients. On the contrary most of the time, the patients nag, curse and snub at their CARE TAKERS for no reasons. During these junctures, minds of the CARETAKERS are shattered into pieces and permanent non healing wounds conquer and replace the heart. In the endless debate of maximum pity and sympathy is for the PATIENTS vs CARETAKERS; undoubtedly the verdict rests in favour of the CARE TAKERS!!! Till date the ultimate solution to the pathetic CARE TAKERS of Parkinsonism Patients is : “ACCEPT ! ACCLIMATIZE!! ADJUST!!! For Life……………..

Cheers!!

Dr.Balaji Rajagopalan, Prof. & Head

Science Sense MEDICAL EDUCATION UNIT ACTIVITIES MEU conducted the third 3days “Basic workshop in Medical Education Technologies” from 20th -22th March, 2013.

A total number of 20 participants with the cadre of Assistant Professors, Associate Professors & Professors from various Clinical & Non- Clinical Department were trained in the workshop under the supervision of MCI observer, Dr. Rashmi Vyas from CMC Vellore.

The Workshop was not only a training programme for the faculties but it was also made very interesting to the

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Science Sense

MEU Team and participants

Dr. Rashmi Vyas, Our Dean, Dr. Karthika

Dr. Rashmi Vyas, Dr. Venkatadri, Dr. Swayam Jothi

participants by well planned; co-ordinated lectures delivered by various members of the MEU in an interactive way, as per the MEU guidelines.

The three days workshop ended by the concluding remarks from the MCI OBSERVER- who spoke about motivated MEU members, highly interactive participants & she also stressed the necessity of practicing atleast one of the learning objectives from the teaching learning methods.

The Department of Anatomy attended 3rd National conference SOBSICON at Karpaga Vinayaga Institute of Medical Sciences at Maduranthagam Papers presented by Staff & students of SSSMC&RI: ? Lumen of the vermiform appendix Swayam Jothi Dorairaj . S Jacintha Antony, Anuradha . S, Hemanth Kommuru, Rajeswara Rao. N, Sujatha,N, Shri Sathya Sai Medical College Nellikuppam 603108 ? Hypoplastic left internal carotid artery and a replaced mitral valve – a cadaveric report ? Accessory pulmonary tissue in the lungs

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K.Mani.

SSSMC & RI Deeptha Vasudevan., Hema Priya, J., Sree Vidhya, Rajaeswara Rao. N. Swayam Jothi. S. Study of the lobulation pattern in the lungs Hema Priya, J., Deeptha Vasudevan., Swayam Jothi. S., Hemanth.Kommuru.

Best paper award for the scientific papers presented by Dr.S.Swayam Jothi & Dr Mani

Flash and Slash..!

Dr.A.Nasreen Begum, HOD of Internal Medicine, Dr.Domakuntla Amarnath, CRRI, Dr.Dhuvarakesh Apparaj, CRRI.

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VISIT 1: A 55yr old female was brought to ER with C/O Breathlessness for 1week, aggravated for 2 days, Chest Pain for past 1month.K/C/O T2 D.M, SHT and IHD on Rx. Not a K/C/O T.B, B.A, Epilepsy. No H/O similar past illness.

O/E conscious, oriented, restless, Tachypnoea +, BP-160/110 mm of Hg, PR-130/min, SpO2 – 60%, CVSS1 S2 +, RS – NVBS +, B/L extensive crepts +, P/A – Soft, BS+.

INVESTIGATIONS: CBC-within normal limits,CBG-489mg/dL (5:20PM), CBG(6:20PM)- High, RBS- 740mg/dL, Urea-35mg/dL; Creatinine-1.7mg/dL, Serum Electrolytes - N, Urine Routine – Albumin++, Sugar+++, ECG – NSR, HR-150/min, ST depression, T-wave inversion in Lead I, aVL, V4-V6., Echo(28th March 2012)- RWMA +, Basal & Mid-Infero-Posterior –IVS- Hypokinesia, Mild LV Systolic Dysfunction, mild LV Diastolic Dysfunction.

Rx: IV line, Back Rest, Nasal O2 5ltrs/min – mask, BP-160/100mm of Hg(6:20PM), PR-122/min, SpO2-88%, Saturation falls from 60% to 20%, Ambu Bag Ventilation started, Inj.Lasix 80mg iv stat, Saturation improved to 90%, O2 – Mask, Saturation falls to 40%, Ambu Bag Ventilation started, Saturation improved to 92% (85-90%) with 5ltrs of O2 – Mask, At 5:50PM BP-200/120mm of Hg, Inj.Nitroglycerine Iv -titrated according to BP,Inj.Lasix 40mg iv @6:05PM. – Further Mx: Nasal O2 @4ltrs/min – Mask, Inj.NTG, Inj.Human Actrapid 10u sc stat, followed by sliding scale, Tab.Aspirin 150mg OD, Tab.Clopilet 75mg OD, Hourly TPR & CBG, I/O Chart, BP(Every 10mins) Visit 2: C/o Breathlessness since 25/3/13 night-at rest, No H/O Chest Pain/Giddiness/Palpitation. K/C/O of DM+HTN x 10yrs; K/C/O of IHD on Regular Treat ment H/o Similar Complaints on 6th January 2013.

