Manoj Patruni | NTR University of Health Sciences (original) (raw)

Papers by Manoj Patruni

Research paper thumbnail of 17012567406949.pdf

Introduction: The biggest single avoidable risk factor for cardiovascular disease is hypertension... more Introduction: The biggest single avoidable risk factor for cardiovascular disease is hypertension. The India Hypertension Control Initiative project uses evidence-based techniques to improve hypertension care and control to lower preventable cardiovascular mortality. Objectives: To know the effectiveness of IHCI in the management and control of hypertension by using fieldbased strategies. Methodology: This is a hospital-based observational study that was conducted among newly diagnosed hypertensive patients from five selected UPHCs in Vijayawada town, NTR District, Andhra Pradesh State. Inclusion Criteria: 1. Patients aged 30 years and above. 2. Newly diagnosed hypertensive patients in January 2022 are considered for this study. Exclusion Criteria: 1. Patients diagnosed earlier than January 2022.2.Patients with Hypertension & Diabetes 3. Age less than 30 years. Data of the study participants is recorded with the help of the NCD register at the UPHCs & the SIMPLE App which is an Android application developed and used in the IHCI Program. The Collected Data was spread over an Excel sheet and data was analysed by using SPSS Software 20.0. The standard error of the difference between two means of systolic and diastolic blood pressure was calculated to test the significance. The proportion of hypertension patients under control with protocol drugs. Results: Study results depicted that IHCI is productive in the management & control of systolic and diastolic blood pressure of newly diagnosed hypertensive patients with p<0.05. Conclusion: IHCI effectively reduces the burden of hypertension which in turn reduces the morbidity and mortality due to cardiovascular diseases like Heart attacks and stroke. Further large setting studies may be conducted to strengthen the study findings.

Research paper thumbnail of Study to analyze the patients presenting with acute mesenteric ischemia, to surgery unit in a tertiary care hospital, Telangana, South India

International Journal of Surgery Science

Research paper thumbnail of Study to access mesh fixation versus non-mesh fixation in trans abdominal preperitoneal MESHPLASTY among patients attending the general surgery department with inguinal hernia, Telangana state, India

International Journal of Surgery Science

Research paper thumbnail of Study to access the surgical outcome among patients attending ophthalmology unit with pterygium using various autografts at RVM Hospital, Siddipet, Telangana state

International Journal of Medical Ophthalmology

Research paper thumbnail of Study to find the indications and adverse reactions in patients receiving intravitreal injections at ophthalmology unit, RVM hospital, Telangana state, India

International Journal of Medical Ophthalmology

Research paper thumbnail of Observational study on ocular manifestations in type 2 diabetes patients attending the ophthalmology department, at RVM hospital, South India

International Journal of Medical Ophthalmology

Research paper thumbnail of Study to ascertain the relation of lipid profile among diabetic retinopathy patients attending ophthalmology unit, RVM hospital, Siddipet, Telangana state

International Journal of Medical Ophthalmology

Research paper thumbnail of Nutritional assessment of pregnant and lactating women in an urban slum of Siddipet District, Telangana, India

International Journal Of Community Medicine And Public Health

Background: One of the vulnerable groups among the population is pregnant and lactating mothers. ... more Background: One of the vulnerable groups among the population is pregnant and lactating mothers. Among the women in pregnancy it effects the fetal growth and development. Aim of this study is to assess the dietary pattern of pregnant women and lactating mothers and factors related with adequacy of nutrient intake.Methods: Community based cross-sectional study. Study setting was urban slum dwellers of Siddipet. Study period from September 2019 to November 2019. Study population were pregnant and lactating women up to 6 months registered in Anganwadi centre. Sample size was 91 pregnant and 58 lactating women. Sampling methods was simple random sampling method. Data analysis used was SPSS Version 21.Results: Distribution of women according to intake of nutrients revealed that nearly 90% of the pregnant and 50% of the lactating women were not taking adequate calories and proteins respectively. Mean calorie intake in pregnant and lactating women was 1418±192 and 1600±218 respectively (re...

Research paper thumbnail of Assess the outcome of CPAP on preterm babies with respiratory distress syndrome attending the pediatrics unit in a tertiary care center, Telangana state

International Journal of Paediatrics and Geriatrics

Introduction: On an average 15 million preterm babies are born around the world out of which more... more Introduction: On an average 15 million preterm babies are born around the world out of which more than one million die soon after the birth, mainly due to respiratory disorders. Across 184 countries, preterm birth rate ranges from 5% to 18%. In India, out of 27 million babies born every year, 3.5 million babies are premature. Methodology: Hospital based observational Prospective study, conducted from March 2019 to December 2019 (10 Months). Neonates with a diagnosis of respiratory distress syndrome admitted between March 2019 to December 2019 in Neonatal Intensive Care Unit in RVM Institute of medical sciences, private teaching hospital, Siddipet district, Telangana state. Results: Of the total 140 preterm neonates, 30 neonates (21%) belong to gestational age 28-31 weeks, 28 neonates (33%) belong to gestational age 32-34 weeks, and 64 neonates (46%) belong to gestational age 35-37 weeks. Of the total 140 neonates in this study, more than half of the neonates (n = 100, 71%) were having birth weight < 2 grams less than half (n = 40, 29%) were having birth weight > 2 grams. Mean birth weight was 1792.69 grams. Majority, 114 (81%) of the subjects had Successful outcome with CPAP in this study. Conclusion: CPAP as well as timely Surfactant administration and antenatal steroids can increase the survival rate among neonates with RDS.

Research paper thumbnail of Assess the effectiveness of oral versus parenteral antibiotics in children under five years of age, diagnosed with severe pneumonia in a private teaching hospital, Telangana state

International Journal of Paediatrics and Geriatrics

Introduction: The most significant and striking feature of pneumonia is consolidation. Pneumonia ... more Introduction: The most significant and striking feature of pneumonia is consolidation. Pneumonia continues to be the biggest killer disease globally, of less than five year's children. Pneumonia accounts for 15% of all deaths of children under 5 years old, killing 8, 08694 children in 2017. Methodology: Hospital based prospective observational comparative study. This study was conducted in the department of paediatrics, RVM institute of medical sciences and research canter. This study was approved by the RVM institutional ethical committee prior to the study. The study was conducted between the months of September 2019 to January 2020.100 children who are diagnosed with severe pneumonia were included in this the study. Results: A total of 100 children have been enrolled in the present study. Among them 56 (56%) are Males and 44 (44%) are Females. Male: female ratio was 1.3: 0.8. Treatment Failure rate in oral amoxicillin group is 24% and in Inj.ampicillin plus Amikacin (parenteral) group is 16%.The difference in treatment outcome in the two groups is not statistically significant. (p = 1.0000, p = 0.3173). Conclusion: Proper training of care givers and treating clinicians to promptly recognize the danger signs of very severe pneumonia, one can safely treat the patients with severe pneumonia with oral Amoxicillin.

