Browsing by Author "Ravikumar, K"
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Item An epidemiological study of animal bites in India: results of a WHO sponsored national multi-centric rabies survey.(2006-03-21) Sudarshan, M K; Mahendra, B J; Madhusudana, S N; Ashwoath Narayana, D H; Rahman, Abdul; Rao, N S N; X-Meslin, F; Lobo, Derek; Ravikumar, K; Gangaboraiah,This was a WHO sponsored national multi-centric rabies survey and one of its objectives was to find out the incidence of animal bites, anti-rabies treatment practices, Pet dog population and their care. Twenty-one medical colleges chosen with geoscatter representation conducted the survey during February-August, 2003. The survey was conducted in 18 states, covering a population of 52,731 chosen randomly from 8500 households. The annual incidence of animal bites was high, 1.7% and it was more in rural areas (1.8%), children (2.6%) and poor/low income group (75%). The main biting animal was dog (91.5%), mostly stray (63%), followed by cat (4.7%). A high proportion of bite victims did not wash their wounds with soap and water (39.5%), preferred Government hospitals (59.9%) and nerve tissue vaccine (46.9%). The use of rabies immunoglobulin was low (2.1%). A single animal bite episode led to a loss of 2.2 man-days and the cost of medicines including anti-rabies vaccine was Rs.252 (US$6). The recourse to indigenous treatment (45.3%) and local application to wound (36.8%/) was quite prevalent. About 17% of households reported having a pet/domesticated dog and the pet dog: man ratio was 1: 36. Pet dog care/management practices were not satisfactory with a low veterinary consultation (35.5%) and vaccination (32.9%). The situation was slightly better in urban areas. The people also reported the presence (83%) and menace (22.8%) of stray dogs. It is recommended to initiate appropriate community awareness and dog vaccination campaigns and effective stray dog control measures.Item Idiopathic colo-colic intussusception (a case report).(1988-10-01) Ravikumar, K; Khope, S; Rao, P LItem Littre's hernia in a child--an operative surprise (a case report).(1989-04-01) Ravikumar, K; Khope, S; Ganapathi, B PThe incidence of Littre's hernia in children is unknown. The diagnosis is usually made at operation or autopsy. One case in an eight month old infant is described. Heterotropic mucoglandular tissue causing nodularity and adhesions was noted in the diverticulum. Though histological findings in Littre's hernia are not mentioned in previous reports, we believe that Littre's hernia could often be associated heterotropic mucosa.Item Successful management of breast abscess with ongoing breastfeeding.(1995-04-01) Banapurmath, C R; Banapurmath, S C; Mallikarjuna, H B; Kalliath, A; Rao, K T; Verghese, J; Ravikumar, K; Kesaree, N