O/E Conscious/Oriented/Alert/Afebrile/Well Built/Dyspnoeic/Tachypnoeic; No Oedema; PR-106/min, Regular; BP-180/100mm of Hg; CVS-S1S2 +; RS-NVBS+, Inspiratory Fine Crepts +; P/A- Soft, BS+, Abdomen Distended, No Organomegaly, No Tenderness, CNS-NFND. • Echo: LA,LV-Dilated, LVEF-50%, Mild PAH, Imp: Mild MR, LV Dysfunction •

B/L Renal Doppler: Normal Study

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Diagnosis: Flash Pulmonary Edema.

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Discussion: FLASH PULMONARY EDEMA (FPE) is

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• •

rapid onset pulmonary edema. Aggravated by Acute MI, MR, AR, heart failure or any cause of elevated LV filling pressures. Reversible Myocardial Ischemia.

Recurrence of FPE is associated with hypertension and signifies renal artery stenosis. – Pickering Syndrome Reference: 'Flash pulmonary oedema'- A diagnosis for both the cardiologist and the nephrologist?S.Mansoor A.Shah and John E.Scoble

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It falls into a watershed between Cardiology and Nephrology. These patients have pulmonary oedema but neither severely impaired left ventricular function nor severely impaired renal function.

The case is presented mainly because the Patient had recurrent Flash Pulmonary Edema, though the patient neither had severe LV dysfunction nor severe Kidney dysfunction, both preceded by acute emotional stress.

20 yr young lady admitted for c/o pain in both ankle joint & feet for 6 months. Fever for 2 days. No associated symptoms. H/O failing vision since 4 yrs of age, more so in dim light. As per the informant pt is obese since childhood. She didn't attend school due to failing vision. Attained menarche 2 yrs ago - irregular scanty periods. Has 3 siblings 1 elder & 1 younger sister both married, 1 brother at school. All are normal. No family h/o any familial disease. Pt denies h/o any systemic illness.

O/E- Pt is obese; Converses freely though IQ seems to be low.; BP 110/70 Temp 100 F Wt 87 kg, Ht 150 cms ; CVS - S1 S2 Systolic murmur +; RS – NVBS; ABD - Protuberant, soft & non tender; CNS- No FND;

Bilateral flat foot.; POLY DACTYLY in all 4 limbs

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Ophthal opinion; • Pt has attended Institute of Ophthalmology Egmore & was stated to have some irreversible eye defect. No report.

• Conjnctiva N Cornea clear AC Shallow pupils 3 mm very sluggishly reacting to light . Disc uniformly pale, vessels thin.

• Few PIGMENTS seen in mid periphery Next day for detailed Fundus ex ….

Refraction not done as no pinhole improvement in visionPupils not dilated as Ac appears shallow Opined as RETINITIS PIGMENTOSA Explained poor prognosis •

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PROBLEMS: Obesity; Low IQ; Polydactyly; Hypogonadism; Cardiac murmur; Retinitis pigmentosa, hypothyroidism

SSSMC & RI •

Diagnosis: Laurence Moon Bardet Biedl Syndrome

Discussion: LMBB a very rare familial transmitted autosomal recessive trait a ciliopathic human genetic disorder which affects approximately 1 in 1,00,000 babies. In order for the child to be affected, both parents must carry the recessive gene, a chance being 1 in 4 pregnancy if both parents are carriers resulting in LMBB syndrome. It was first described by Laurence and Moon, 1865 and by Bardet and Biedl in 1920. The pathophysiology is unclear and 12 genes are responsible called BBS genes. The primary clinical features are Retinitis Pigmentosa, Obesity, Polydactyly, Hypogonadism, Developmental Delay and Renal Anomalies. The secondary clinical features are behavioral and neurological problems, hypertension, dental anomalies, anosmia, flat or wide feet with no arches, thyroid problems, strabismus, and short stature. Our patient had five primary and two secondary features which are enough to diagnose LMBB. This case is being reported to enlighten our students and medical society that we should have a sound clinical acumen to recognize the clinical features and channelize the relevant investigation to arrive at a final diagnosis and for appropriate management.

Do You Know

THE PARADOX OF GALEN Scope: Galen, born in 130 C.E. in Asia Minor, based his career on the notion that disease can be understood only if physicians know how the body works. He carried out experiments and gave extremely popular public lectures—using vivisected animals—throughout his life, relentlessly pursuing his goal of learning anatomy and physiology. Galen's discoveries in such areas as nerve and muscle action, respiration, speech, and urinary excretion established his reputation throughout the Roman Empire, as did his extraordinary skill as personal physician to Emperor Marcus Aurelius. A vain and boastful man, Galen convinced the world that the 22 thick volumes of his writings contained all the medical knowledge that would ever be discovered. Such was his overwhelming influence that his teachings prevailed virtually unchanged until the 16th century, when a daring few began to point out certain errors he had made, paving the way for a renewal of research.

Outline After Hippocrates, the most well known name in the 2,000-year history of Western medicine is that of Galen, whose legacy permeated medical thinking until the late 19th century and, in certain ways, into the 20th century. He codified the notion of the humors and organized it in such a way that one could predict not only the presence or absence of disease, but also changes in temperament by gauging the level of a particular humor in the system.