Research paper thumbnail of Study to assess the diagnostic utility of percutaneous aspiration in intraabdominal and pelvic masses among the patients attending a private teaching hospital, Telangana state

International Journal of Clinical and Diagnostic Pathology

Research paper thumbnail of Study to assess the knowledge and perceptions on COVID-19, among RVM hospital staff, Siddipet district, Telangana state, South India

International Journal of Advanced Community Medicine 2020; 3(2): 41-45, 2020

Introduction: Coronaviruses belongs to a large family of viruses, which are known to cause mild t... more Introduction: Coronaviruses belongs to a large family of viruses, which are known to cause mild to moderate respiratory diseases. In the past there were epidemics of two beta coronaviruses namely MERS (Middle East Respiratory Syndrome), SARS (Severe Acute Respiratory Syndrome) which caused over 10,000 deaths over the past two decades [1, 2]. Corona Virus Disease (COVID-19) was first identified in December 2019 in Wuhan, China. This disease has spread globally now and has become an ongoing 2019-2020 life threatening pandemic disease [1-4]. The aim and objective of this study is to assess the knowledge and perceptions against COVID-19 disease among hospital staff.
Materials & Methods: Hospital based cross-sectional study conducted between April 1st to April 15th 2020 and a total of 195 staff participated in the study. The self-administrated, semi-structured 16-item questionnaire was developed based on WHO myth busters, administered on the study participants. Consent of the participants and Institutional ethical clearance was obtained before conducting the study. Convenience sampling method was used for data collection.
Results: Total number of study participants in this study was 195 hospital staff. Among this study participants the mean age 28.54 +/- 5.26 years. 95 members belong to the age group of 20-29 years and above 40 years are around 37 members. The gender distribution among the study participants was M: F = 1.3:0.8. Knowledge on COVID-19 was estimated by using the semi-structured questionnaire consisting questions on knowledge and the myths (beliefs) on every participant. Out of the 195 participants majority of them 164(84.10%) answered correct about what is COVID-19, only 31(15.8%) were wrong. The route of transmission was also answered correctly by 146 (74.8%) among 195 participants. Maximum 177(90.7%) participants are aware of the symptoms and 166 participants know the preventive aspects. 144(73.8%) participants are aware about waste segregation and usage of yellow coloured bin to drop the hospital waste from COVID wards in the hospital.
Conclusion: We would like to conclude from this study that Authentic Health information on COVID-19 and good Health care practices against COVID-19 are to be inculcated among the Hospital staff and the doctors by using continuous medical education platform

Research paper thumbnail of Study to access gynaecological problems in adolescent girls attending the gynaecology OPD at a private teaching institute, Telangana state, South India

International Journal of Clinical Obstetrics and Gynecology, 2020

Introduction: Adolescents constitute over 21.4% of the population in India. According to WHO, Ado... more Introduction: Adolescents constitute over 21.4% of the population in India. According to WHO, Adolescent age group is 10 to 19 years. During adolescence along with physiological changes, psychological and socio-behavioural changes also occur. It is essential to have knowledge of normal changes occurring in this age-group, and also of the demographic pattern of distribution and prevalence of specific gynaecological problems in order to offer medical services to this group of patients 1. Methodology: Hospital based observational, prospective study, which was conducted in RVM Institute of Medical Sciences & Research Centre, Siddipet, Telangana State. Study was conducted from January 2019 to December 2019.A total of 50 adolescent girls attending the gynaecology OPD are selected based on the inclusion and exclusion criteria. Results: Most of the girls belong to 17-19 years age group 28 (56%), followed by 14-16 years 17 (34%). Maximum number of girls attained menarche at the age of 10-13 years (66%) and 22% of girls didn't attain menarche. 22% of girls had menorrhagia, followed by ovarian cyst (18%), (16%) had irregular cycles, primary amenorrhoea (12%), oligo menorrhoea (10%), Dysmenorrhea (8%), secondary amenorrhoea of (6%), PID (6%), teenage pregnancy (2%). Conclusion: Health education on menstrual hygiene is essential along with healthy life style practices like games, meditation; yoga must be encouraged in adolescent girls. It must be part of the schools health programs. Introduction Adolescents constitute over 21.4% of the population in India. According to WHO, Adolescent age group is 10 to 19 years [1]. Gynaecological problems of adolescent girls has a special space in the spectrum of gynaecological disorders. This is because of the nature of problems which are unique, special and specific for the age group and with associated psychological factors which are very important in the growth and psychological development of any girl in the transition between childhood and womanhood. Yet adolescent gynaecology is a subspecialized area of Gynaecology, which is still not yet explored. With this study, we tried our best to review the gynaecological problems of the adolescent population attending the Gynaecological Outpatient

Research paper thumbnail of Study the effectiveness of transvaginal sonography versus digital assessment of cervix in predicting preterm labour; among the pregnant women attending obstetric care unit, Siddipet, Telangana state

International Journal of Clinical Obstetrics and Gynecology, 2020

Introduction: New global estimates show that in 2014, approximately 10.6% of all live births glob... more Introduction: New global estimates show that in 2014, approximately 10.6% of all live births globally were preterm. Preterm birth is the leading cause of perinatal mortality and morbidity. Preterm birth complicates 5-10% of pregnancies, but accounts for 85% of perinatal morbidity and mortality 1. Cervix has a significant role in the aetiology, prevention and treatment of preterm labor1. Cervical factor is responsible for 17% of cases of preterm labor 2. Methodology: Hospital based prospective study. Study included pregnant women attending the labor room or admitted in antenatal ward of RVM institute of medical sciences and Research Center, Siddipet district, Telangana state, conducted from March 2019 to January 2020. Sixty cases were included in this study by following inclusion and exclusion criteria. Results: 53% of study group are in the age group of 21-25 years, Minimum age of the subject was16 years and maximum is 32 years. Most of them admitted were in between the gestation age of 34-36wk i.e. 39 (65%) pregnant women. Out of 60 pregnant women 21 (35%) had cervical length <2.5cm and 39 women (65%) had cervical length ≥2.5 cm measured by TVS. Out of 60 pregnant women 36 (60%) had cervical length <2.5 cm and 24 (40%) women had cervical length ≥2.5cm measured by digital examination. Conclusion: Transvaginal ultrasonic measurement is considered to be the most accurate method of measuring the cervical length when compared to cervical length measurement by digital examination.

