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Volume-13 (2014);
No. 1 (Jan-Mar)
Published on May 15, 2014
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2014;1:1
Original Article |
Chudasama RK, Sheth A, Rangoonwala M, Joshi N, Zalavadiya D, Bhola C.
Awareness and Practice of Biomedical Waste Management Among Different Health Care Personnel at Tertiary Care Centre, Rajkot, India. |
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Abstract: Background: Bio medical
waste collection and proper disposal has become a significant concern for both the medical and general community. Objective:
To know the awareness and practice of biomedical waste management (BMW) among health care personnel working at a tertiary care centre.
Methods: The study was conducted from January 2013 to June 2013. It was a descriptive observational hospital based cross sectional study.
Study participants included the resident and intern doctors, nursing staff, laboratory technicians, sanitary staff (ward boys, aaya and sweepers)
working in the P D U Government Medical College and Civil Hospital, Rajkot who are dealing with BMW. The study was conducted by using pretested,
semi-structured pro forma. Results: Total 282 health care personnel participated, including 123 resident and intern doctors,
92 nursing personnel, 13 laboratory technicians and 54 sanitary staff. Only 44.3% study participants received training for bio medical
waste management. Except for doctors (98.4%), awareness regarding identification and use of color coded bags as per BMW act, was
very poor among health care personnel. Record keeping for injuries related to biomedical waste was very poor for all health care personnel. Significant number of
paramedics maintained record of BMW at work place, practiced disinfection and segregation of BMW at work place, used personal protective
measures while handling BMW. Significant number of resident and intern doctors practiced correct method for collecting sharps and needles
than paramedical staff. Conclusion: Intensive training program at regular time interval and a system of monitoring and
surveillance about practice of day to day BMW management should be evolved.
Key words: Bio medical waste; Health care personnel; Awareness; Practice |
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This Article |
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2014;1:2
Original Article |
Trivedi R, Adhikari P, Singh SP, Singh S, Nath S, Saxena M.
Comparative Evaluation of Cash Benefit Scheme of Janani Suraksha Yojana for Beneficiary Mothers from Different Health Care Settings of Rewa District, Madhya Pradesh, India. |
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Abstract: Introduction: For better outcomes in mother and child health, Government of India launched the National Rural Health Mission (NRHM) in 2005 with a major objective of providing accessible, affordable and quality health care to the rural population; especially the vulnerable. Reduction in MMR to 100/100,000 is one of its goals and the Janani Suraksha Yojana (JSY) is the key strategy of NRHM to achieve this reduction. The JSY, as a safe motherhood intervention and modified alternative of the National Maternity Benefit Scheme (NMBS), has been implemented in all states and Union territories with special focus on low performing states. The main objective and vision of JSY is to reduce maternal, neo-natal mortality and promote institutional delivery among the poor pregnant women of rural and urban areas. This scheme is 100% centrally sponsored and has an integrated delivery and post delivery care with the help of a key person i.e. ASHA (Accredited Social Health Activist), followed by cash monetary help to the women. Objectives: 1)To evaluate cash benefit service provided under JSY at different health care settings. 2) To know the perception and elicit suggestions of beneficiaries on quality of cash benefit scheme of JSY. Methodology: This is a health care institute based observational cross sectional study including randomly selected 200 JSY beneficiary mothers from the different health care settings i.e., Primary Health Centres, Community Health Centres, District Hospital and Medical College Hospital of Rewa District of Madhya Pradesh state. Data was collected with the help of set pro forma and then analysed with Epi Info 2000. Chi square test was applied appropriately. Results: 60% and 80% beneficiaries from PHC and CHC received cash within 1 week after discharge whereas 100%
beneficiaries of District Hospital and Medical College Hospital received cash at the time of discharge; the overall distribution of time of cash disbursement among beneficiaries of PHC, CHC, DH and Medical College Hospital were found to be statistically significant.(Chi-square =45.04, p-value: 0.0000). Shortage of doctors at Health Care Centers was found to be a major cause for the delay in cash disbursement.
Key words: Janani Suraksha Yojana; National Rural Health Mission; ASHA; Beneficiaries |
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2014;1:3
Original Article |
Suryadevara S, Kumar VKV, Pampanagouda SKM, Arjun R, Deshmani V, Mukherjee G.
Colorectal Cancer Profile in a Tertiary Care Centre, Bangalore, India. |
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Abstract: Introduction: Colorectal cancers are a common disease of oncological practice. A raising incidence is seen in Asian population. It is one of the cancers where screening and early diagnosis are possible. Very few articles are there about the cancer scenario in India. A study of the disease profile helps in screening, early diagnosis and management of the disease in developing countries. Aim: To study the cancer presentation in our population which can help in developing strategies for better control of disease. Material and Methods: Medical records of 171 patients registered at Kidwai Hospital from 2010 to 2012 were retrospectively reviewed. Data including age at presentation, sex, location of the cancer and stage at presentation were analyzed. Results: The male to female ratio was 1.26:1 in rectal cancer. In colon cancer the ratio was 1:1.3. The mean age at presentation was 47 years in males and 51 years in females in colorectal cancers together. Thirty eight percent of the patients were less than 45 years old. Eighty percent of the cases were rectal cancers. In 71% of rectal cancers the growth was located within 5cm from anal verge (AV). Stage III was the commonest stage of presentation. Abdominoperineal resection (APR) was the commonest surgical procedure done. Inoperability was highest with lower rectal cancer. Conclusion: Younger age at presentation, low lying rectal cancers and advanced stage at presentation were observed in our study group which includes predominantly rural population. Rectal cancers are the most common cancers referred among colorectal cancers. Screening for colorectal cancers and early evaluation of symptomatic cases need to be encouraged. Patients should be educated regarding this. Screening strategies, etiopathogenesis and genetic abnormalities in colorectal cancer patients need to be defined in developing countries.