Galen's legacy was, in many ways, disastrous for medicine. At least until the 16th and 17th centuries, to know medicine was to know it as Galen wrote about it in the 2nd century. The notion of predeterminism, the idea that everything is ordained to follow some divine master plan, permeates Galen's writings.

1. To Galen, the purpose of medical study was to learn about nature, with the aim of discovering the work of the demiurge '-a divine master plan.

2. For example, when Galen studied the liver, his desire to see a divine plan in human anatomy led him to conclude that the liver's location near the stomach had a specific purpose: food must be able to move easily from the stomach to the liver so that the liver can make blood from it. Likewise, Galen believed that the spleen was under the rib cage on the left side specifically to balance the liver.

3. Like the Hippocratics, Galen did not believe that the demiurge caused or cured disease. Interestingly, even after conducting experimental medicine, early physicians doing research would continue to look for the demiurge. For Galen, the purpose of medical study and research was to learn about nature. But once that research was done and discoveries had been made, Galen saw no need for further research; he believed he had discovered everything there was to discover, and explained it as the demiurge wanted and had created it.

4. Galen died in 201 A.D. and left a body of writings that his successors treated as so conclusive that it inhibited further seeking for some 1,300 years. To study medicine was to study Galen, and subscribe to the theory that

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humors determine our state of health. As late as 1863, for example, Stonewall Jackson would raise his arm before battle to drain certain humors and enable himself to think clearly.

5. After Hippocrates' death c. 350 B.C., physicians increasingly used a solid body of Hippocratic teachings.

Over the centuries, the teachings became schismed into different medico-philosophical sects, including: empirics, pneumatics, methodists, dogmatics, and eclectics, along with many subsects. Galen aimed to bring back whole Hippocratic texts and codify them, overturning the later sects and subsects. Galen's most important contribution was his effort to determine actual anatomical and physiological functioning. The Hippocratics believed that diagnosis of disease must be based on observation, but their method did not focus on actual human anatomy. In Hippocratic medicine, the humors can be treated and disease can be diagnosed without knowing where organs are or what they look like. Of Galen's many writings, On the Uses of the Parts of the Body is the most useful to modern historians.

Galen was born in 130 A.D. in a town called Pergamon in what is now Turkey; he was the son of a wealthy architect and landowner. His father had a Hippocratic dream telling him that his son should be a doctor.

Galen was known to be contentious, vain, self-centered, and boastful. His father sent him to study medicine at a school of Hippocratic physicians in Pergamon. In 152 A.D., Galen traveled to Alexandria to further his studies. 1 In 158 A.D., he returned to Pergamon and became surgeon to gladiators, a position that afforded the opportunity to see inside the body. Galen began to realize that he needed to know how all the parts work.

10 ©2005 The Teaching Company Limited Partnership In 162 A.D., Galen went to Rome, where he took it upon himself to coordinate the myriad types of physicians under one philosophical and cientific roof. Galen was a skilled physician and became the “doctor to the stars.” When plague broke out in Rome, Galen returned to Pergamon. In 168 A.D., Marcus Aurelius asked Galen to return to Rome as one of the emperor's personal physicians. Galen did most of his significant work under the protection of Marcus Aurelius and later emperors. If one looks at Galen's writings, he proclaims the importance of wisdom, justice, fortitude, and temperance, though he embodied none of those virtues. He was what he himself would have called choleric. Galen changed the previous philosophical approach to disease to one that was experimental.

Hippocrates had introduced the notion that healing is an art. Galen introduced the notion that healing is a science. His system was based on animal dissection, experiments in physiology, and observation of patients.

He was a man of his time, though, and some of his observations were so influenced by predeterminism and the notion of a demiurge controlling the world that they were more than imperfect.

6. The Greeks believed that living creatures differ from inanimate objects because they are endowed with some special spiritual essence—the life principle—that came from the demiurge: pneuma.

7. Pneuma from the surrounding atmosphere was said to come in through the lungs, enter the left ventricle, and leave through the arteries, eventually reaching the brain, where it was converted to what Galen called psychic pneuma, which was disseminated through the nerves.

8. Galen thought the function of the veins was to carry blood, made in the liver, to the rest of the body.

9. It is noteworthy that he never saw human dissection outside his observations in the Roman and Pergamon gladiatorial arenas.

10. Galen made some useful observations: a. He saw that pulsebeat is related to heartbeat. b. He showed that arteries contain blood. c. He studied the mechanics of breathing. d. He tied off the ureter to show that urine is made in the kidneys, not in the bladder. e. He cut the spinal cord at various levels to show paralyses and loss of sensation.