Research paper thumbnail of To study the effectiveness of core needle biopsy in diagnosing bone lesions in patients attending tertiary care centre, Telangana State, South India

International Journal of Clinical and Diagnostic Pathology, 2019

Introduction: Preoperative histopathological diagnosis is corner stone, which are most definitive... more Introduction: Preoperative histopathological diagnosis is corner stone, which are most definitive methods of preoperative diagnosis. So the aim of the study is to determine the effectiveness of core needle biopsy in establishing the diagnosis. Methodology: Hospital based Prospective study which was conducted in department of pathology, RVM Institute of medical Sciences and Research Centre, Siddipet district, Telangana state. A total of 33 cases were studied from March 2019 to December 2019. Results: In the present study the female participants are more than the males with an observed gender ratio (M: F) 0.8:1.2.The diagnostic results from the samples of core needle biopsy are classified into 4 types and 2 samples (6%) were not adequate to diagnose. The major type of tumors are Primary Malignant type of tumors that is 49%, followed by metastatic type 24%,benign type are 18% and Chronic osteomyelitis was 1 case (3%). Conclusion: The diagnostic accuracy, sensitivity, specificity, and positive and negative predictive values was 100% which was presented in table 6, were determined on the basis of 31cases, our core needle biopsy diagnosis was matching with definitive diagnosis after surgery.

Research paper thumbnail of Study to assess the effectiveness of cell block technique in analysis of pleural fluids among pleural effusion cases attending a private teaching Hospital, South India

International Journal of Clinical and Diagnostic Pathology, 2019

Introduction: Cell block is a useful method to evaluate pleural effusion by enabling observation ... more Introduction: Cell block is a useful method to evaluate pleural effusion by enabling observation of tissue morphology and also additional sections that are useful for special stains and immunochemistry. Because of its safe and easy collection, pleural fluid cell block is considered an alternative to pleural tissue, especially if the patient not eligible for surgery or biopsy. The cell block technique now takes an intermediate position between histological and cytological examination. So the aim of this study is to know the effectiveness of cell block technique over the conventional smears in pleural fluid analysis. Centre. During this period, total 50 cases of pleural effusion which were admitted in medical ward of RVMIMS&RC hospital. Pleural fluid samples obtained from aspiration of all the admitted pleural effusion cases are analyzed during the above period. Results: Out of the total 50 cases included in this study, males were 35 and female were 15 contributing 60% and 40% respectively. Males are more than females. Age range of the study participants was from 20-70 years, with the dominant age group being 31-40 years. In the present study, 16% were diagnosed as malignancy on cell block and only 10% were diagnosed as positive for malignancy on cytosmears. Conclusion: The present study demonstrates that the pleural fluid cytology cell block techniques are the most useful tests in establishing the diagnosis of pleural effusion. Cytological examination of body fluids is a complete diagnostic modality which aims at pointing out the etiology and prognosis of effusion. But, with the help of cell block technique and it helps in reaching at a near accurate diagnosis. Introduction Serous fluid cytology is most preferred investigation. Cytology of serous fluids is having utmost importance not only in detecting cancer cells, but it also provides information regarding various inflammatory conditions with regards to serous membranes, bacterial, viral, fungal infections and parasitic infestations. 1 The accurate identification of cells as malignant or reactive mesothelial cells is a diagnostic problem by cytological smears. A new method of cell block preparation by using 10% alcohol-formalin as a fixative is used, to know the sensitivity between conventional smear study and Cell Block studies. Cell blocks prepared from residual tissue fluids and fine-needle aspirations can be useful adjuncts to smears for establishing a more definitive cyto-pathologic diagnosis. They are particularly useful for categorization of tumors that otherwise may not be possible from smears themselves. There are many studies done to compare the effectiveness of cell blocks with that of smears from fine needle aspiration materials, but only limited studies in the case of serous fluids 2 .Although pleural biopsy and pleural effusion cell block are both useful for the diagnosis of malignancy, there are only few studies that compared the diagnostic utility between pleural biopsy and the corresponding pleural effusion. 3 Therefore, it remains unclear whether pleural effusion cell block is a useful diagnostic alternative to pleural biopsy for malignancy. Hence the aim and objective of this study is to assess the diagnostic utility of cell block technique versus conventional cytosmear, in pleural fluids.

Research paper thumbnail of Study to evaluate non-traumatic low backache using magnetic resonance imaging, in a tertiary care centre, Siddipet District, Telangana state

International Journal of Radiology and Diagnostic Imaging, 2020

Introduction: Commonest complaints in patients and one of the most common causes of disability is... more Introduction: Commonest complaints in patients and one of the most common causes of disability is low backache. Patients with low backache require immediate evaluation and diagnostic imaging is the only approach to know the cause and plan the appropriate management. Methodology: Hospital based cross sectional study, conducted for one year period (Jan 2019 TO Dec 2019) among adult patients presenting with non-traumatic low backache. MRI investigation of Lumbosacral spine was done and imaging features were studied. This study was done on 50 patients in Department of Radiology, RVM Institute of Medical sciences. Results: Maximum numbers of patients were found in the age group between 30 to 50 years (48%). The three common etiologies observed in this study are degenerative disc disease (70%) followed by Degenerative spondylolisthesis (18%) and infections as (12%). The abnormalities observed during the study in the participants are commonly Disc bulge (60%) followed by Disc desiccation (46%), Osteophytes (46%), spinal stenosis (34%), vertebral compression among (15%),spondylolisthesis (12%) and facet joint arthropathy in (9%) Conclusion: MRI is the best diagnostic imaging modality in detecting the causes of low backache, thereby appropriate management can be planned to resolve the pain. Introduction Back pain is strongly associated with degeneration of the intervertebral disc. Spine degeneration is a global problem, in this condition prevalence increases with age. It ranges from 85% to 95% among adults aged 50 to 55 years, with no sex difference. Frequently ordered for low backache are X-rays. These are cost effective and readily available. The limitations are findings, which are very limited that alter management, poor relationship between most radiographic abnormalities and symptoms of low backache [1]. This makes evaluation by MRI more reasonable, which detects the cause of low backache in a majority of patients. The present study was undertaken to determine the various causes of low backache and their MRI patterns. In the present scenario MRI plays an important role in evaluation of low backache to identify the pathology. MRI has good soft tissue resolution, disc material can be well visualized, any bony pathology can be identified and pathology in the spinal canal can be found and evaluated 2. Aim and Objective of this study is to evaluate various causes of low backache along with their prevalence and to study the findings of MRI in patients with non-traumatic low backache.