Key words: Early age at presentation; Advanced stage; Lower rectal cancers |
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2014;1:4
Short Report |
Khurana A, Chauhan AK, Bansal N, Verma YP, Kaur P.
Do All Cases of Diagnosed Carcinoma Cervix Need HIV Screening? |
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Abstract: Background: This observational study was aimed to determine the frequency of existence of sero-positivity for human immunodeficiency virus (HIV) infection among women of age between 25 to 75 years with invasive cervical carcinoma and to decide whether HIV testing should be included as part of the initial routine work- up of cervical cancer patients. Methods: Histologically proven 120 cases of invasive carcinoma cervix, who came for treatment between 2009-2013, in the department of radiotherapy, after counselling gave consent, were investigated for HIV by immunochromatography based rapid test. Results: Out of 120 patients investigated, reports revealed that only two patients (1.67%) were HIV seropositive. Both of these patients were already HIV seropositive and on gynaecological screening were found to have malignancy of cervix. No patient of diagnosed carcinoma cervix was found seropositive for HIV. Most patients (106/120) were above 40 years of age, from rural background (92/120) and housewives (80/120). Only 15% (18/120) were smokers. 95.8% (115/120) were of stage II and III. None presented with metastasis. Most common pathology was moderately differentiated carcinoma, in 76 patients (63.3%). Conclusion: Screening for HIV, as part of the initial work up for cervical cancer is not necessary in countries with limited resources and low HIV prevalence.
Key words: Carcinoma; Cervix; HIV; Coexistence; Screening; Immune compromised |
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2014;1:5
Short Report |
Nayak RR, Kamath AR, Nayak MA, Kamath GM, Kamath MM, D'Souza S.
Role of Outreach Camps in Reducing the Burden of Cataracts in South India. |
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Abstract: Aim: To establish the efficacy of rural outreach programme in reducing blindness caused by cataract by comparative analysis of visual outcome. Materials and Methods: Records of patients attending outreach camps conducted during 10 years i.e., 2001-02 to 2010-11 were studied. The total number of patients attending the camp and those who were detected to have visually significant cataract were noted. Similarly, the number of patients attending the outpatient department of the department of Ophthalmology and the number detected with visually significant cataract were noted. Data was tabulated and analyzed. Result: Out of 1, 16,615 patients visiting the outpatient department during those ten years, 3,014 were detected to have cataract (2.58%). 744 camps were conducted during the period of ten years, screening 60,086 patients and 6711 (11.17%) of them were detected to have cataract and were operated. These results were statistically significant. Conclusions: High numbers of cataracts were detected in the rural parts of South India with the help of outreach camps, while compared to tertiary care centres. They were given treatment in the form of cataract extraction and implantation of intraocular lens. Hence, conducting outreach camps forms an integral part in decreasing the visual morbidity due to cataract.
Key words: Outreach camps; Cataract surgery; Mobile ophthalmic unit |
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2014;1:6
Case Report |
Kanthikar SN, Nikumbh DB, Desale SS.
Primary Eosinophilic Obliterative Appendicitis.
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Abstract: Primary eosinophilic
appendicitis is a rare condition of unknown etiology having vague and unexplained symptoms. Histopathological hallmark of this entity
is eosinophilic infiltration of the muscularis propria with accompanying edema separating the muscle fibers, and absence of
neutrophilic infiltration. Preoperative correct diagnosis of this entity is not possible in view of lack of specific imaging
technology. Histopathological examination is the gold standard for the diagnosis. Here, we present an unusual case of Eosinophilic
Obliterative appendicitis in a 25 years old male patient.
Key words: Eosinophilic appendicitis; Obstruction; Appendix; Eosinophils. |
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This Article |
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2014;1:7
case Report |
Pampanagouda SKM, Suryadevara S, Kumar V, Deshmane V, Mukunda M, Jaipal.
Umbilical Metastasis as the Manifestation of an Asymptomatic Gallbladder Carcinoma. |
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Abstract: Background: Sister Mary Joseph's nodule (SMJN) is an eponym used to describe the metastatic lesion of the umbilicus. Umbilical metastases are rare and its occurrence as a first manifestation of an asymptomatic primary malignancy is very rare. The gallbladder is the source of SMJN in 2%-3% of cases. SMJN can present in any one of the following ways; first manifestation of an occult primary malignancy, an indication of recurrence in a patient with a previous malignancy, or as progression of an underlying symptomatic primary disease. Our study emphasizes the importance of identifying this very useful and easily applicable clinical sign by careful physical examination of the abdomen, and also the need for proper clinical evaluation of any umbilical lesion, and the histological diagnosis. In the present study we report on a case of Sister Mary Joseph's Nodule as the presentation of an asymptomatic gallbladder carcinoma, and review the relevant literature.