Dr. Venkatadri, Prof of Pharmacology

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Know the ECO

Understanding Planet Earth's ecosystem and the abundant natural resources have become the priority of every nation. India too explores the available natural resources for its development. Our campus at Shri Sathya Sai Medical College & Research Institute is loaded with a beautiful ecosystem which we need to preserve the existing and develop it further for the future generation of young students to enjoy. With an aim to understand the existing natural plant resources at our campus we begin with documenting the existing plants which could be of medicinal use to the people in general. We do think of the long term goal of having drug research at our campus with multiple high potential medicinal herbs and trees existing in the vicinity. Students & Faculty interested in drug discovery can have an idea of the prevailing natural resource and can begin such research with surplus raw materials available at your disposal at all times. We plan to highlight the botanical details of the medicinal plants/trees along with the scientific data available within our reach so that the lacuna for research can be grabbed by the person interested. We also declare that the details we give in these pages will be picked up from literature sources, but we assure that we don't do plagiarism of any kind. We wish to achieve our target of documenting all the plants and their uses present within our campus. We welcome your suggestions and comments at this email: knowthyeco@gmail.com. We are inviting students/faculty interested with Nature, Photography, Research interests to join us and involve themselves in this interesting piece of work, which would be well appreciated years after.

1. File: KTE-2013/tree-01.

Botanical Name: Peltophorum pterocarpum (DC.) Baker ex Heyne.

Common name: Copperpod, Golden Flamboyant, Yellow Flamboyant, Yellow Flame Tree, Yellow Poinciana, Perunkonrai (Tamil) Native: South eastern Asia Phytochemicals present: Flavonoids, saponins, steroids, tannins, xanthoproteins, carboxylic acids, coumarins, carbohydrates, glycosides, Phenolics, saponins, catechins, alkaloids, hirusitidin, bergenin, etc…

Traditional Medicine: Dysentry, sprains, muscular aches, ulcers, eye lotion and toothpowder.

Scientific findings: 1. Antibacterial - Staphylococcus aureus, Bacillus cereus, Enterococcus faecalis and Streptococcus pyogenes, Proteus mirabilis, Acinetobacter baumannii and Serratia marsecens (1),Salmonella typhi …..

2. Antioxidant, anti-inflammatory, anticarcinogenic, Antifungal (C. albicans, P. crysogenum and T. rubrum) (2), antiglycemic….

1.Sukumaran S, Kiruba S, Mahesh M, Nisha SR, Miller PZ, Ben CP, Jeeva S. Phytochemical constituents and antibacterial efficacy of the flowers of Peltophorum pterocarpum (DC.) Baker ex Heyne. Asian Pac J Trop Med. 2011 Sep;4(9):735-8. doi: 10.1016/S19957645(11)60183-1.

2. S.C. Jain, B. Pancholi and R. Jain, 2011. Peltophorum pterocarpum (DC.) Baker ex. K. Heyne Flowers: Antimicrobial and Antioxidant Efficacies. Research Journal of Medicinal Plant, 5: 274-280.

Hits on search engines as of 06-04-2013,6 am: 1. Pubmed - 14 2. Google scholar - 946 3. Scirus - 878 4. Science direct - 70 This happens to be a very short key note for us to be aware of a medicinal tree at our disposal which is already there in PUBMED. It has even more potential in its bark, seeds, flowers, leaves and roots to take our name to PUBMED. Explore….

M.I.Glad Mohesh, M.Sc, Assistant Professor, Department of Physiology

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SSSMC & RI Ventricular Extrasystoles---Significance, Prognosis and Management

By Dr. B. Balasubramanian, Associate professor, Department of General Medicine Physician may come across VPDs, when the ECGs are being done as a screening procedure for fitness ,annual health check-ups, pre-anesthetic assessment or Non-cardiac chest pain, for their patients. The tendency is immediate referral for cardiologist opinion, Unnecessary investigations like TMT, ECHO or treating with potentially harmful drugs. It was well documented that, 24 hr. Holter monitor shows VPD in 25% of healthy individuals .VPD may be a warning sign of Malignant arrhythmia or simply a benign depends on the underlying Cardiac Disease.

To recognise VPD in ECG QRS and T wave in opposite direction 1) Three or More VPD in a row 2) Coupled 3) M u l t i f o c a l Come from different foci 4) R on T

VPDs are dangerous when

Coupled:

Multifocal :

R on T-May cause VT :

The above VPDs are pre-runner of dangerous VT 窶天F

Morphology and Origin of VPDs The morphology of VPDs is of great importance in patients susceptible to be treated by catheter ablation, because the 12-lead ECG can identify the origin of VPDs with a certain degree of precision. The VPD originate in the Left Ventricle have right bundle branch block morphology ,and Originating from Right Ventricle, have left bundle branch block pattern.

Underlying cause窶ｦ窶ｦ窶ｦ..

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SSSMC & RI The importance of VPD depend upon underlying cause. If there is a new onset of VPD , should be investigated, after careful history. It was well accepted that the presence of VPDs in the absence of structural heart disease favors benign prognosis.

VPD in the following conditions are clinically significant: 1) ACS

3) Asymptomatic VPDs with structurally normal hearts does not require treatment.

4) CASTstudy clearly revealed that,treating the asymptomatic, or minimally symptomatic VPD In Post MI prevents , arrthythmia related death.

The Drugs that are commonly used to prevent VPD : 1) Betablocker like Sotalol 60 -120 mg bd.

2) Dyspnoea-COPD,CHF

3) Amiodarone 100-400mg Od

3) Drug Induced-Digoxin

4) Mexilitine 200-250mg qid.

4) Renal Failure

5) Verapamil occasionally used for a specific VT originating from IVS. When to refer patient with VPD to the Electrophysiologist ?