Research paper thumbnail of Study to ascertain the diagnostic value of computed tomography in patients diagnosed as acute cerebro - vascular accidents attending tertiary care centre, Siddipet District, Telangana state

International Journal of Radiology and Diagnostic Imaging, 2020

Introduction: Cerebrovascular accidents are one of the leading causes of death after heart diseas... more Introduction: Cerebrovascular accidents are one of the leading causes of death after heart disease and cancer in the developed countries and also in India. Incidence rate and the death rate of stroke increases as age advances. About 15 to 30% of patients die with each episode of cerebral infarction and 16 to 80% with cerebral haemorrhage. Methodology : Hospital based cross-sectional observational study.40 cases admitted RVM Institute of medical sciences and Research Centre with the diagnosis of acute stroke was taken up for the study. Introduction "Cerebrovascular accident or stroke is defined as an acute loss of focal and at times global (applied to patients in deep coma and those with subarachnoid haemorrhage) cerebral function, the symptoms lasting more than 24 hours or leading to death with no apparent cause other than that of vascular origin" [1]. It accounts for about one percent of admissions to general hospitals. As age advances the incidence rate and death rate of stroke increases. About 15 to 30% of patients die with due to a cerebral infarct and 16 to 80% with cerebral haemorrhage. Those who survive may be left with permanent disability. Hence stroke became a great medical and social concern. Early and accurate diagnosis decreases the morbidity and mortality rates, as newer and effective treatment modalities are in practice [2]. With CT it is possible to non-invasively and reliably diagnose and distinguishes between the types of stroke. (Cerebral infarction or haemorrhage). Facilitated the diagnosis and management of stroke and added significantly to our understanding of the Pathophysiological alterations in case of humans and to detect bone involvement. These are the reasons for performing Brain CT on patients with cerebrovascular accidents [3]. Currently high spatial resolution of CT, is one of the most accurate and rapid diagnostic technique available for identifying and localizing the lesion along with staging and differentiation of lesion [2]. CT scan should be the first line of investigation for diagnosing acute stroke as it is widely available and cost effective than MRI and the rational management of stroke depends

Research paper thumbnail of To study the clinico-pathological picture among children aged 1-18 years in relation to paediatric cervical lymphadenopathy in a tertiary care hospital,

International Journal of Paediatrics and Geriatrics, 2019

Background: Lymph node enlargement is an age related physiological change which is normal in ever... more Background: Lymph node enlargement is an age related physiological change which is normal in every individual. Lymph node enlargement is a common problem in children and evaluation of a child with lymphadenopathy is utmost important It may also occur due to chronic infections and other conditions like autoimmune disorders. Etiology varies from region to region. Aim and objective is to study the clinico-pathological picture of significant cervical lymphadenopathy in pediatric age group and to arrive at an etiological diagnosis. Methodology: Hospital based prospective observational study. Fifty children with cervical lymph node enlargement attending the Pediatric unit of RVM Institute of medical sciences, Siddipet (D), Telangana State from June 2019-December 2019 were taken as study participants. Manteaux test, hematological investigations, FNAC was performed in all the cases. Additional investigations were done wherever required. Results: Among 50 cases the common age group was 11-15 years (38%) children. The etiology was confirmed in 82% cases and could not be confirmed in 16% cases even after other investigations. Cytological examination revealed lymphoid nodular hyperplasia 48% cases, tubercular lymphadenitis in 24% cases and Suppurative lymphadenitis 12% cases. Commonest etiological diagnosis after detailed investigation was found to be due to infections due to bacteria, fungi, viruses in 60% cases followed by tuberculosis in 16% cases and there were 8% cases caused due to measles. Conclusion: Reactive nodular lymphadenitis was the commonest problem which is treatable. Further follow-up involving detection of antigen and antibodies against viruses, parasites and rare causes of lymphadenopathy may decrease the incidence of new significant cervical lymphadenopathy among children of pediatric age group.

Research paper thumbnail of Assessment of etiological factors and clinical outcome of splenomegaly among the children admitted under paediatric department, Siddipet district, Telangana state

International Journal of Paediatrics and Geriatrics, 2019

Introduction: Splenomegaly is defined as enlargement of spleen. Splenomegaly is a sign which is p... more Introduction: Splenomegaly is defined as enlargement of spleen. Splenomegaly is a sign which is prominent among infants and children. Aim of this study is to assess the various etiological factors and clinical outcome of splenomegaly among the pediatric cases admitted in RVM Institute of Medical Sciences and Research Centre, Siddipet, Telangana state. Methodology: Hospital based observational study conducted between July 2019 to December 2019. 50 children from 6 months to 18years, with varying grades of Splenomegaly of different etiologies, admitted to pediatric ward of RVM Institute of Medical Sciences, Siddipet. Detailed History was collected by administering semi-structured questionnaire on each case, physical examination and necessary investigations were done wherever required. Results: Male preponderance was seen in present study. Maximum incidence of Splenomegaly was seen between 6 months to 6 years age group (56%).Majority of the cases had moderate Splenomegaly (46.15%). Fever was the most common presenting feature associated with Splenomegaly. Infections (44%) were the most common Cause of Splenomegaly in all study followed by hematologic diseases (36%). Conclusion: Occurrence of Splenomegaly is commonly due to various infections in present study. Males are predominantly having splenomegaly; majority of cases had moderate Splenomegaly.

