Publications by authors named "Sarala Narayana"

Background: . The undergraduate medical course in India is for five-and-a-half years. Every medical student has to undergo compulsory rotating residential internship for 12 months.

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Background: Allergic rhinitis (AR) is characterized by nasal itch, sneezing, watery or mucous rhinorrhea, nasal obstruction, and nasal or pharyngeal irritation. If untreated, AR can impair patients' quality of life (QOL). Azelastine hydrochloride (AH), histamine receptor antagonists, has anti-inflammatory and mast cell stabilizing properties.

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Gynecomastia is benign enlargement of male breast, drug-induced gynecomastia accounts for about 25%. We are reporting a case of spironolactone-induced unilateral gynecomastia. A 52-year-old male patient receiving multiple antihypertensives including hydrochlorothiazide presented with muscle weakness and easy fatigability.

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Diabetes mellitus (DM) and its complications have been implicated in hyperglycemia-induced oxidative stress. Antioxidants can improve glycemic control, lipid profile, and cognitive functions. We assessed the effect of Vitamin E and omega 3 fatty acids (OFA) on the above parameters.

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Background: Effective control of pain postoperatively is essential in providing enhanced patient care and a cost-effective hospital stay. Though many treatment modalities exist for postoperative pain management in orthopedic surgeries they are often accompanied by adverse effects. This study was carried out to assess the efficacy of flupirtine and piroxicam in postoperative pain reduction using visual analog scale (VAS) score.

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Context: Epilepsy is a neurological disorder affecting 70 million worldwide. The high incidence of relapse can be attributed to nonadherence, thus increasing the incidence of refractory epilepsy to 10%-20%.

Aims: This study was planned to determine rate of adherence and factors affecting adherence using Antiepileptic Adherence Questionnaire and Baseline Adherence Questionnaire.

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Article Synopsis
  • * Conducted from March to August 2014, the analysis included 200 DPLs from a hospital in India, revealing that while most included basic information like drug names and indications, many lacked critical details such as drug costs and comprehensive safety information.
  • * The findings showed that only 69% of the DPLs met at least half of the WHO’s guidelines, indicating that many promotional materials may provide incomplete or misleading information, which could negatively impact prescribing practices.
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Introduction: Prediabetes is an intermediate state between diabetes and normoglycaemia, where the glucose levels are higher than normal but not significant to be diagnosed as diabetes mellitus. Guidelines from various associations suggest different types of management in this situation.

Objective: To assess knowledge and attitude of the doctors regarding prediabetes using questionnaire.

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Objective: The objective of the following study was to assess the knowledge, practice, perception and adverse reactions among hair dye users.

Settings And Design: A cross-sectional study was conducted on patients, their attenders and staff of SDUMC.

Materials And Methods: A questionnaire (28) pertaining to use of hair dyes and reactions to them was administered randomly.

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Organophosphorous (OP) compound poisoning is one of the most common causes for admission to the Medical Intensive Care Unit. The morbidity and mortality associated with OP poisoning is due to the action of the compound at the muscarinic, nicotinic receptors, and the central nervous system. Here is a rare case of extrapyramidal manifestations occurring in the intermediate phase of OP poisoning, use of amantidine led to subsiding of the symptoms.

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In order to deal with the rising problem of antibiotic resistance, newer antibacterials are being discovered and added to existing pool. Since the year 2000, however, only four new classes of antibacterials have been discovered. These include the oxazolidinones, glycolipopeptides, glycolipodepepsipeptide and pleuromutilins.

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Background: Liver is the main organ for metabolism of drugs and hepatotoxicity is a potential adverse effect for most drugs.

Aims: This study was to study the frequency of drug-induced hepatotoxicity and to find the common drugs causing hepatotoxicity.

Materials And Methods: The study was conducted at a tertiary care hospital in rural India.

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