Key words: Sister Mary Joseph's Nodule (SMJN); Umbilicus mass; Gall bladder carcinoma.
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This Article |
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2014;1:8
Case Report |
Kumar S, Sharma A, Sharma S, Sharma A.
Racemose Neurocysticercosis: A Rare Cause of Chronic Meningitis. |
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Abstract: Neurocysticercosis (NCC) is the most common parasitic disease of the nervous system and is the main cause of acquired epilepsy in developing countries. Clinical manifestations result from inflammatory response to cyst degeneration, mass effect, obstruction of CSF pathway or residual scarring but are related to the numbers, size and location of lesions and the severity of host's immune response. The subarachnoid/cisternal form of NCC and majority of the intraventricular NCC are of racemose type, and differ from more common cysticercus cellulose in that they are larger, appear as multiloculated cysts and lack scolex. Racemose NCC is uncommon in India. We are reporting a patient presenting as chronic meningitis due to racemose NCC.
Key words: Neurocysticercosis; Racemose; Chronic meningitis; Cysticerci |
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This Article |
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2014;1:9
Case Report |
Patil N, Joshi S.
Retroperitoneal Ancient Schwannoma. |
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Abstract: Background: Schwannomas are rare tumors which arise from nerve sheath and are mostly benign in nature. They are usually located in the head, neck and flexor surfaces of extremities. Schwannomas are very rare in the retroperitoneal region. Amongst all schwannomas 0.7% of benign ones and 1.7% of malignant ones are located in the retroperitoneum. Preoperative diagnosis is difficult because of vague symptoms. We report a case of retroperitonal schwannoma in a 70 years female patient because of its rarity and unusual location.
Key words: Ancient schwannoma; Retroperitoneum |
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2014;1:10
Case Report |
Suryawanshi KH, Nikumbh DB, Mujawar P, Pagare P, Kanthikar SN.
Benign Intratesticular Epidermoid Cyst of the Testis: Diagnostic Dilemma. |
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Abstract: Intratesticular epidermoid cysts of the testis are rare benign lesions, comprising about 1-2% of all the testicular neoplasms. Clinically it may not be differentiated reliably from the most common malignant testicular tumours and poses a diagnostic dilemma. Majority of the testicular tumours are malignant one, hence accurate diagnosis in benign lesions such as epidermoid cyst is always warranted to avoid unnecessary invasive procedures like orchidectomy. Herein, we present a case of benign, intratesticular epidermoid cyst of the testis in a 30 years old male treated by conservative approach with testicular preservation, avoiding unnecessary orchidectomy.
Key words: Epidermoid cyst; Testis; Testicular neoplasms |
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2014;1:11
Case Report |
Shetty SK, Prasad K, Bhat S, Soma S, Sahu KK.
Splenic Epithelial Cyst With Elevated Ca 19-9 Levels. |
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Abstract: Primary epithelial cysts of the spleen are very rare entities. Few cases have been reported in literature till date. We report a 19 years old female who presented to us with a large epithelial cyst of the spleen and elevated CA 19-9 levels.
Key words: Splenic cyst; Abdominal mass; Epithelial cyst; CA 19-9 |
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2014;1:12
Case Report |
Challa VR, Swamyvelu K, Prashanthshivappa.
A Recurrent Aneurysmal Bone Cyst of Cuboid Bone with Soft Tissue. |
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Abstract: Aneursymal bone cyst of cuboid is a rare benign tumor and at times it can be aggressive. Here we would like to report a case of recurrent ABC of cuboid with soft tissue involvement managed by resection reverse sural artery island flap and fibula graft. Only 3 cases of ABC cuboid were reported in the literature till date.
Key words: Aneurysmal bone cyst; Cuboid; Reverse sural artery island flap; Fibula graft |
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2014;1:13
Case Report |
Kumar S, Diwan SK, Parihar PH.
Pancreatic Pseudocyst as Presenting Feature in Systemic Lupus Erythematosus. |
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Abstract: We report of a case of 16-year-old young tribal girl from rural Maharashtra who had fever,
abdominal pain and vomiting. She was first diagnosed with pseudocyst of pancreas by computerized tomography and then with Systemic lupus
erythematosus after further investigations. There has been no reported case of SLE and pancreatic pseudocysts here in India, who was
treated conservatively.
Key words: Systemic lupus erythematosus; Pseudocyst; Pancreas. |
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2014;1:14
Letter |
Mahalakshmy T, Dongre AR, Kalaiselvan G.
How Does Seating Arrangement Matter While Teaching in Small Groups? |
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Abstract: A circular seating arrangement is best suited for small group discussions.
Key words: Discussion; Seating; Circular. |
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