Research paper thumbnail of 17012567406949.pdf

Introduction: The biggest single avoidable risk factor for cardiovascular disease is hypertension... more Introduction: The biggest single avoidable risk factor for cardiovascular disease is hypertension. The India Hypertension Control Initiative project uses evidence-based techniques to improve hypertension care and control to lower preventable cardiovascular mortality. Objectives: To know the effectiveness of IHCI in the management and control of hypertension by using fieldbased strategies. Methodology: This is a hospital-based observational study that was conducted among newly diagnosed hypertensive patients from five selected UPHCs in Vijayawada town, NTR District, Andhra Pradesh State. Inclusion Criteria: 1. Patients aged 30 years and above. 2. Newly diagnosed hypertensive patients in January 2022 are considered for this study. Exclusion Criteria: 1. Patients diagnosed earlier than January 2022.2.Patients with Hypertension & Diabetes 3. Age less than 30 years. Data of the study participants is recorded with the help of the NCD register at the UPHCs & the SIMPLE App which is an Android application developed and used in the IHCI Program. The Collected Data was spread over an Excel sheet and data was analysed by using SPSS Software 20.0. The standard error of the difference between two means of systolic and diastolic blood pressure was calculated to test the significance. The proportion of hypertension patients under control with protocol drugs. Results: Study results depicted that IHCI is productive in the management & control of systolic and diastolic blood pressure of newly diagnosed hypertensive patients with p<0.05. Conclusion: IHCI effectively reduces the burden of hypertension which in turn reduces the morbidity and mortality due to cardiovascular diseases like Heart attacks and stroke. Further large setting studies may be conducted to strengthen the study findings.

Research paper thumbnail of Study to analyze the patients presenting with acute mesenteric ischemia, to surgery unit in a tertiary care hospital, Telangana, South India

International Journal of Surgery Science

Research paper thumbnail of Study to access mesh fixation versus non-mesh fixation in trans abdominal preperitoneal MESHPLASTY among patients attending the general surgery department with inguinal hernia, Telangana state, India

International Journal of Surgery Science

Research paper thumbnail of Study to access the surgical outcome among patients attending ophthalmology unit with pterygium using various autografts at RVM Hospital, Siddipet, Telangana state

International Journal of Medical Ophthalmology

Research paper thumbnail of Study to find the indications and adverse reactions in patients receiving intravitreal injections at ophthalmology unit, RVM hospital, Telangana state, India

International Journal of Medical Ophthalmology

Research paper thumbnail of Observational study on ocular manifestations in type 2 diabetes patients attending the ophthalmology department, at RVM hospital, South India

International Journal of Medical Ophthalmology

Research paper thumbnail of Study to ascertain the relation of lipid profile among diabetic retinopathy patients attending ophthalmology unit, RVM hospital, Siddipet, Telangana state

International Journal of Medical Ophthalmology

Research paper thumbnail of Nutritional assessment of pregnant and lactating women in an urban slum of Siddipet District, Telangana, India

International Journal Of Community Medicine And Public Health

Background: One of the vulnerable groups among the population is pregnant and lactating mothers. ... more Background: One of the vulnerable groups among the population is pregnant and lactating mothers. Among the women in pregnancy it effects the fetal growth and development. Aim of this study is to assess the dietary pattern of pregnant women and lactating mothers and factors related with adequacy of nutrient intake.Methods: Community based cross-sectional study. Study setting was urban slum dwellers of Siddipet. Study period from September 2019 to November 2019. Study population were pregnant and lactating women up to 6 months registered in Anganwadi centre. Sample size was 91 pregnant and 58 lactating women. Sampling methods was simple random sampling method. Data analysis used was SPSS Version 21.Results: Distribution of women according to intake of nutrients revealed that nearly 90% of the pregnant and 50% of the lactating women were not taking adequate calories and proteins respectively. Mean calorie intake in pregnant and lactating women was 1418±192 and 1600±218 respectively (re...

Research paper thumbnail of Assess the outcome of CPAP on preterm babies with respiratory distress syndrome attending the pediatrics unit in a tertiary care center, Telangana state

International Journal of Paediatrics and Geriatrics

Introduction: On an average 15 million preterm babies are born around the world out of which more... more Introduction: On an average 15 million preterm babies are born around the world out of which more than one million die soon after the birth, mainly due to respiratory disorders. Across 184 countries, preterm birth rate ranges from 5% to 18%. In India, out of 27 million babies born every year, 3.5 million babies are premature. Methodology: Hospital based observational Prospective study, conducted from March 2019 to December 2019 (10 Months). Neonates with a diagnosis of respiratory distress syndrome admitted between March 2019 to December 2019 in Neonatal Intensive Care Unit in RVM Institute of medical sciences, private teaching hospital, Siddipet district, Telangana state. Results: Of the total 140 preterm neonates, 30 neonates (21%) belong to gestational age 28-31 weeks, 28 neonates (33%) belong to gestational age 32-34 weeks, and 64 neonates (46%) belong to gestational age 35-37 weeks. Of the total 140 neonates in this study, more than half of the neonates (n = 100, 71%) were having birth weight < 2 grams less than half (n = 40, 29%) were having birth weight > 2 grams. Mean birth weight was 1792.69 grams. Majority, 114 (81%) of the subjects had Successful outcome with CPAP in this study. Conclusion: CPAP as well as timely Surfactant administration and antenatal steroids can increase the survival rate among neonates with RDS.

Research paper thumbnail of Assess the effectiveness of oral versus parenteral antibiotics in children under five years of age, diagnosed with severe pneumonia in a private teaching hospital, Telangana state

International Journal of Paediatrics and Geriatrics

Introduction: The most significant and striking feature of pneumonia is consolidation. Pneumonia ... more Introduction: The most significant and striking feature of pneumonia is consolidation. Pneumonia continues to be the biggest killer disease globally, of less than five year's children. Pneumonia accounts for 15% of all deaths of children under 5 years old, killing 8, 08694 children in 2017. Methodology: Hospital based prospective observational comparative study. This study was conducted in the department of paediatrics, RVM institute of medical sciences and research canter. This study was approved by the RVM institutional ethical committee prior to the study. The study was conducted between the months of September 2019 to January 2020.100 children who are diagnosed with severe pneumonia were included in this the study. Results: A total of 100 children have been enrolled in the present study. Among them 56 (56%) are Males and 44 (44%) are Females. Male: female ratio was 1.3: 0.8. Treatment Failure rate in oral amoxicillin group is 24% and in Inj.ampicillin plus Amikacin (parenteral) group is 16%.The difference in treatment outcome in the two groups is not statistically significant. (p = 1.0000, p = 0.3173). Conclusion: Proper training of care givers and treating clinicians to promptly recognize the danger signs of very severe pneumonia, one can safely treat the patients with severe pneumonia with oral Amoxicillin.

