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SSIMS Times Vol 10, Oct-Dec 2015 PDF

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PATRONS S.S. Institute of Medical Sciences & Research Centre NEWS BULLETIN COMMITTEE Editorial Office : DEPARTMENT OF PHARMACOLGY Extn. Nos. : 08192-266345, e-mail: [email protected] Advisory Board: Dr. B.S Prasad Principal Dr. Kalappanavar N.K. Medical Director Dr. Shamanur Shivashankarappa Sri S.S. Mallikarjun Editor in Chief: Honorary Secretary, BEA Joint Secretary, BEA Dr. Sathisha Aithal Minister of Horticulture & APMC Chairman,SSIMS&RC Professor, Govt. of Karnataka, MLA, Davangere (North) Dept. of Pharmacolgy Editor: Dr. Kiran L J Dr. Shivashankara murthy Associate Professor, C o n t e n t s P a g e N o . Co-Editors: Editorial Desk: 2 Dr. Raghu Prasada M.S Mr. Harish Kumar V.S Departmental Activities 2 to 7 Mr. Pradeep A.N Informative Article: 7 to 8 Mr. Chethan Kumar S Publications 9 Executive Members : Dr. A. V. Angadi Dr. Mallikarjuna.C.R Dr. P. Shashikala Dr. Arun Kumar. A Dr. Manjunath J. Dr. Jayaraj S.G. Dr. Vijayakumar. B. Jatti Dr. A. M. Shivkumar Dr. Narendra. S. S Dr. L. Krishnamurthy Dr. Shivamurthy K.C. Dr. Sathyanarayana M.V.V. Dr. Dhananjay K.L Dr. Linganagouda S. Patil Dr. Dileep V Deshpande Dr. Umakant N Patil Dr. Basavarajappa. K. G SSIMS&RC Dr. Ramesh. S. Desai Dr. Prakash. V. Suranagi NH-4, Bypass Road, Davangere - 577 005. Dr. Gejji Shivarudrappa Phone : 08192-261805, 261806, 261807 Dr. Hemant K Kulkarni 261808, 261809 FAX : 08192-262633, 266310 Dr. Bheemayya Badesab E-mail : [email protected] Dr. Vinod. G. Kulkarni Dr. Prema Prabhudev Wed site : www.ssimsrc.com Dr. P. Mallesh Dr. Dhanya Kumar. S Dr. Jagannath Kumar. V Disclaimer : Technical Support: Views and opinions expressed in this newsletter are Rakesh PM Artist & Designer not directly that of the editor or the editorial board. For Santhosh Kumar. D.M Photographer any clarification, author of the article is to be contacted. Vajramma K.G. SDA SSIMS TIMES 2 S.S. INSTITUTE OF MEDICAL SCIENCES & RESEARCH CENTRE Congratulations to all postgraduate and undergraduate students who bagged ranks in examinations held by Rajiv Gandhi University of Health Sciences, Bangalore. EDITORIAL TEAM DEPARTMENTAL ACTIVITIES (cid:183) Dr.Syeda Shaista Naz, 2nd year DEPARTMENT OF ANAESTHESIA postgraduate presented an E-Poster titled “ Airway Management of Severe Post- burn Mento Sternal (cid:183) Dr.Arun kumar Ajjappa, Prof.&Head of Contracture with Microstomia An Anaesthesiology has delivered a Guest Lecture on Anaesthesiologist's Challenge”. “CPR & Basic Life support” in the CME organized by Bapuji Dental College Davanger on 20/11/2015. DEPARTMENT OF MICROBIOLOGY Presentations by postgraduates at 63rd Annual I. Details of participation: National conference of Indian society of A CME & WORKSHOP on AUTOMATION IN Anaesthesiologist, held at Jaipur on 27th BACTERIOLOGY was conducted by Department December 2015. of Microbiology, S.S.Institute of Medical Sciences Dr.Shivakumar K.P, Associate Professor and & Research Centre on 21st October 2015. Dr.Arun kumar Ajjappa, Professor & Head are The programme was attended by over 150 first and second authors respectively. delegates from all over Karnataka. (cid:183) Dr.Sapthami S. Gowda, 3rd Year II. Academic Transaction: postgraduate, presented a oral paper titled , “ A The key note address of CME was given clinical study to compare the efficacy of pre- Dr.K.G.Basavarajappa Professor & HOD treatment with intravenous ketamine and Department of Microbiology. He gave a brief intravenous fentanyl to alleviate pain on propofol account of various emerging infections, its injection during general Anaesthesia” prevalence, risk factors and its control. (cid:183) Dr.Dipali A.T., 3rd year postgraduate, Dr. Anup Kumar Shetty, Associate Professor, presented an oral paper titled “Comparative Study Department of Microbiology, Father Muller of 2%Lignocaine Viscous 10% Lignocaine Spray medical college, Mangalore, spoke on Overview of For Preparation of airway In Awake Fibreoptic blood culture and automation methods