1) Syncope

5) Due to Hypoxia / Hypokalemia 6) Congenital ,valvular Heart Disease 7) Brugada syndrome 8) ARVD/C-Arithmogenic Right Ventricular dysplasia/Cardiomyopathy 9) CPVT-Catecholaminergic polymorphic VT

2) Flecanide 50-150mg bd.

2) LV dysfunction- Low EF % 3) Episode of VT

10) Cardiomyopathy-Ishemic,Non-ishemic

4) Cardiac arrest

Work- up General Medical work-up Lab Test : Serum K+,Mg2+,T4,TSH,Metanephrine Estimation in Urine.

RestECG TMT ECHO Holter monitoring Coronary angiogram rarely Electrophysiological study in high risk category.

Management 1) Benign VPDs patient needs reassurance and advise

Conclusion : VPD are frequently seen in daily clinical practice and are usually benign, does not require any treatment, unless if it is associated with structural heart disease.

Reference : Cardiology :Neil Grubb,David E.Newby-Church Livingstone ESC council of Cardiology Practice-2006 Meta-analysis and systematic review to determine the long-term prognostic significance of premature ventricular complexes (PVCs) in adults without clinically apparent heart disease. Department of Cardiology, The Heart Hospital, UniversityCollege London Hospital, London, UK.

to avoid smoking, alcohol 2) Systemic disorder like Hyperthyroidism,Anemia and Underlying heart disease needs specific treatment

DO WE ALL LAUGH ENOUGH???

Laughter is an involuntary reaction that does not require any learning process. Can u all recall what Charlie Chaplin said? “A day without laughter is a day wasted�.Against the assault of laughter, nothing can stand. Blessed are those who can laugh at themselves, for they shall never cease to be amused. Laughter is a magic to our souls. The sound of laughter spreads the gift of joy. Who would not love the sound of laughter? Only the heartless!!! The sound of roaring laughter is far more contagious than any cough, sniffle, or sneeze. When laughter is shared, it binds people together and increases happiness. A good laugh heals a lot of hurts. Sense of humour is one of the most powerful tools

you have to make certain that your daily mood and emotional state support good health. Laughter cures a multitude of illness. Laughter strengthens the immune system, boosts energy, diminishes pain, and protects us from the damaging effects of stress. With so much power to heal and renew, the ability to laugh easily and frequently is a tremendous resource for surmounting problems.

Laughter makes our day better and makes our life worth living.

The sound of music, rhythms of cry from a baby, granny's tales, father's touch, mother's love, sibling's fight,

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SSSMC & RI arguments on trivial issues with friends, laughing for silly jokes, were coming like flashes to us in our deep slumber but all we could find in reality was we are all busy after something leaving such beautiful things unnoticed or rather least bothered to look into. We have burdened our shoulders with just worries that we forget to smile even once in a day. An apple a day keeps the doctor away but we say, roaring laughter doesn't require even an apple. All u need is a hearty laughter but the present trend gives a red alarm to us that we fear if we have to pay for even a smile in future. Best of all, this priceless medicine is fun, free, and easy to use.Are we loosing something really precious??? Wake up!!!

Siri! mudiyumvarai Siri !

Mudindhaal, pirarai sirikkavai !

Baashai puriyadhavanukkum purindha ore mozhi Sirrippu !

Say CHEEEEEZ!!!

N.Swetha, Biochemistry, Sindhuja Anand, Dentistry V. Shalini, Dentistry M.J.Anitha, Microbiology

Campus Evens DEPARTMENT OF COMMUNITY MEDICINE WORLD TUBERCULOSIS DAY – 24TH MARCH 2013 A) College In order to spread awareness about Tuberculosis among the undergraduate medical students and faculties of the medical college, Department of Pulmonary Medicine and Department of Community Medicine observed World TB Day on 29/03/2013.

The session was attended by Dr. T. R. Gopalan, Dean; Dr Thirunarayanan, Medical Superintendent; Head of D e p a r t m e n t s f r o m P u l m o n a r y M e d i c i n e ( D r.

Sundaramoorthy), Community Medicine (Dr. Jegadeesh Ramasamy), General Medicine (Dr. Nasreen), Microbiology (Dr. Karthika), Physiology (Dr. Das), Anatomy (Dr. Swayamjyothi), Obstetrics & Gynecology (Dr. Mohanambal), General Surgery (Dr. Devakannan) and faculties from different clinical, para-clinical and preclinical departments. The target audiences were the undergraduate students from sixth and seventh semester students.

The program comprised of a poster competition and a debate competition (TOPIC FOR DEBATE: Tuberculosis eradication in near future – Mission

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Possible or impossible) in which students participated with lot of enthusiasm. The debate was well received by the audience with periodical applause from both sides. It was certainly a thought provoking session for the students as well as the faculties.

A panel of judges was constituted to assess both posters and debate separately and winners for each event were suitably rewarded at the end. The awards were sponsored

by Dr. Sundaramoorthy.

B) RHTC, Sembakkam & UHTC, Thiruporur A health talk for spreading awareness about tuberculosis was conducted at both the centers by the intern doctors under the guidance of faculties of the Department of Community Medicine on 26.03.2013.