Research paper thumbnail of Study to assess the diagnostic utility of percutaneous aspiration in intraabdominal and pelvic masses among the patients attending a private teaching hospital, Telangana state

International Journal of Clinical and Diagnostic Pathology

Research paper thumbnail of Study to assess the knowledge and perceptions on COVID-19, among RVM hospital staff, Siddipet district, Telangana state, South India

International Journal of Advanced Community Medicine 2020; 3(2): 41-45, 2020

Introduction: Coronaviruses belongs to a large family of viruses, which are known to cause mild t... more Introduction: Coronaviruses belongs to a large family of viruses, which are known to cause mild to moderate respiratory diseases. In the past there were epidemics of two beta coronaviruses namely MERS (Middle East Respiratory Syndrome), SARS (Severe Acute Respiratory Syndrome) which caused over 10,000 deaths over the past two decades [1, 2]. Corona Virus Disease (COVID-19) was first identified in December 2019 in Wuhan, China. This disease has spread globally now and has become an ongoing 2019-2020 life threatening pandemic disease [1-4]. The aim and objective of this study is to assess the knowledge and perceptions against COVID-19 disease among hospital staff.
Materials & Methods: Hospital based cross-sectional study conducted between April 1st to April 15th 2020 and a total of 195 staff participated in the study. The self-administrated, semi-structured 16-item questionnaire was developed based on WHO myth busters, administered on the study participants. Consent of the participants and Institutional ethical clearance was obtained before conducting the study. Convenience sampling method was used for data collection.
Results: Total number of study participants in this study was 195 hospital staff. Among this study participants the mean age 28.54 +/- 5.26 years. 95 members belong to the age group of 20-29 years and above 40 years are around 37 members. The gender distribution among the study participants was M: F = 1.3:0.8. Knowledge on COVID-19 was estimated by using the semi-structured questionnaire consisting questions on knowledge and the myths (beliefs) on every participant. Out of the 195 participants majority of them 164(84.10%) answered correct about what is COVID-19, only 31(15.8%) were wrong. The route of transmission was also answered correctly by 146 (74.8%) among 195 participants. Maximum 177(90.7%) participants are aware of the symptoms and 166 participants know the preventive aspects. 144(73.8%) participants are aware about waste segregation and usage of yellow coloured bin to drop the hospital waste from COVID wards in the hospital.
Conclusion: We would like to conclude from this study that Authentic Health information on COVID-19 and good Health care practices against COVID-19 are to be inculcated among the Hospital staff and the doctors by using continuous medical education platform

Research paper thumbnail of Study to access gynaecological problems in adolescent girls attending the gynaecology OPD at a private teaching institute, Telangana state, South India

International Journal of Clinical Obstetrics and Gynecology, 2020

Introduction: Adolescents constitute over 21.4% of the population in India. According to WHO, Ado... more Introduction: Adolescents constitute over 21.4% of the population in India. According to WHO, Adolescent age group is 10 to 19 years. During adolescence along with physiological changes, psychological and socio-behavioural changes also occur. It is essential to have knowledge of normal changes occurring in this age-group, and also of the demographic pattern of distribution and prevalence of specific gynaecological problems in order to offer medical services to this group of patients 1. Methodology: Hospital based observational, prospective study, which was conducted in RVM Institute of Medical Sciences & Research Centre, Siddipet, Telangana State. Study was conducted from January 2019 to December 2019.A total of 50 adolescent girls attending the gynaecology OPD are selected based on the inclusion and exclusion criteria. Results: Most of the girls belong to 17-19 years age group 28 (56%), followed by 14-16 years 17 (34%). Maximum number of girls attained menarche at the age of 10-13 years (66%) and 22% of girls didn't attain menarche. 22% of girls had menorrhagia, followed by ovarian cyst (18%), (16%) had irregular cycles, primary amenorrhoea (12%), oligo menorrhoea (10%), Dysmenorrhea (8%), secondary amenorrhoea of (6%), PID (6%), teenage pregnancy (2%). Conclusion: Health education on menstrual hygiene is essential along with healthy life style practices like games, meditation; yoga must be encouraged in adolescent girls. It must be part of the schools health programs. Introduction Adolescents constitute over 21.4% of the population in India. According to WHO, Adolescent age group is 10 to 19 years [1]. Gynaecological problems of adolescent girls has a special space in the spectrum of gynaecological disorders. This is because of the nature of problems which are unique, special and specific for the age group and with associated psychological factors which are very important in the growth and psychological development of any girl in the transition between childhood and womanhood. Yet adolescent gynaecology is a subspecialized area of Gynaecology, which is still not yet explored. With this study, we tried our best to review the gynaecological problems of the adolescent population attending the Gynaecological Outpatient

Research paper thumbnail of Study the effectiveness of transvaginal sonography versus digital assessment of cervix in predicting preterm labour; among the pregnant women attending obstetric care unit, Siddipet, Telangana state

International Journal of Clinical Obstetrics and Gynecology, 2020

Introduction: New global estimates show that in 2014, approximately 10.6% of all live births glob... more Introduction: New global estimates show that in 2014, approximately 10.6% of all live births globally were preterm. Preterm birth is the leading cause of perinatal mortality and morbidity. Preterm birth complicates 5-10% of pregnancies, but accounts for 85% of perinatal morbidity and mortality 1. Cervix has a significant role in the aetiology, prevention and treatment of preterm labor1. Cervical factor is responsible for 17% of cases of preterm labor 2. Methodology: Hospital based prospective study. Study included pregnant women attending the labor room or admitted in antenatal ward of RVM institute of medical sciences and Research Center, Siddipet district, Telangana state, conducted from March 2019 to January 2020. Sixty cases were included in this study by following inclusion and exclusion criteria. Results: 53% of study group are in the age group of 21-25 years, Minimum age of the subject was16 years and maximum is 32 years. Most of them admitted were in between the gestation age of 34-36wk i.e. 39 (65%) pregnant women. Out of 60 pregnant women 21 (35%) had cervical length <2.5cm and 39 women (65%) had cervical length ≥2.5 cm measured by TVS. Out of 60 pregnant women 36 (60%) had cervical length <2.5 cm and 24 (40%) women had cervical length ≥2.5cm measured by digital examination. Conclusion: Transvaginal ultrasonic measurement is considered to be the most accurate method of measuring the cervical length when compared to cervical length measurement by digital examination.