in Intubation- A prospective ,randomized study” Microbiology. Vol. 10, Issue :4, Oct - Dec -2015 SSIMS TIMES 3 S.S. INSTITUTE OF MEDICAL SCIENCES & RESEARCH CENTRE Dr. Vinodkumar. C. S, Associate Professor, Important Meeting and visits Department of Microbiology, SSIMS&RC, (cid:183) Visit by Abha Ranjan( Pediatric Occupational presented a meta-analysis of automation Therapist, Early Childhood Intervention and techniques in bacteriology. Community Development). Discussion with Dr B S Prasad Principal and Dr Bheemayya Dr. V. L. Jayasimha, Professor, Department of Badesab. Microbiology, SSIMS&RC, shared their experience of using the automated instruments at (cid:183) Meeting with Sri S T Anjan Kumar Deputy SSIMS&RC, Davangere. Commissioner (DC) Davangere regarding issues related Care differently abled people at tertiary Dr. Dhiravidan Ambedkar, Clinical resource care and DDRC. Dr Bheemayya Badesab, Dr consultant, spoke on clinical significance of blood Kusum & Dr Rachana were invoved in the c u l t u r e i n s e p s i s m a n a g e m e n t . discussion Dr. Satish Patil, Associate Professor, Department of (cid:183) Visit to PHC ( Tolahunse and Igoor) on Microbiology, SSIMS&RC, demonstrated the use 04/11/2015 regarding starting of Diabetes of PHOENIX 100 and BACTEC FX40 to the Retinopathy Screening Program (Team- Dr delegates. Bheemayya Badesab( Community Medicine) Dr Shantala (Ophthalmology) Dr Sapana( Medicine) Dr. Raghukumar K. G. gave the vote of thanks. Dr Kusum & Dr Rachana) State level conference KACHCON 2015 held at Yenapoya Medical college, Mangalore on 29th DEPARTMENT OF COMMUNITY MEDICINE to 31st of October was attended by faculties and postgraduates. The presentations by the faculty (cid:183) CME organized by Dept of Community and postgraduates as follows Medicine on Disability Theme “Join Hands To (cid:183) Dr. Ayesha Nawaz, Assistant Professor, Support Differently Abled People” on 12th presented a poster titled “Study on utilization of December 2015. Chief Guest- Sri S T Anjan antenatal services and factors influencing non Kumar ( DC Davangere ). Guest of Honour Dr H utilization among mothers attending an D Viswanath ( DHO Davangere ) immunization clinic”. (cid:183) Dr.Sharankumar Holyachi presented a oral paper (cid:183) Anganwadi children health check up was ti led "Parental perception towards childhood conducted at Giriyapura on 19th October 2015. Dr. vaccination: a focused group discussion" Sharankumar Holyachi, Assistant Professor, Dr. (cid:183) Dr. Malatesh Undi Presented oral scientific paper Netra Goudar, Post-graduate student, Mr. Ashok titled " A cross-sectional study to assess burden of Kumar, Medico-social worker and Interns Obstructive Sleep Apnoea (OSA) among type 2 conducted the health check up Diabetic patients attending urban health centre in a (cid:183) Antenatal checkup was conducted at slum." Thurchagatta subcentre of Lokikere, PHC on 4th (cid:183) Dr. Rachana A.R presented a cientific oral paper November 2015. Dr. Sharankumar Holyachi, on ” A cross-sectional study to assess the magnitude Assistant Professor, Dr. Yamuna BN and Dr. Netra of needle-stick injuries among health care workers Goudar, Post-graduate students, Mr. Ashok Kumar, of a tertiary care institution in central part of Medico-social worker and Interns conducted the Karnataka, India” health checkup. (cid:183) Dr. Kusum Mane presented a oral paper titled “A (cid:183) Anganwadi health check up was conducted at study on Magnitude of Reproductive Tract Kolkunte village of Lokikere PHC on 16th Infections (RTIs) among married women in the November 2015. Dr. Sharankumar Holyachi, reproductive age group, in rural field practice area Assistant Professor, Dr. Yamuna BN, Post-graduate attached to a Medical college in Davangere.” student, Mr. Ashok Kumar, Medico-social worker (cid:183) Dr. Kusum Mane presented a Poster titled and interns conducted the programme. “Awareness about breastfeeding practices among Vol. 10, Issue :4, Oct - Dec -2015 SSIMS TIMES 4 S.S. INSTITUTE OF MEDICAL SCIENCES & RESEARCH CENTRE college girls in Davangere transverse colon