SHRI SATHYA SAI MEDICAL COLLEGE & RESEARCH INSTITUTE WORLD TUBERCULOSIS DAY – 24/03/2013

SSSMC & RI {I}MEDICAL COLLEGE In order to spread awareness about Tuberculosis among the undergraduate medical students and faculties of the medical college, Department of Pulmonary Medicine and Department of Community Medicine observed World TB Day on 29/03/2013.

The sensitization session was attended by Dr. T. R. Gopalan, Dean; Dr Thirunarayanan, Medical Superintendent; Head of Departments from Pulmonary Medicine (Dr. Sundaramoorthy), Community Medicine (Dr. Jegadeesh Ramasamy), General Medicine (Dr. Nasreen), Microbiology (Dr. Karthika), Physiology (Dr. Das), Anatomy (Dr. Swayamjyothi), Obstetrics & Gynecology (Dr. Mohanambal), General Surgery (Dr. Devakannan) and faculties from different clinical, para-clinical and preclinical departments. The target audiences were the undergraduate students from sixth and seventh semester students.

Debate Competition

The program comprised of a poster competition and a debate competition in which students participated with lot of enthusiasm.

A) POSTER COMPETITION: 12 groups were constituted each consisting of 8-10 students and following topics were assigned to them:I. Signs and symptoms of TB – Adults & Children II. Mode of transmission III. How to diagnose pulmonary tuberculosis – Sputum examination IV. Where to go for sputum examination, Number of sputum examination, Importance of visiting to a government approved laboratory V. TB is curable with DOTS - Availability of free medicines; Need of complete treatment VI. DOTS – What is DOTS; IP & CP in Cat I & II VII. Protect yourself against tuberculosis & BCG vaccine

Faculties with debate winners

VIII. Stop transmission of tuberculosis - Cough etiquette and ethics IX. TB & HIV & DM X. Drug resistant forms of tuberculosis – MDR, XDR XI. World TB Day theme -2013 (Stop TB in my lifetime) XII. Airborne infection control in hospitals B) DEBATE COMPETITION: TOPIC FOR DEBATE: Tuberculosis eradication in near future - Possible or not possible Two groups consisting of seven students each were constituted in advance and they were guided by the faculties

World TB Day at UHTC 12

SSSMC & RI b) Directly observed Treatment; and c) Significance of completing the entire course of treatment.

Poster Competition for their points of discussion. The debate was well received by the audience with periodical applause from both sides. It was certainly a thought provoking session for the students as well as the faculties.

A panel of judges was constituted to assess both posters and debate separately and winners for each event were suitably rewarded at the end. {II} AT URBAN HEALTH CENTRE, THIRUPORUR & RURAL HEALTH CENTRE, SEMBAKKAM A health talk for spreading awareness about tuberculosis was conducted at both the enters by the intern doctors under the guidance of faculties of the Department of community edicine on 26.03.2013. The interns have prepared charts and posters in the local language for spreading the scientific message in a user-friendly manner.

Special focus of the health talk was on:Signs and symptoms of tuberculosis; a) Need of early diagnosis by sputum microscopy;

Nandivaram Health Centre 13

VILLAGE ADOPTION As a part of healthcare services expansion, Nandivaram village was adopted by the SSS MC & RI. Nandivaram health centre was inaugurated on 9th March 2013 by Dr T R Gopalan, Dean. The program was attended by Dr. Thirunarayanan, Medical Superintendent and Dr Sundaramoorthy, DMS. On the same day, a health camp was organized in which 144 patients availed the services of specialist doctors. Dr Raja, Assistant Professor, Department of Community Medicine will coordinate for conducting regular clinics on every Wednesday along with specialty departments on rotation.

CSF- CRRI SCIENTIFIC FORUM This forum is an excellent opportunity for the interns to present interesting cases that they come across during the internship. It is being conducted every week on Wednesdays and the co-ordinator is PROF. DR. A. Sundaramurthy. So far in the last quarter 8 such sessions have been conducted and the best paper award winners are listed below: 1. A CASE OF GANGRENOUS APPENDICITIS – DHUVARAKESH APPARAJ 2. VACCUM THERAPY FOR LUMBAR SPONDYLOSIS- PURBITA GOSWAMI 3. A CASE OF POLYCYTHEMIA VERA –ASWATHY ANIL 4. UNSAFE SAFETY PIN – RAMAKRISHNA REDDY 5. YOUNG HYPERTENSIVE –ASHWINI MUTHUSAMY

Nandivaram Dean addressing the patients

SSSMC & RI 6. PARTIAL vs TOTAL THYROIDECTOMY FOR PAPILLARY CA. THYROID-MARIA FORTUNA 7. UTERINE PROLAPSE WITH B/L OVARIAN CYST-PUNITHAVATHY 8. FLASH PULMONARY EDEMA-AMARNATH The Department of Microbiology on 13th March 2013 conducted a CME on D3 – Deadly Dare Devils between 1.45 – 3.45 pm.

The speakers were 1.