Research paper thumbnail of To study the effectiveness of core needle biopsy in diagnosing bone lesions in patients attending tertiary care centre, Telangana State, South India

International Journal of Clinical and Diagnostic Pathology, 2019

Introduction: Preoperative histopathological diagnosis is corner stone, which are most definitive... more Introduction: Preoperative histopathological diagnosis is corner stone, which are most definitive methods of preoperative diagnosis. So the aim of the study is to determine the effectiveness of core needle biopsy in establishing the diagnosis. Methodology: Hospital based Prospective study which was conducted in department of pathology, RVM Institute of medical Sciences and Research Centre, Siddipet district, Telangana state. A total of 33 cases were studied from March 2019 to December 2019. Results: In the present study the female participants are more than the males with an observed gender ratio (M: F) 0.8:1.2.The diagnostic results from the samples of core needle biopsy are classified into 4 types and 2 samples (6%) were not adequate to diagnose. The major type of tumors are Primary Malignant type of tumors that is 49%, followed by metastatic type 24%,benign type are 18% and Chronic osteomyelitis was 1 case (3%). Conclusion: The diagnostic accuracy, sensitivity, specificity, and positive and negative predictive values was 100% which was presented in table 6, were determined on the basis of 31cases, our core needle biopsy diagnosis was matching with definitive diagnosis after surgery.

Research paper thumbnail of Study to assess the effectiveness of cell block technique in analysis of pleural fluids among pleural effusion cases attending a private teaching Hospital, South India

International Journal of Clinical and Diagnostic Pathology, 2019

Introduction: Cell block is a useful method to evaluate pleural effusion by enabling observation ... more Introduction: Cell block is a useful method to evaluate pleural effusion by enabling observation of tissue morphology and also additional sections that are useful for special stains and immunochemistry. Because of its safe and easy collection, pleural fluid cell block is considered an alternative to pleural tissue, especially if the patient not eligible for surgery or biopsy. The cell block technique now takes an intermediate position between histological and cytological examination. So the aim of this study is to know the effectiveness of cell block technique over the conventional smears in pleural fluid analysis. Centre. During this period, total 50 cases of pleural effusion which were admitted in medical ward of RVMIMS&RC hospital. Pleural fluid samples obtained from aspiration of all the admitted pleural effusion cases are analyzed during the above period. Results: Out of the total 50 cases included in this study, males were 35 and female were 15 contributing 60% and 40% respectively. Males are more than females. Age range of the study participants was from 20-70 years, with the dominant age group being 31-40 years. In the present study, 16% were diagnosed as malignancy on cell block and only 10% were diagnosed as positive for malignancy on cytosmears. Conclusion: The present study demonstrates that the pleural fluid cytology cell block techniques are the most useful tests in establishing the diagnosis of pleural effusion. Cytological examination of body fluids is a complete diagnostic modality which aims at pointing out the etiology and prognosis of effusion. But, with the help of cell block technique and it helps in reaching at a near accurate diagnosis. Introduction Serous fluid cytology is most preferred investigation. Cytology of serous fluids is having utmost importance not only in detecting cancer cells, but it also provides information regarding various inflammatory conditions with regards to serous membranes, bacterial, viral, fungal infections and parasitic infestations. 1 The accurate identification of cells as malignant or reactive mesothelial cells is a diagnostic problem by cytological smears. A new method of cell block preparation by using 10% alcohol-formalin as a fixative is used, to know the sensitivity between conventional smear study and Cell Block studies. Cell blocks prepared from residual tissue fluids and fine-needle aspirations can be useful adjuncts to smears for establishing a more definitive cyto-pathologic diagnosis. They are particularly useful for categorization of tumors that otherwise may not be possible from smears themselves. There are many studies done to compare the effectiveness of cell blocks with that of smears from fine needle aspiration materials, but only limited studies in the case of serous fluids 2 .Although pleural biopsy and pleural effusion cell block are both useful for the diagnosis of malignancy, there are only few studies that compared the diagnostic utility between pleural biopsy and the corresponding pleural effusion. 3 Therefore, it remains unclear whether pleural effusion cell block is a useful diagnostic alternative to pleural biopsy for malignancy. Hence the aim and objective of this study is to assess the diagnostic utility of cell block technique versus conventional cytosmear, in pleural fluids.

Research paper thumbnail of Study to evaluate non-traumatic low backache using magnetic resonance imaging, in a tertiary care centre, Siddipet District, Telangana state

International Journal of Radiology and Diagnostic Imaging, 2020

Introduction: Commonest complaints in patients and one of the most common causes of disability is... more Introduction: Commonest complaints in patients and one of the most common causes of disability is low backache. Patients with low backache require immediate evaluation and diagnostic imaging is the only approach to know the cause and plan the appropriate management. Methodology: Hospital based cross sectional study, conducted for one year period (Jan 2019 TO Dec 2019) among adult patients presenting with non-traumatic low backache. MRI investigation of Lumbosacral spine was done and imaging features were studied. This study was done on 50 patients in Department of Radiology, RVM Institute of Medical sciences. Results: Maximum numbers of patients were found in the age group between 30 to 50 years (48%). The three common etiologies observed in this study are degenerative disc disease (70%) followed by Degenerative spondylolisthesis (18%) and infections as (12%). The abnormalities observed during the study in the participants are commonly Disc bulge (60%) followed by Disc desiccation (46%), Osteophytes (46%), spinal stenosis (34%), vertebral compression among (15%),spondylolisthesis (12%) and facet joint arthropathy in (9%) Conclusion: MRI is the best diagnostic imaging modality in detecting the causes of low backache, thereby appropriate management can be planned to resolve the pain. Introduction Back pain is strongly associated with degeneration of the intervertebral disc. Spine degeneration is a global problem, in this condition prevalence increases with age. It ranges from 85% to 95% among adults aged 50 to 55 years, with no sex difference. Frequently ordered for low backache are X-rays. These are cost effective and readily available. The limitations are findings, which are very limited that alter management, poor relationship between most radiographic abnormalities and symptoms of low backache [1]. This makes evaluation by MRI more reasonable, which detects the cause of low backache in a majority of patients. The present study was undertaken to determine the various causes of low backache and their MRI patterns. In the present scenario MRI plays an important role in evaluation of low backache to identify the pathology. MRI has good soft tissue resolution, disc material can be well visualized, any bony pathology can be identified and pathology in the spinal canal can be found and evaluated 2. Aim and Objective of this study is to evaluate various causes of low backache along with their prevalence and to study the findings of MRI in patients with non-traumatic low backache.