perforation ; A Rare Presentation” (cid:183) Dr. Ratnaprabha G.K presented oral paper in Journal Of Evidence Based Medicine And Health titled “Work family conflict and their Quality of Care; Vol 2,Issue 35 Aug 31,2015 Page 5538-5546 Life in working population of a city in Karnataka” DOI:10.18410JEBMH (2015/76) under the guidance Of Dr.Veerendraswamy .S.M. Training Programme (Professor And Head Dept. Of General Surgery) Dr. Rachana A.R participated training course “The (cid:183)(cid:32)Dr Ravikanth J final year post graduate published International Union Against Tuberculosis and a paper in in international journal of science and Lung Diseas” on “Efficient Quality Assured Data research (IJSR);Titled :our experience in blunt Analysis Using EpiData”, held at Puducherry on trauma abdomen:Volume 4:Issue 8 Aug 2015 under 10 & 11 October, 2015. the guidance of Dr.S.B.Gejji. . (Professor Dept. Of General Surgery) DEPARTMENT OF ORTHOPAEDICS DEPARTMENT OF DERMATOLOGY VENEREOLOGY & LEPROSY (cid:183)Under the Guidance of Dr. Venkataramanarao.M. Professor & Unit Chief , Dr. J. Manjunath. The state dermatology conference cuticon-2015 Professor & HOD Dept of had been organized by SSIMS&RC , JJMMC & Orthopaedics SSIMS, Dr.Tejus.D.B. P.G. Student DDA under the dynamic leadership of Dept of Orthopaedics presented paper on A Dr.Jagannath Kumar V , Prof & HOD ,SSIMS&RC clinicoradiological study of ao cannulated (Joint. Org. Secretary) & Dr.S.B Murugesh , Prof & cancellous screw fixation for fresh fracture of the HOD JJMMC (org Secretary) on 28th & 29th of Nov neck of femur in children and adoloscentys at 2015 at SSIMS premises. IOACON, held at Jaipur from 9th to 14th December Record number of delegates for any state skin 2015. conference were present on the occasion. Chief guest Shri Dr.Shamanur Shivashankarappa, (cid:183)(cid:32) Bone Mineral Density free test done on Chairman, JJM Medical college Davangere, 23rdDecember 2015 at Dept of Orthopaedics Hon.Secretary, Bapuji Educational Association, SSIMS & RC Davanagere. Cabinet minister for Horticulture and Agricultural Marketing Govt. of Karnataka & Sri S.S. Mallikarjun, MLA., Hon. Joint Secretary, Bapuji DEPARTMENT OF EMERGENCY MEDICINE Educational Association & Chairman SSIMS&RC, graced the occasion with their impressive speeches. (cid:183) Final year postgraduate Dr Karthik Reddy Many renowned dermatologists presented presented a poster on “Postpartum Hypernatremic scientific papers. All the Professors, Staffs & PGs Encephalopathy with Extrapontine Myelinosis” at of SSIMS&RC and JJMMC actively participated in INDUSEM2015 conducted at AIIMS New Delhi. the event. (cid:183) Second year postgraduate Dr Ganesha B S, The highlight of the program was the felicitation of presented at clinicopathological case at Dr.Siddappa and Dr.Karibasappa for their INDUSEM2015 on October 3rd 2015 at AIIMS meritorious services during the occasion. New Delhi. Post graduates Dr.Madhuri and Dr.Vishal M B of (cid:183) Final year postgraduates, Dr.Bakkesh, Dr SSIMS&RC presented scientific papers during the Mahesh, Dr Karthik Reddy and second year conference. postgraduates Dr Uday, Dr Bharath, Dr Ganesha attended and successfully completed ATLS DEPARTMENT OF GENERAL SURGERY (Advanced Trauma Life Support) course at JPN apex trauma center AIIMS New Delhi from 8th to Oct 10th October 2015. (cid:183)(cid:32) Dr.Vandana. B. Giriradder final year post (cid:183) Final year postgraduate Dr Mahesh K and graduate published a paper on; “Peritonitis due to Vol. 10, Issue :4, Oct - Dec -2015 SSIMS TIMES 5 S.S. INSTITUTE OF MEDICAL SCIENCES & RESEARCH CENTRE second year postgraduate Dr Ganesha successfully (cid:183) Second year postgraduate Dr Ganesha BS completed AHA certified PALS(Pediatric attended the course on 2015 guidelines for Advanced Life Support) at IIEMS Kochi on 29th & ACLS/BLS on Dec 13th at RESUSCICON2015 30th November 2015. conducted at Kochi. DEPARTMENTAL OF OBSTETRICS AND GYNECOLOGY Department of OBG & OBG society, Davangere branch conducted CME programme on 'Recurrent Pregnancy Loss' on15th November 2015. Following here the list