Dr.Malathy, Consultant , Shankara Nethralaya, CHENNAI, spoke on ESBL 2. Dr. Srividhya , Asst. Prof.Pulmonology , SSSMC & RI elaborated XDR TUBERCULOSIS 3. Dr. Krishnappa , Asso.Prof. Microbiology ,SSSMC & RI discussed DRUG RESISTANT MALARIA

informative . The program was a grand success in fulfilling the aim , which was to ignite knowledge into the young minds. At this point the tireless & meticulous efforts taken

by Dr.Suthanthira Devi HOD of Dept of OBG , Dr. Mohanambal & Dr.Rupa as coordinators for the event have to be appreciated.

The session was well attended by the faculties, IV semester PUBLICATIONS: students of II MBBS. It was highly interactive as it dealt with 1. Pradeep Sukla, Raja D, Vinoth R, Jegadeesh Ramasamy. the drug resistance in Bacteria and parasites which causes life Preventing threshold in human immune virus of threatening illness. infected persons through statistical model.

The IV semester students made the programme even International Journal of Pharmaceutical Science & more colourful by their 'POSTER PRESENTATION' and the Health Care. 2013;1(3):43-46.

Department of Microbiology gave prizes to I and II best posters.

2. Syed Hasan Nawaz Zaidi, Pradeep Sukla, Jegadeesh The programme concluded after the discussion session.

Ramasamy. Knowledge and perception of community regarding mosquito-borne diseases in a coastal rural PREVENTION OF NEEDLESS MATERNAL DEATH - CME area of South India. Indian Journal of Public Health REPORT Research & Development, 2012:3(4):57-69.

“Think of the Grief, Death, Sacrifice 3. Saurabh RamBihariLal Shrivastava, Prateek Saurabh Think of the needless loss of life.

Shrivastava, Jegadeesh Ramasamy.

Juvenile Every hour, every day, a life blown or taken; delinquency: Lessons on the street. Journal of Indian Every loss of life that could have been spared “ Association for Child and Adolescent Mental Health.

The Dept of OBSTETRICS & GYNAECOLOGY in 2012;8(4):113-115. coordination with the FOGSI team conducted a CME on 4. Saurabh RamBihariLal Shrivastava, Prateek Saurabh “PREVENTION OF NEEDLESS MATERNAL Shrivastava, Jegadeesh Ramasamy.

Lung Cancer: th DEATH”on12 March 2013. Hemorrhage after delivery, Knowledge-Application Gap. South Asian Journal of being the most common cause of perinatal mortality has Cancer. 2013;2(1):18. taken away lives in great numbers. The aim of this CME 5. Saurabh Rambiharilal Shrivastava, Prateek Saurabh was to lecture & demonstrate a detailed & stepwise Shrivastava, Jegadeesh Ramasamy. Vulnerability to management protocol for PPH by the pioneers in the field disasters – Are we moving ahead? International Journal THE FOGSI COORDINATORS of Preventive Medicine. 2012;3(12):902-903. ? Dr.JEYAM KANNAN MD DGO 6.

Saurabh RamBihariLal Shrivastava, Prateek Saurabh ? DR SAMPATH KUMAR MD DGO Shrivastava, Jegadeesh Ramasamy. Implementation of & public health practices in tribal populations of India – Dr. Dilshath, MD DGO Challenges & Remedies. Healthcare in Low-resource (Director ISO - Govt. KGH) Settings. 2013;1:e3.

The lectures & the live demonstrations were extremely

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SSSMC & RI

Congratulations!!!

7. Saurabh RamBihariLal Shrivastava, Prateek Saurabh Shrivastava, Jegadeesh Ramasamy. Epidemiological investigation of a case of chickenpox in a medical college in Kancheepuram, India. GERMS. 2013;3(1):18-20.

8. Saurabh RamBihariLal Shrivastava, Prateek Saurabh Shrivastava, Jegadeesh Ramasamy. Role of self-care in management of diabetes mellitus. Journal of Diabetes & Medical Disorders. 2013;12:14.

9. Saurabh RamBihariLal Shrivastava, Prateek Saurabh Shrivastava, Jegadeesh Ramasamy. Childhood Blindness: Is My World Getting Smaller?� Indian Journal of Medical Sciences. 2011;65(12):557-558.

10. Raja D, Mohammed Ibrahim R. A cross-sectional study on the prevalence of hypertension among adolescent school students in rural areas of Kancheepuram district, Tamil Nadu, 2011. Rural Medicine.

2012;1(2):133-9.

11. Abuse of Psychoactive Fauna to get a High- A review of the Past And Present.

Authors: - Dr Vijay Kautilya D, Dr Pravir Bodkha.

Journal: - Anil Agarwal's Internet Journal of Forensic Medicine & Toxicology.

Indexing: - Scopus, EMBASE, MedWebPlus.

Details:- Kautilya DV, Bodhka P. Abuse of psychoactive Fauna to get a High - A review of the past & present. Anil Aggrawal's Internet Journal of Forensic Medicine and Toxicology [serial online], 2013; Vol. 14, No. 1 (Jan - June 2013): [about 9 p]. Available from: http://www.anilaggrawal.com/ij/vol_014_no_001/papers/pa

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per012.html.

12. A Role of Digital Imaging in Identification of Unidentified Bodies Authors: - Dr Pravir Bodhka.

Journal: - Journal of Indian Academy of Forensic Medicine.

Indexing: - Scopus, Index Copernicus.

Details: - Journal of Indian Academy of Forensic Medicine.