Research paper thumbnail of Study to ascertain the diagnostic value of computed tomography in patients diagnosed as acute cerebro - vascular accidents attending tertiary care centre, Siddipet District, Telangana state

International Journal of Radiology and Diagnostic Imaging, 2020

Introduction: Cerebrovascular accidents are one of the leading causes of death after heart diseas... more Introduction: Cerebrovascular accidents are one of the leading causes of death after heart disease and cancer in the developed countries and also in India. Incidence rate and the death rate of stroke increases as age advances. About 15 to 30% of patients die with each episode of cerebral infarction and 16 to 80% with cerebral haemorrhage. Methodology : Hospital based cross-sectional observational study.40 cases admitted RVM Institute of medical sciences and Research Centre with the diagnosis of acute stroke was taken up for the study. Introduction "Cerebrovascular accident or stroke is defined as an acute loss of focal and at times global (applied to patients in deep coma and those with subarachnoid haemorrhage) cerebral function, the symptoms lasting more than 24 hours or leading to death with no apparent cause other than that of vascular origin" [1]. It accounts for about one percent of admissions to general hospitals. As age advances the incidence rate and death rate of stroke increases. About 15 to 30% of patients die with due to a cerebral infarct and 16 to 80% with cerebral haemorrhage. Those who survive may be left with permanent disability. Hence stroke became a great medical and social concern. Early and accurate diagnosis decreases the morbidity and mortality rates, as newer and effective treatment modalities are in practice [2]. With CT it is possible to non-invasively and reliably diagnose and distinguishes between the types of stroke. (Cerebral infarction or haemorrhage). Facilitated the diagnosis and management of stroke and added significantly to our understanding of the Pathophysiological alterations in case of humans and to detect bone involvement. These are the reasons for performing Brain CT on patients with cerebrovascular accidents [3]. Currently high spatial resolution of CT, is one of the most accurate and rapid diagnostic technique available for identifying and localizing the lesion along with staging and differentiation of lesion [2]. CT scan should be the first line of investigation for diagnosing acute stroke as it is widely available and cost effective than MRI and the rational management of stroke depends

Research paper thumbnail of To study the clinico-pathological picture among children aged 1-18 years in relation to paediatric cervical lymphadenopathy in a tertiary care hospital,

International Journal of Paediatrics and Geriatrics, 2019

Background: Lymph node enlargement is an age related physiological change which is normal in ever... more Background: Lymph node enlargement is an age related physiological change which is normal in every individual. Lymph node enlargement is a common problem in children and evaluation of a child with lymphadenopathy is utmost important It may also occur due to chronic infections and other conditions like autoimmune disorders. Etiology varies from region to region. Aim and objective is to study the clinico-pathological picture of significant cervical lymphadenopathy in pediatric age group and to arrive at an etiological diagnosis. Methodology: Hospital based prospective observational study. Fifty children with cervical lymph node enlargement attending the Pediatric unit of RVM Institute of medical sciences, Siddipet (D), Telangana State from June 2019-December 2019 were taken as study participants. Manteaux test, hematological investigations, FNAC was performed in all the cases. Additional investigations were done wherever required. Results: Among 50 cases the common age group was 11-15 years (38%) children. The etiology was confirmed in 82% cases and could not be confirmed in 16% cases even after other investigations. Cytological examination revealed lymphoid nodular hyperplasia 48% cases, tubercular lymphadenitis in 24% cases and Suppurative lymphadenitis 12% cases. Commonest etiological diagnosis after detailed investigation was found to be due to infections due to bacteria, fungi, viruses in 60% cases followed by tuberculosis in 16% cases and there were 8% cases caused due to measles. Conclusion: Reactive nodular lymphadenitis was the commonest problem which is treatable. Further follow-up involving detection of antigen and antibodies against viruses, parasites and rare causes of lymphadenopathy may decrease the incidence of new significant cervical lymphadenopathy among children of pediatric age group.

Research paper thumbnail of Assessment of etiological factors and clinical outcome of splenomegaly among the children admitted under paediatric department, Siddipet district, Telangana state

International Journal of Paediatrics and Geriatrics, 2019

Introduction: Splenomegaly is defined as enlargement of spleen. Splenomegaly is a sign which is p... more Introduction: Splenomegaly is defined as enlargement of spleen. Splenomegaly is a sign which is prominent among infants and children. Aim of this study is to assess the various etiological factors and clinical outcome of splenomegaly among the pediatric cases admitted in RVM Institute of Medical Sciences and Research Centre, Siddipet, Telangana state. Methodology: Hospital based observational study conducted between July 2019 to December 2019. 50 children from 6 months to 18years, with varying grades of Splenomegaly of different etiologies, admitted to pediatric ward of RVM Institute of Medical Sciences, Siddipet. Detailed History was collected by administering semi-structured questionnaire on each case, physical examination and necessary investigations were done wherever required. Results: Male preponderance was seen in present study. Maximum incidence of Splenomegaly was seen between 6 months to 6 years age group (56%).Majority of the cases had moderate Splenomegaly (46.15%). Fever was the most common presenting feature associated with Splenomegaly. Infections (44%) were the most common Cause of Splenomegaly in all study followed by hematologic diseases (36%). Conclusion: Occurrence of Splenomegaly is commonly due to various infections in present study. Males are predominantly having splenomegaly; majority of cases had moderate Splenomegaly.