of speakers and topics during the scientific programme: Speakers Topics Dr. Jayanthi. Know thy enemy Etiology of RPL Dr. Shilpa G B Evaluation of RPL Prof. K V Malini Making sense of the insensible Genetics in RPL Panel Discussion Dr. Shylaja Dealing with Anatomical problems in RP Dr. Shobha Gudi Progesterones in RPL an aidence based approach Dr. Susheela rani LMWH in unexplained RPL what does evidence say? Dr. Mangala Male factor in RPL Dr. Chitra Sewan Endocrine problem leading to RPL Dr. Shukla Shetty Role of infections in RPL Dr. Prema Prabhudev Counseling in RPL 1) Following faculty and Postgraduate E) Dr. Tejaswi Vittal Pujar and Dr. Seema students attended 26th KSOGA State OBG B.N., Asst. Professor conference on 26th to 30th Nove. 2015 at Mysuru as Postgraduate students presented paper and faculty, Chairpersons and as judge for paper poster at 26th KSOGA State OBG conference presentation. held from on 26th to 30th November . 2015 at Mysuru a) Dr. Prema Prabhudev, Prof. & HOD- A) Dr. Seema Chigateri presented paper on Gave a lecture on 'Management of ovarian cancer' 'Emergency bilateral internal iliac artery ligation Chair the session during debate on still a life soring and poster on ' Fallopian tube 'Induction of labour at 40wks' Progestrone versus carcinoma a case report in procedure. cervical incirclarge and VBAC versus Elective b) Dr. Pushpaltha. G presented paper on Caesarean section 'Materal and perinatal outcome in pregnant women with hypertensive disorders and poster on 'Klippel B) Dr. Gayatri L Patil, Professor judge for trenaunay syndrome in pregnancy - A case report. poster presentations and free papers. a) Dr. Ajith Sathyanand. P. presented paper on 'Do we need an exclusive obstetric intensive care c) Dr. Bandamma Narendra. S.,Professor unit at emergency department' and poster on' A rare Gave lecture on ' Evaluation of mass per abdomen case of mullerian agenesis'. in premenopausal woman in PG CME programme. b) Dr. Radhika. D.S. presented a paper on 'The Was a judge for PG free papers retrospective study of causes, mode of delivery of IUD and associated maternal complication and d) Dr. Rashmi. P.S., Associate. Professor was poster on 'The rare case of rupture uterus in second a judge for poster presentations and free papers. trimester of pregnancy'. Vol. 10, Issue :4, Oct - Dec -2015 SSIMS TIMES 6 S.S. INSTITUTE OF MEDICAL SCIENCES & RESEARCH CENTRE organized on 27th November 2015 by HDFC bank DEPARTMENT OF PAEDIATRICS with Bapuji HI tech MBA college. Blood Bank office along with Dr Lakshmi Ronada, Dr Dr. N.K. Kalappanavar Malsahree attended the camp along with house Medical Director, Prof & Head. surgeons. About 25 units of blood were collected. (cid:183) A voluntary blood donation camp was 1. Participated in the Haveri District branch CME at organized on 11th December 2015 by HDFC bank Ranebennur and delivered talk on “Oxygen at Mandipet branch, Davangere. Blood Bank Therapy” on 22nd Nov 2015. at Rainbow School officer along with Dr Lakshmi Ronada, attended the camp along with house surgeons. About 49 2. Participated as faculty during CME on Disability units of blood were collected. on 12th December 2015 and spoke on “Disabilities (cid:183) Voluntary blood donation camp was in Children” at SSIMS&RC Davangere. organized on 11th December 2015 by Zilla Panchayath , Davangere. Dr.Neetha.Y. Asstiant.Professor, Dr.Chethan Sagar.S. DEPARTMENT OF PATHOLOGY Dr.Malashree, postgraduates, attended the camp. About 26 units of blood collected. (cid:183) A voluntary blood donation camp was (cid:183) A voluntary blood donation camp was organized on 6th November 2015 by Lions & organized on 12th December 2015 by HDFC bank Lioness club at GMIT college , Davangere. SS with Asian paints, Bada cross, Davangere. Blood blood bank with blood bank team participated in Bank office along with Dr Lakshmi Ronada, Dr the camp. Dr Kavita GU, professor, pathology Malashree attended the camp along with house spoke on the occasion about the importance of surgeons. About 10units of blood were collected. blood donation. Dr Shweta J H conducted the