October-December 2012, Vol. 34, No. 4, page 318-321. ? Dr SUTHANTHIRA DEVI presented a paper on MODIFIED METHOD OF PELVIC FLOOR REPAIR in the ALL INDIA CONFERENCE OF OBG (AICOG) held on 20th January 2013 representing SHRI SATHYA SAI MEDICAL COLLEGE & RESEARCH INSTITUTE, AMMAPETTAI, KANCHIPURAM, TAMILNADU. ? Dr.K. Sivakamy, Assistant Professor of Microbiology participated in the XVI Annual Microbiology Conference conducted by IAMM AP Chapter between 9th and 10th of February 2013 in Visakhapatnam.

VACCINATION PROGRAMME- HEPATITIS B VACCINE (HBV) FROM 5TH & 6TH MARCH 2013.

The Microbiology Department in collaboration with hospital infection control committee conducted HBV programme from 5th and 6th March, in which Doctors, Medical Students and various paramedical staffs were vaccinationed with first dose of HBV.

INCREDIBLE YOUTH! Youth the Flavour of life With thrilling range of strife The age not just to estivate But the age to perpetuate

Popcorn

SSSMC & RI

Youth the antipodean to adult But has to be seriously dealt The ambience of youth is ambiguous But the actions of youth are conscious

Optimistic being my repellant, Opportunistic my attractant..

You are my boss, Making everyone toss…

Youth makes my heart sing The originality of life commencing The paramount of youth is to roam The venues we go is our home

Deva Kumar , PHOENIX 2008

Youth full of obstacle illusions But youths are imperturbable population The moments with friends are excessive Missing it would hurt much obsessive

I walk with cough, Making them to become cough, I enjoy my curry with fever They worry becoming severe…

Dr. Sindhuja, Tutor, Dentistry

Youth blooms once in a lifetime Never to be missed at anytime Tears roll out from the senile As they reminisce about their juvenile

I was cut into pieces, By this silly human species, However I make them suffer, They invent things to buffer….

Samples collected from host, Packed and sent by post, Satisfied, enjoying their toast, With my life as their cost…

Youth the role model of insubordination Never miss it with mere superstition A boo is lot louder than a cheer Sweet youth the age more than anything dear Never let a day go by without a dream This is our youth's ice cream Hats off to the adolescent age You have made my life emerge

I would dance in public places giggling my master introducing me to cases makes up my generation…

I rub ample colours, From sunrise to sunset, Hiding within flowers Making anyone upset…

Youth a promise of adventure ahead Surge of hope to a soul depressed The power of youth is ceaseless The amenability of juvenile are boundless Youth the antipodean to agoraphobia The determination to conquer any phobia The age of adamant and addle invest But the experience acquired is vast

Wandered and searched for saints, But I still stick to them as paints…

Who else can cut me off While I shut them all off???

I taste the hearts of HIV's, Loving doubles over singles..

Enters a house as a guest, To make them completely rest…

Youth never comes back again The age adjunct to gain The cameo of youth is to be raucous But the whole of youth is open handiness

Youth is what successful people recollect The age to grasp all intellect Time changes everything they say But youth causes the change I convey

OSTLER'S ODE….

I came with wavy hands Touched them with magic wands, Turning them into puppets Emptying everyone's pockets….

All the fun I made, Has put me under a shade, There came the RMP(rifampicin), Which completely reduced my BP….

Selvasri, Exoticans 2010

G.Shadhana, Exoticans 2010

Simon Peter, Valiants, 2011

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SSSMC & RI

PATRONS : Chancellor – Shri. M.K. Rajagopalan, Pro- Chancellor – Smt. Gowri Rajagopalan, Chief Advisors: Vice-Chancellor- Prof. KR. Sethuraman Dean – Prof. T.R. Gopalan Editorial Committee: 1. Dr.Balaji Rajagopalan, Prof. & Head Biochemistry – Editor-in-Chief 2. Dr. Suthanthira Devi, Prof. & Head – OG 3. Dr. Swayam Jyothi, Prof. & Head - Anatomy 4. Dr. Sundharamurthy, Prof. & Head – TB & Chest 5. Dr. Nasreen, Prof & Head – General Medicine 6. Dr. Sri Vidhya , Asst. Prof. – Pulmonary Medicine 7. Dr. Sridhar, Asso. Prof – Microbiology 8. Mr. Glad Mohesh, Asst. Prof. – Physiology 9. Ms. N.Swetha, Tutor – Biochemistry 10. Mr. Lakshmi Narayanan, IT Department – Print & Layout Students Committee: 1. Mr. Dhuvarakesh

- Phoenix 2008

2. Ms. Aruna Priyanka Mallu

- Phoenix 2008

3. Mr. Abhirup Chakraborthy

- Mavericks 2009

4. Ms. Sriya Alagappan

- Mavericks 2009

5. Mr. Naveen Rajamohan

- Exoticans 2010

6. Ms. Monica Roselin

- Exoticans 2010

7. Mr. Mohamed Nidhal

- Valiants 2011

8. Ms. Divya

- Valiants 2011

9. Mr. Ajay Dev

- Jubiliants 2012

10. Ms. Shruthi. K

- Jubiliants 2012