camp. Post graduates Dr Chethan Sagar, Dr Ankur Majumder & house surgeons also attended the DEPARTMENT OF PHARMACOLOGY camp. About 70 units of blood collected. (cid:183) A voluntary blood donation camp was organized on 7th November 2015 at UBDT college , Presentations by postgraduates at the “3rd Davangere by NSS wing. SS blood bank International Conference and Exhibition on participated in the camp. Lioness club at GMIT Pharmacognosy, Phytochemistry & Natural college , Davangere. SS blood bank with blood products” held from October 26th to 28th bank team participated in the camp. Dr Kavita GU, October 2015 at Hyderabad Professor, Pathology spoke on the occasion about Dr. Divya Bade: Ethnopharmacology. the importance of blood donation. Blood bank Dr. Nayana M.R.: Evaluation of antidepressant technicians, postgraduates Dr Chetan Sagar & activity of Turnera diffusa in albino mice. house surgeons attended the camp. About 75 units Dr. Sonali Mohanty: Evaluation of anticonvulsant of blood were collected. activity of Turnera diffusa in albino mice. (cid:183) A CME on “ Haematological problems in Obstetrics” was conducted by Department of DEPARTMENT OF PSYCHIATRY Pathology & Department of OBG on 7th November 2015 at JJM auditorium. (cid:183) A voluntary blood donation camp was (cid:183) The Department of psychiatry celebrated organized on 17th November 2015 by Life line in “National Mental Health Day” on October 10th collaboration with DVG University, at Tolhunse. 2015, Dr. Prasad BS, principal of SSIMS&RC met SS blood bank with team participated in the camp. with the staff and announced new projects and Dr Kavita GU, Professor, Pathology conducted the upcoming new strategies related to improving camp. Dr Lakshmi Ronada, Dr Reddy Kavitha mental health in the community and Davanagere attended the camp along with house surgeons. district. Also the starting of a new post graduate About 20 units of blood were collected. programme in Psychiatry was announced to boost (cid:183) A voluntary blood donation camp was the activities of the department Vol. 10, Issue :4, Oct - Dec -2015 SSIMS TIMES 7 S.S. INSTITUTE OF MEDICAL SCIENCES & RESEARCH CENTRE (cid:183) The Department is participating in the departments of ophthalmology, Community Outreach Psychiatry Camps as a part otorhinolaryngology, orthopaedics, and of the Manochaithanya Program under the auspices physiotherapy. In our department Mrs. Asha H N, of Karnataka Mental Health Task Force as per the clinical psychologist and Dr. Deepthi Abraham are instructions of the Division of Senior Citizen and participating in each of those camps to assess Disabilities of the Department of Health and disabilities Family Welfare, Government of Karnataka. The (cid:183) Dr. Deepthi Abraham was speaker at the camps are held in association with the Department CME on Disability held at SSIMS&RC, of Community Medicine and with the assistance of Davanagere on 12th December 2015. the Non-Governmental Organization called (cid:183) Mrs. Asha H N, clinical psychologist in the Association for People with Disabilities (APD), department attended a training program held at Davangere. Camps are held under the direction of NIMHANS, Bangalore on December 15, 2015. Dr. Sushil Kumar S V and Dr. Rajeev Swamy, every (cid:183) Dr. Sushil Kumar S V attended and spoke Tuesday of the month at Channagiri, Honnalli, with the severely mentally ill and differently abled Harappanahalli and Harihara in that order. patients and their family members at the Mental (cid:183) Department is actively participating in the Health Awareness workshop as a Psychiatrist DDRC (District Disability Rehabilitation resource person from SSIMS&RC. The program Committee) programs being held in different was organized by the NGO Association for People villages of all talukas of Davanagere district on a with Disability (APD) on 29th December 2015. monthly basis. The camps are being held along with INFORMATIVE ARTICLES An Interesting Case Of Suppurative Cholecystitis In The Gravidarum DR VEERENDRASWAMY.S.M1, DR GAYTRI .L .PATIL2, DR SAGAR. K3, DR DILIP.D.K.4 INTRODUCTION complains of pain in the right upper abdomen since Biliary tract disease is relatively uncommon , 15 days heterogeneous disease in pregnancy. specifically, ON EXAMINATION acute Cholecystitis can be especially difficult to Right hypochondriac tenderness present recognise in pregnancy. Infact, the prevalence of Obstetric examination was normal acute Cholecystitis in pregnancy ranges from 1/1000 to 1/10000 births. cholilithiasis is obviously INVESTIGATIONS the major etiological factor in the development of Complete haemogram with in normal limits acute cholecystitis and it has been established that Liver function tests with in normal limits the pregnant state predisposes women to gall stones USG Abdomen-shows multiple GB stones , formation .Once diagnosed, the initial management maximum measures about 10mm in size. plan should be conservative and include institution of antibiotic therapy. Then , depending on the TREATMENT gestational age at diagnosis, the management plan Laproscopic Cholecystectomy done under General may differ . Surgical intervention , when indicated Endotracheal Anaesthesia ;should not be delayed and a planned intervention Intra op findings : Suppurative calculus during the second trimester appears to offer a better Cholecystitis evident by multiple GB stones outcome than surgery performed under emergent purulent discharge conditions. Post operatively patient developed Systemic Inflammatory Response Syndrome , treated with CASE REPORT appropriate analgesics and antibiotics, patient A young pregnant female XYZ ,GP L with 18 recovered well and discharged in a week of time 2 1 1 weeks of gestation admitted in labour room with Vol. 10, Issue :4, Oct - Dec -2015 SSIMS TIMES 8 S.S. INSTITUTE OF MEDICAL SCIENCES & RESEARCH CENTRE Cholecystitis can be difficult to recognise in pregnancy. Once diagnosed, the initial management plan should be conservative and include institution of antibiotic therapy .Then depending on the gestational age at diagnosis, the management plan may differ. Surgical intervention when indicated should not be delayed and a planned intervention during second trimester appears to offer a better outcome than surgery performed under emergent conditions. REFRENCES: 1. Barone JE, Bears S, Chen S, Tsai J, Russell JC. Outcome study of cholecystectomy during pregnancy. Am J Surg. 1999;177:232236 2. Muench J, Albrink M, Serafini F, et al. Delay in treatment of biliary disease during pregnancy increases morbidity and can be avoided with safe laparoscopic cholecystectomy. Am Surg. 2001;67:539542. 3. Graham G, Baxi L, Tharakan T. Laparoscopic cholecystectomy during pregnancy: a case series and review of the literature. ObstetGynecolSurv. 1998;l9:556574. Authors : 1. Professor And Head Of Dept. Dept Of General Surgery 2. rofessor , Dept Of Obstretics And Gyenecology CONCLUSION 3. Asst. Professor , Dept Of General Surgery Biliary tract disease in pregnancy is a relatively 4. Post Graduate Dept. Of General Surgery uncommon occurrence because of heterogeneous nature of the disease, progression to acute PHARMACOVIGILENCE CELL Pharmacovigilence cell, department of pharmacology, SSIMS & RC in co-ordination with SUN Pharma, davangere conducted CME(continued medical education) at hotel Pooja International on 21st November 2015. The topics included Vitamin D deficiency rising incidence in clinical practice and awareness about ADR(adverse drug reaction) reporting and to fill CDSCO(Centre for Drug Standards Control Organisation) ADR reporting form. Dr Raghu prasada MS, assistant professor contributed as a guest speaker for the CME. The event was attended by private practitioners in and around davangere. Vol. 10, Issue :4, Oct - Dec -2015

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not directly that of the editor or the editorial board. For &Head of. Anaesthesiology has delivered a Guest Lecture on . Assistant Professor, Dr. Yamuna BN, Post-graduate student, Mr. Ashok DDA under the dynamic leadership of . Professor, Dr.Chethan Sagar.S Analysis of Titles of Posters.
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